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STATE OF NORTH CAROLINA Court File No.Court File No. Drivers License No. Assistant CSC Clerk Of Superior Court District Court Judge Name And Address Of Obligor's Employer Sex Amount Of Delinquent Support Name Of Each Child For Whose Benefit Support Is Due Date To Appear(Over) $ TO THE OBLIGOR NAMED ABOVE: County VERSUS ORDER TO APPEAR AND SHOW CAUSE FOR FAILURE TO COMPLY WITH SUPPORT ORDER AND ORDER TO PRODUCE RECORDS AND LICENSES G.S. 50-13.9(d) In The General Court Of Justice District Court Division NOTICE TO SHERIFF: This Order To Appear And Show Cause must be returned to the Clerk no later than the date shown below: Signature (As Of Date) AM PM The undersigned finds that there is probable cause to believe that you are in contempt for failure to make the support payments as directed by order of this Court. Your account is now in arrears in the amo unt indicated below. Additional payments may be due prior to the hearing date. Case Type (Code) IV-D Case No. Date Of Birth Telephone No. (Home) Telephone No. (Work) Race Name Of Plaintiff Name Of Defendant Name And Address Of Obligor Service Address (If Different From Above) Place Of Hearing Date Of Support Order Date Time AOC-CV-602, Rev. 3/09 © 2009 Administrative Office of the Courts You are hereby ORDERED TO APPEAR in person at the date, time and place indicated below to show cau se why you should not be subject to income withholding or held in contempt of court for failing t o comply with the lawful orders of this Court. The Court may order income withholding if you are delinquent in an amount equal to the support for one month. Income withholding, if implemented, will apply to your current employer and all subsequent employers and will be continued until terminated pursuant to G.S. 110-136.10. If income withholding is not an available or adequate remedy, the Court may pro ceed with contempt, imposition of a lien or other available, appropriate enforcement remedies. If the Court finds you in civil conte mpt, you may be committed to jail for as long as such civil contempt continues. If the Court finds you in criminal contempt, you ma y be fined up to $500, imprisoned for up to 30 days, or both. You are entitled to be represented by an attorney. You may be eligible for court appointed counsel if you are indigent. The Court may order the revocation of some or all of your licensing privilege s if you are delinquent in an amount equal to the support due for one month. You are further ORDERED to bring with you records and information relating to your employ ment and the amount and sources of your disposable income, and all your state-issued professional, recreationa l and driving licenses. FAILURE TO APPEAR OR FAILURE TO BRING THESE RECORDS AND INFORMATION WILL BE GROUNDS FOR CONTEMPT. The obligor WAS NOT served for the following reason: Name And Address Of Person With Whom Copies Left By delivering to the obligor named above a copy of this Order. By leaving a copy of this Order at the dwelling hou se or usual place of abode of the obligor named abo ve with a person of suitable age and discretion then residing therein. Deputy CSC Clerk Of Superior Court Date Received Name Of Sheriff (Type Or Print) County Of Sheriff Signature Of Deputy Sheriff Making Return Date Of Return NOTE: Attach return receipt. Assistant CSC IV-D Agency CERTIFICATE OF MAILING A copy of this Order was mailed by certified mail, return receipt requested, on the date shown below t o the obligor shown on the reverse side. Signature Date Of Mailing AOC-CV-602, Side Two, Rev. 3/09 © 2009 Administrative Office of the Courts Date Served Name Of Obligor Time Served PM AM RETURN OF SERVICE I certify that this Order To Show Cause was receive d and served as follows: