SC-507A, 11/17 Motion and Request for Hearing on Contempt (Small Claims) 247247799.26 and 801.14(2), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY Creditor(s): [Names and Addresses] Motion and Request for Hearing on Contempt (Small Claims ) Case No. - vs - Debtor(s): [Names and Addresses] UNDER OATH, I STATE: 1. The creditor was awarded a judgment for money damages under Ch. 799, Wis. Stats., against [Name] as judgment debtor(s). 2. A copy of the order for Financial Disclosure Statement was mailed or delivered to the judgment debtor(s). 3. More than 15 days have elapsed from the date of entry of judgment and the judgment debtor(s) has failed to comply with the order of the court and has given no reason for the failure to comply. accurately or completely fill out the Financial Disclosure Statement. I ask that the court schedule a hearing to determine why the judgment debtor(s) has failed to comply with the Order for Financial Disclosure Statement. State of County of Subscribed and sworn to before me on Notary Public/Court Official Name Printed or Typed My commission/term expires: Judgment Creditor/Attorney Print or Type Name Date TO HAVE THE HEARING SCHEDULED, CREDITOR(S) MUST ALSO SUBMIT THE ORDER FOR HEARING ON CONTEMPT (SC-507B) form. American LegalNet, Inc. www.FormsWorkFlow.com