Fill and Sign the Homesuperior Court of California County of Placer Form

               F L -4 10ATTO RNEY O R P AR TY W IT H O UT A TTO RNEY ( N am e, s ta te b ar n um ber, a nd a ddre ss):F O R C O URT U SE O NLYT E LE PH O NE N O .FA X N O .ATTO RNEY F O R ( N am e):S U PER IO R C O URT O F C ALIF O RNIA , C O UNTY O FSTR EET A D DR ESSM AIL IN G A D D RESSC IT Y A N D Z IP C O DEBR AN CH N AM EP ETIT IO NER /P LA IN TIF F:R ESPO NDEN T/D EFE N DANT:O TH ER P A REN T:O RDER T O S H O W C AUSE A ND AFFID AVIT F O R C O NTE M PTCASE N UM BERN O TIC E!A VIS O !A contempt proceeding is criminal in nature. If the court finds you in contempt, the possible penalties include jail sentence, co m munit y s erv ic e, a n d f in e.U n p ro ceso ju dic ia l p or d esacato e s d e in dole c rim in al. S i la c o rte le d ecla ra a u ste d e n d esacato , la s s an cio nes p osib le s in clu yen pen as d e p ris i6 n y d e s erv ic io a la c o m unid ad , y m ult a s.Y ou a re e n tit le d t o t h e s erv ic es o f a n a tto rn ey w ho s h ould b e consu lt e d p ro m ptly in o rd er t o a ssis t y o u. If y o u c an not a ffo rd a n atto rn ey, t h e c o urt m ay a p poin t a n a tto rn ey t o r e p re sen t y o u.U ste d t ie n e d ere ch o a lo s s erv ic io s d e u n a b ogad o, a q uie n d eb e consu lt a r s in d em ora p ara o bte n er a y u da. S i n o p ued e p ag ar a u n abogad o, la c o rte p odr~ n om bra r a u n a b ogad o p ara q ue le re p re sen te .1 . T O C IT E E ( n am e o f p ers o n y o u a lle ge h as v io la te d t h e o rd ers ):2 . Y O U A R E O RDER ED T O A PPEA R I N T H IS C O URT A S F O LLO W S T O G IV E A N Y L E G AL R EASO N W HY T H IS C O URTSH O ULD N O T F IN D Y O U G UIL T Y O F C O NTE M PT A N D P U NIS H Y O U F O R W IL LF U LLY D IS O BEYIN G I T S O RDER S A S S ET FO RTH I N T H E A FFID AVIT B ELO W AN D A N Y A TTA C HED A FFID AVIT O F F A C TS C O NSTIT U TIN G C O NTE M PTA N D R EQ UIR E YO U T O P AY, F O R T H E B EN EFIT O F T H E M OVIN G P AR TY , T H E A TTO RNEY F E ES A N D C O STS O F T H IS P R O CEED IN G .a. Date:Tim e:D ept.:R m .:b . A ddre ss o f c o urt:s a m e a s n ote d a b oveo th er ( s p ecif y ):D ate :JU DIC IA L O FFIC ER3 . A FFID AVIT S U PPO RTIN G O RDER T O S H O W C AUSE F O R C O NTE M PT An A ffid avit o f F acts C onstit u tin g C onte m pt ( fo rm 1 285.6 1A o r 1 285.6 1 B ) is a tta ch ed. 4. C it e e h a s w illf u lly d is o beye d c e rta in o rd ers o f t h is c o urt a s s e t f o rth in t h is a ffid avit a nd a ny a tta ch ed a ffid avit s . 5. a . C it e e h ad k n o w le dge o f t h e o rd er in t h at(1 )C it e e w as p re se nt in c o urt a t t h e t im e t h e o rd er w as m ade.(2 )C it e e w as s e rv e d w it h a c o py o f t h e o rd er.(3 )(4 )C it e e s ig ned a s tip ula tio n u pon w hic h t h e o rd er w as b ase d. Oth er ( s p ecif y ):C ontin ued o n A tta ch m ent 5 a(4 ). b . C it e e w as a ble t o c o m ply w it h e ach o rd er w hen it w as d is o beye d. 6. B ase d o n t h e in sta nce s o f d is o b edie nce d escrib ed in t h is a ffid avit a .b.I h ave n ot p re vio usly f ile d a r e quest w it h t h e c o urt t h at t h e c it e e b e h e ld in c o nte m pt. I h ave p re vio usly f ile d a r e quest w it h t h e c o urt t h at t h e c it e e b e h eld in c o nte m pt ( s p ecif y d ate f ile d a nd r e su lt s ):C ontin ued o n A tta ch m ent 6 b.Page 1 o f 4F orm A dopte d b y fo r M an dit o ry U se Ju dic ia l C ouncil o f C alif o rn ia