Fill and Sign the Judgment Failure to Pay Fine Andor Form

RETURN OF SERVICE File No. STATE OF NORTH CAROLINA County In The General Court Of Justice District Superior Court Division Before The Clerk SHOW CAUSE ORDER, FINDINGS AND JUDGMENT - FAILURE TO PAY FINE AND/OR COSTS, TO OBEY JURY SUMMONS, TO APPEAR PURSUANT TO CRIMINAL SUMMONS, OR FOR CONTEMPT NOTE TO CLERK: An Order under No. I is filed in the original criminal/ infraction case. An Order under No. II is either a Miscellaneous or Registration file, based on its disposition; see Rule of Recordkeeping 16. An Order under No. III establishes a new CR/CRS case if prosecuted as criminal contempt, but it is filed in the existing case file if disposed as civil contempt. An Order under No. IV or V establishes a new CR/CRS case in the court in which filed. I certify that this Order was received and served as follows: By personally serving the defendant/contemnor named above with a copy of this Order. Defendant/contemnor WAS NOT served for the following reason: You are ORDERED to appear before the Court as indicated below and show ca\ use why you should not be punished for contempt or for failure to comply with the Court’s order as described above. If you do not appear, the Court may issue an order for your arrest or may enter other sanctions against you in your absence. V. Other Criminal Contempt [G.S. 5A-11; G.S. 15A-1344(e1)] Act of criminal contempt described below: (NOTE TO COURT: The grounds provided in G.S. 5A-11(a) are exclusive. ) III. Failure To Obey Other Order Of The Court [G.S. 5A-11; G.S. 5A-21] Failure to obey the order of the Court indicated below: II. Failure To Obey Jury Summons [G.S. 9-13] Failure to report for jury duty as directed pursuant to a jury summons i\ ssued on (date) . To the Defendant/Contemnor Named To The Left: Upon motion of the moving party named herein or on its own motion, the C\ ourt finds probable cause to believe that you should be held in contempt of court or fined for your: I. Failure To Pay Fine And/Or Costs [G.S. 15A-1364] Failure to pay the fine and/or costs as ordered in this case. The Court will conduct a hearing and decide whether you should be imprisoned for your failure to pay the fine and/or costs. The amount of the fine and/or costs that you were ordered to pay and the balance due as of the date of this Order are as follows: IV. Failure To Obey Order To Appear Pursuant To Criminal Summons [G.S. 15A-303(e)(3); G.S. 5A-11] Failure to appear before this Court as directed by a criminal summons is\ sued and duly served on you, ordering you to appear before this Court and answer to the offense(s) indicated below: Deputy CSC Magistrate Assistant CSC Superior Court Judge Clerk Of Superior Court District Court Judge Location Of Court County Of Department/Agency Name Of Officer (type or print) Department Or Agency Signature Of Officer Date Summons Issued Date Of Order Describe Action(s) Ordered And Facts Constituting Contempt Name And Address Of Moving Party, If Not The Court Name And Address Of Defendant/Contemnor County Of Residence Telephone No. Date Of Birth Drivers License No. & State Social Security No. Race Sex AgeAmount Of Fine And/Or Costs Ordered Paid Balance Due As Of The Date Of This Order Date Summons Served Date Of Failure To Appear Offense(s) Date Order IssuedName Of Issuing Official (type or print) Signature Of Issuing Official File Number File Number County County Name Of Official Who Issued Summons Name Of Official Who Entered Order Court Time Court Date AM PM $ $ Date ReceivedDate Served Date Returned Time Served AM PM STATE VERSUS/IN THE MATTER OF (Over) AOC-CR-219, Rev. 9/17