Fill and Sign the County of S Form

SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF ________________________ county in which divorce is pending ---------------------------------------------------------------x : Index No. ______________ insert court index no. Plaintiff, : AFFIDAVIT IN SUPPORT -against- :OF MOTION FOR CONTEMPT : Defendant. : ----------------------------------------------------------------x STATE OF NEW YORK ) COUNTY OF ________________________) s.s.: where this affidavit is signed I,________________________________ , being duly sworn, depose and say that: your name 1.I am the ______________________in this divorce action. Plaintiff / Defendant 2.I submit this affidavit in support of my Motion for civil and criminal contempt sanctions against for his/her willful failure to comply with the opposing party’s name circle one Order or Judgment of this Court, dated _____________________. A copy of that Order or date of Order or Judgment Judgment is annexed to this affidavit as Exhibit A. (attach copy of Order or Judgment ) 3.On___________________, this Court awarded me temporary/final: date of Order or Judgment circle one 2 (Check the applicable boxes) “Child Support “Maintenance/Spousal Support “Custody “Visitation “Equitable Distribution of Marital Property “Other___________________________________________________________ describe other relief awarded ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ _____________________________________________________________________________ 4. Copy of such Order/Judgment was served upon _______________________________ opposing party’s name by__________________________on____________________________. 5. __________________________________ should be held in contempt of this opposing party’s name Court’s Order or Judgment because:_________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Describe why you think the opposing party should be held in contempt. Include specific details of what he or she has done or not done to comply . Provide affidavits of witnesses and police incident reports documenting custody or visitation violations. 6. Attached to this affidavit as Exhibit B is the following documentation showing that _____________________ has wilfully and intentionally failed to comply with the opposing party’s name Order or Judgment of this Court: ______________________________________________________________________________ 3 ______________________________________________________________________________ Provide letters from opposing party. Where the basis for contempt is failure to pay support despite the means and ability to do so, provide evidence of opposing party’s income and assets, including his or her sworn affidavit of net worth, bank statements, tax returns, etc. 7. I believe that nothing less than a fine and incarceration will persuade _________________________________ to comply with the Court’s Order or Judgment. Other opposing party’s name enforcement devices, including income deduction Orders, income executions, sequestration or posting of a bond will be or have been unsuccessful because: ____________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ For example, include, if applicable, that opposing party is self-employed or employed off the books, has transferred assets to another party, or that the contempt relates to custody or visitation violations. 8. If___________________________________ is not forced to comply with this opposing party’s name Order, I will suffer the following hardships:___________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Describe hardships. Some examples include, but are not limited to: possible eviction; loss of relationship with child(ren); foreclosure; inability to pay for basic necessities such as food, clothing, shelter or health care. 9. __________________________’s willful and intentional noncompliance with the opposing party’s name Order or Judgment of this Court has defeated, impaired, impeded and prejudiced my rights. 4 10. a) 9 I have made no prior application for the relief requested in this Motion. or b) 9 If prior application made, set forth the results of such prior application. check one WHEREFORE, I respectfully request that my Motion be fully granted. ___________________________ sign your name Sworn to before me this______day Print name, address and telephone no. of _________,200________________________________ (THIS AFFIDAVIT MUST BE NOTARIZED) ____________________________________________ ______________________________ ______________________________ 06/27/05