Petition For Contempt Of Custody Instruction Sheet Page 5

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WHEREFORE, petitioner prays this court to adjudge the respondent in contempt of court and
order appropriate sanctions.
Date:________________
____________________________________
Petitioner
I verify that the statements made in this petition are true and correct. I understand that
false statements herein are made subject to the penalties of PA.C.S.A. § 4904 relating to
unsworn falsification to authorities.
Date:
_________________
_________________________________
Petitioner

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