FL -4 10 [R ev. J a nuary 1 , 2 003]O RDER T O S H O W C AUSE A ND A FFID AVIT F O R C O NTE M PTFam ily C ode, § 2 92,C ode o f C iv il P ro ce dure ,§ § 1 211.5 , 2 0 15.5e le ctr o n ic f o rm  2 002 WWW.LawCA.com La w P ublis h ers               PETIT IO NER /P LA IN TIF F:CASE N UM BERR ESPO NDEN T/D EFE N DAN T:O TH ER P AR EN T:7.C it e e h as p re vio usly b een f o und in c o nte m pt o f a c o urt o rd er ( s p ecif y c a se , c o urt, d ate ):C ontin ued o n A tta ch m ent 7 .8 .E ach o rd er d is o be ye d a nd e ach in sta nce o f d is o bedie nce is d escrib ed a s f o llo w s:a .O rd ers f o r c h ild s u pport, s p ousa l s u pp ort, f a m ily s u pport, a tto rn ey f e es, a nd c o urt o r o th er lit ig atio n c o sts ( s e e atta ch ed A ffid avit o f F acts C onstit u tin g C onte m pt ( fo rm 1 285.6 1 A )).b .D om estic v io le nce r e str a in in g o rd ers a nd c h ild c u sto dy a nd v is it a tio n o rd ers ( s e e a tta ch ed A ffid avit o f F acts Co nstit u tin g C onte m pt ( fo rm 1 285.6 1 1 3 )).c.In ju nctiv e o r o th er o rd er ( s p ecif y w hic h o rd er w as v io la te d, h ow t h e o rd er w as v io la te d, a nd w hen t h e o rd er w asvio la te d):d .C ontin ued o n A tta ch m ent 8 c. Oth er m ate ria l f a cts , in clu din g f a cts in dic a tin g t h at t h e v io la tio n o f t h e o rd ers w as w it h out ju stif ic a tio n o r e xcu se (sp ecif y ):e .C ontin ued o n A tta ch m ent 8 d. I a m r e questin g t h at a tto rn ey f e es a nd c o sts b e a w ard ed t o m e f o r t h e c o sts o f p urs u in g t h is c o nte m pt a ctio n. ( A co p y o f m y I n co m e a nd E xp ense D ecla ra tio n ( fo rm 1 285.5 0) is a tta ch ed.)W ARNIN G : I F Y O U P U RSU E T H IS C O NTE M PT A CTIO N, I T M AY A FFE C T T H E A BIL IT Y O F T H E D IS TR IC T ATTO RNEY T O P R O SEC UTE T H E C IT E E C RIM IN ALLY F O R T H E S A M E V IO LA TIO NS.I d ecla re u nder p e nalt y o f p erju ry u nd er t h e la w s o f t h e S ta te o f C alif o rn ia t h at t h e f o re goin g is t r u e a nd c o rre ct.D ate :(T Y PE O R P R IN T N AM E)(S IG NATU RE)O RDER T O S H O W C AUSE A ND A FFID AVIT F O R C O NTE M PTPage 2 o f 4 F L-4 10 [R ev. J a nuary 1 , 2 003]ele ctr o n ic f o rm  2 002 WWW.LawCA.com La w P ublis h ers IN FO RM ATIO N S H EET F O R O RDER T O S H O W C AUSE AN D A FFID A VIT O F F A CTS C O NSTIT U TIN G C O NTE M PT (C alif o rn ia R ule s o f C ourt, r u le 1 285.6 0)(D o N O T d eliv e r t h is I n fo rm atio n S heet t o t h e c o urt c le rk .)P le ase f o llo w t h e se in str u ctio ns t o c o m ple te t h e O rd er t o S how C ause a nd A ffid avit f o r C onte m pt ( fo rm 1 285.6 0) if y o u do n ot h ave a n a tto rn ey t o r e pre se nt y o u. Y our a tto rn ey, if y o u h ave o ne, s h ould c o m ple te t h is f o rm , a s w ell a s t h e Affid avit o f F acts C onstit u tin g C onte m pt. Y ou m ay w is h t o c o nsu lt a n a tto rn ey f o r a ssis ta nce . C onte m pt a ctio ns a re v e ry dif fic u lt t o p ro ve . A n a tto rn ey m ay b e a ppoin te d f o r t h e c it e e.IN STR UCTIO NS F O R C O M PLE TIN G T H E O RDER T O S H O W C AUSE A ND A FFID AVIT O F F A CTS C O NSTIT U TIN G CO NTE M PT ( T Y PE O R P R IN T F O RM I N I N K):If t h e t o p s e ctio n o f t h e f o rm h as a lr e ady b een f ille d o ut, s kip d ow n t o n um ber 1 b elo w . I f t h e t o p s e ctio n o f t h e f o rm is bla nk, y o u m ust p ro vid e t h is in fo rm atio n.F ro nt p age, f ir s t b ox, t o p o