Superior Court of Washington County of In re Parentage: No. Petitioner, and Respondent and Motion and Declaration for an Order to Show Cause re Contempt (Parentage) (MTSC) Respondent. I. Motion _____________________________________ [Name] moves the court for an order directing _____________________________________ [Name] to appear personally before the court and show cause why an order should not be entered. 1.1 Finding Contempt [] [] Does not apply. Finding contempt for failure to comply with: [] [] [] [] the order of child support. the residential schedule/parenting plan. the restraining order. other: entered on _______________ [Date] in _______________________________ [County and State]. 1.2 Establishing a Judgment [] Does not apply. Mtn/Declr for Ord to Show Cause re Contempt (MTSC) - Page 1 of 3 WPF PS 05.0100 (6/2006) - RCW 26.09.160 American LegalNet, Inc. www.FormsWorkflow.com [] 1.3 Granting Sanctions [] [] [] [] 1.4 Establishing a judgment in the amount of $__________ plus $__________interest for delinquent child support and $________ costs for the period from _____________ [Date] through _______________ [Date]. Does not apply. Granting sanctions for contempt, including a forfeiture for each day the contempt of court continues, and establishing conditions by which the contempt may be purged and granting any other relief, including reasonable attorney fees and costs and make up residential time, as may be appropriate under Chapter 7.21 RCW, Chapter 26.09 RCW, Chapter 26.10 RCW, Chapter 26.26 RCW, and RCW 26.18.040. Imprisonment is sought as a sanction. Imprisonment is not sought as a sanction. Other This motion is based upon the declaration which follows. Dated: Signature of Moving Party or Lawyer/WSBA No. Print or Type Name II. Declaration ______________________________ [Name] should be held in contempt for the following reasons: [] Failure to comply with the provision of the child support order which directed payment of: [] [] [] [] current support in the amount of $__________ per month. day care or special expenses/extraordinary costs/educational expenses or provide health insurance coverage as described below: Other: Failure to comply with the residential schedule/parenting plan as follows: Mtn/Declr for Ord to Show Cause re Contempt (MTSC) - Page 2 of 3 WPF PS 05.0100 (6/2006) - RCW 26.09.160 American LegalNet, Inc. www.FormsWorkflow.com [] Failure to comply with the restraining order which required: This order was violated in the following manner: [] Other: I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Signed at ___________________________, [City] [State] on [Date]. Signature of Moving Party Print or Type Name Mtn/Declr for Ord to Show Cause re Contempt (MTSC) - Page 3 of 3 WPF PS 05.0100 (6/2006) - RCW 26.09.160 American LegalNet, Inc. www.FormsWorkflow.com