Petition For Contempt Of Custody Instruction Sheet Page 4

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IN THE COURT OF COMMON PLEAS OF PHILADELPHIA COUNTY
:
_____________________________,
:
PLAINTIFF
:
FAMILY COURT DIVISION
:
VS.
:
CIVIL ACTION
:
_____________________________,
:
DEFENDANT
:
D. R. NO.
:
PETITION FOR CONTEMPT OF CUSTODY ORDER
1. Petitioner (name) __________________________________________________________
is plaintiff or defendant (circle one) in the custody complaint
and resides at (street, city, state, zip) ____________________________________________
__________________________________________________________________________
2. Respondent (name) ________________________________________________________
is plaintiff or defendant (circle one) in the custody complaint.
and resides at (street, city, state, zip) _____________________________________________
__________________________________________________________________________
3. On (month/date/year) ________________,
The Honorable (name of Judge)
_________________________________________________
entered the following order ____________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
4. Since the entry of said order, the respondent has willfully failed to obey the order as follows:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

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