f f o rm , le ft s id e: P rin t y o ur n am e, a ddre ss, t e le phone n um ber, a nd f a x n um ber, if a ny, in t h is b ox. I f y o u h ave a r e str a in in g o rd er a nd w is h t o k e ep y o ur a ddre ss c o nfid entia l, y o u m ay u se a ny a ddre ss w here y o u c a n rece iv e m ail. Y ou c an b e l e g ally s erv ed c o urt p ap ers a t t h is a d dre ss. F ro nt p age, s e co nd b ox, le ft s id e: P rin t t h e n am e o f t h e c o unty w here t h e c o urt is lo ca te d a nd in se rt t h e a ddre ss a nd a ny bra nch n am e o f t h e c o urt b uild in g w here y o u a re s e ekin g t o o b ta in a c o nte m pt o rd er. Y ou m ay g et t h is in fo rm atio n f r o m the c o urt c le rk . T his s h ould b e t h e s a m e c o urt in w hic h t h e o rig in al o rd er w as is su ed. F ro nt p age, t h ir d b ox, le ft s id e: P rin t t h e n am es o f t h e P etit io ne r, R esp ondent, a nd O th er P are nt ( if a ny) in t h is b ox. U se th e s a m e n am es a s a ppear o n t h e m ost r e ce nt c o urt o rd er d is o beye d. F ro nt p age, f ir s t b ox, t o p o f f o rm , r ig ht s id e: L eave t h is b ox b la n k f o r t h e c o urt's u se .F ro nt p age, s e co nd b ox, r ig ht s id e: P rin t t h e c o urt c a se n um be r in t h is b ox. T his n um ber is a ls o s h ow n o n t h e m ost r e ce nt co urt o rd er d is o beye d. Ite m 1 - I n se rt t h e n am e o f t h e p arty w ho d is o beye d t h e o rd er ( ''t h e c it e e'') .Ite m 2 - T he c o urt c le rk w ill p ro vid e t h e h earin g d ate a nd lo ca tio n.Ite m 3- E it h er c h e ck t h e b ox in it e m 3 a nd a tta ch a n A ffid avit o f F acts C onstit u tin g C onte m pt ( fo rm 1 285.6 1A f o r f in ancia lord ers o r f o rm 1 285.6 1 B f o r d om estic v io le nce , c u sto dy a nd v is it a tio n o rd ers ), o r le ave t h e b ox in it e m 3 b la nk b ut check a nd c o m ple te it e m 8 .Ite m 5 - C heck t h e b ox t h at d escrib es h ow t h e c it e e k n ew a bout t h e o rd er t h at h as b een d is o beye d.Ite m 6 - a . C heck t h is b ox if y o u h ave n ot p re vio usly a pplie d f o r a c o nte m pt o rd er.o rd er a n d r e su lt s o f y o ur r e quest. I f y o u n eed m ore s p ace , c h eck t h e b ox t h at s a ys 6b '' a nd a tta ch a s e para te s h eet t o t h is o rd er t o s h ow c a use .b. C heck t h is b ox if y o u h ave p re vio usly a pplie d f o r a c o nte m pt o rd er a nd b rie fly e xp la in w hen y o u r e queste d t h e ''c o ntin ued o n A tta ch m entIte m 7 - C heck t h is b ox if t h e c it e e h as p re vio usly b een f o und in c o nte m pt b y a c o urt o f la w . B rie fly e xp la in w hen t h ecit e e w as f o und in c o nte m pt a nd f o r w hat. I f t h ere is n ot e noug h s p ace t o w rit e a ll t h e f a cts , c h eck t h e b ox t h at says ''c o ntin ued o n A tta ch m ent 7 '' a nd a tta ch a s e para te s h eet t o t h is o rd er t o s h ow c a use .Ite m 8 - a . C heck t h is b ox if t h e c it e e h as d is o beye d o rd ers f o r c h ild s u pport, c u sto dy, v is it a tio n, s p ousa l s u pport, f a m ilys u pport, a tto rn ey f e es, a nd c o urt o r lit ig atio n c o sts . R efe r t o it e m 1 a o n A ffid avit o f F acts C onstit u tin g Conte m pt ( fo rm 1 285.6 1 A ).b . C heck t h is b ox if t h e c it e e h as d is o beye d d om estic v io le nce o rd ers o r c h ild c u sto dy a nd v is it a tio n o rd ers . Re fe r t o A ffid avit o f F acts C onstit u tin g C onte m pt ( fo rm 1 285.6 1 B ).O RDER T O S H O W C AUSE A ND A FFID AVIT F O R C O NTE M PTPage 3 o f 4 F L-4 10 [R ev. J a nuary 1 , 2 003]ele ctr o n ic f o rm  2 002 WWW.LawCA.com La w P ublis h ers In fo rm atio n S heet f o r C alif o rn ia R ule s o f C ourt, r u le 1 285.6 0 ( c o ntin ued )Ite m 8 - c . I f y o u a re c o m ple tin g t h is it e m , u se f a cts p ers o nally k n ow n t o y o u o r k n ow n t o t h e b est o f y o ur k n ow le dge. ''c o ntin uedS ta te t h e f a cts in d eta il. if t h ere is n ot e nough s p ace t o w rit e a ll t h e f a cts , c h eck t h e b ox t h at s a ys on A tta ch m ent 8 c'' a nd a tta ch a s e para te s h eet t o t h is o rd er t o s h ow c a use , in clu din g f a cts in dic a tin g t h at t h e vio la tio n o f t h e o rd ers w as w it h out ju stif ic a tio n o r e xcu se .d. U se t h is it e m t o w rit e o th er f a cts t h at a re im porta nt t o t h is o rd er. I f y o u a re c o m ple tin g t h is it e m , in se rt f a ctsp ers o nally k n ow n t o y o u, o r k n o w n t o t h e b est o f y o ur k n ow le dg e. S ta te f a cts in d eta il. I f t h ere is n ot e nough space t o w rit e a ll t h e f a cts , c h eck t h e b ox t h at s a ys ''C ontin ued o n A tta ch m ent 8 d'' a nd a tta ch a s e para te s h eet to t h e o rd er t o s h ow c a use .e. I f y o u r e quest a tto rn ey f e es a n d/o r c o sts f o r p urs u in g t h is c o nte m pt a ctio n, c h eck t h is b ox. A tta ch a c o py o f your I n co m e a nd E xp ense D ecla ra tio n ( fo rm 1 285.5 0).T yp e o r p rin t a n d s ig n y o ur n am e a t t h e b otto m o f p age t w o.If y o u c h ecke d t h e b ox in it e m 3 a nd 8 a o r 8 b, c o m ple te t h e a pp ro pria te A ffid avit o f F acts C onstit u tin g C onte m pt, f o llo w in g the in str u ctio ns f o r t h e a ffid avit a bove .M ake a t le ast t h re e c o pie s o f t h e O rd er t o S how C ause a ndA ffid avit f o r C onte m pt a nd a ny s u pportin g A ffid avit o f F acts Co nstit u tin g C onte m pt a nd I n co m e a nd E xp ense D ecla ra tio n f o r t h e c o urt c le rk , t h e c it e e, a nd y o urs e lf . I f t h e d is tr ic t atto rn ey is in vo lv e d in y o ur c a se , y o u m ust p ro vid e a c o py t o t h e d is tr ic t a tto rn ey.T ake t h e c o m ple te d f o rm (s ) t o t h e c o urt c le rk 's o ffic e . T he c le rk w ill p ro vid e h earin g d ate a nd lo ca tio n in it e m 2 , o bta in t h e judic ia l o ffic e r's s ig natu re , f ile t h e o rig in als , a nd r e tu rn t h e c o pie s t o y o u.H ave s o m eone o ve r t h e a ge o f 1 8, w ho is n ot a p arty , s e rv e t h e o rd er a nd a ny a tta ch ed p apers o n t h e d is o bedie nt p arty . Fo r e xa m ple , a p ro ce ss s e rv e r o r s o m eone y o u k n ow m ay s e rv e t h e p apers . Y ou m ay n ot s erv e t h e p ap ers y o urs elf . Se rv ic e m ust b e p ers o nal; s erv ic e b y m ail i s i n su ffic ie n t. T he p apers m ust b e s e rv e d a t le ast 2 1 d ays b efo re t h e c o urt he arin g. T he p e rs o n s e rv in g p apers m ust c o m ple te a P ro of o f S erv ic e a nd g iv e t h e o rig in al t o y o u. K eep a c o py f o r yours e lf a nd f ile t h e o rig in al P ro of o f S erv ic e w it h t h e c o urt.If y o u n eed a ssis ta nce w it h t h ese f o rm s, c o nta ct a n a tto rn ey o r t h e F am ily L aw F acilit a to r in y o ur c o unty .O RDER T O S H O W C AUSE A ND A FFID AVIT F O R C O NTE M PTPage 4 o f 4 F L-4 10 [R ev. J a nuary 1 , 2 003]ele ctr o n ic f o rm  2 002 WWW.LawCA.com La w P ublis h ers