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					             THE SUPERIOR COURT FOR THE COUNTY OF_______________

                                     STATE OF GEORGIA

_____________________,                       ]
      Petitioner/Plaintiff,                  ]        Civil Action File
                                             ]
       v.                                    ]        No. ____________
                                             ]
_____________________,                       ]
      Respondent/Defendant.                  ]

                                  MOTION FOR CONTEMPT

      ____________________, Petitioner/Plaintiff, files this her/his Motion for Contempt against
_____________________________, Respondent/Defendant, and shows the Court as follows:

                                                 1.

        Respondent/Defendant is a resident of __________________ County, Georgia and is subject
to the jurisdiction and venue of this Court. Service may be acknowledged. If service of process is
not acknowledged, service of the Summons and Motion for Contempt may be perfected according to
law. Respondent/Defendant may be served at _________________________________________.

                                                 2.

       On ____________________, 2____, this Court issued a Protective Order in the above styled
case which ordered, in part that Respondent/Defendant_____________________________________
______________________________________________________________________________
______________________________________________________________________________.
A copy of the Order is attached and incorporated as Exhibit AA@.

                                                 3.

      Respondent/Defendant has willfully failed to ____________________________________
______________________________________________________________________________.

                                                 4.

         It has been necessary for Plaintiff to retain legal counsel and incur substantial costs of
litigation in order to enforce this Court=s Order. (Cross out this paragraph if it does not apply).

       Wherefore, Petitioner/Plaintiff requests as follows:

       1.      That process issue and Respondent/Defendant be served with a copy of
      Petitioner=s/Plaintiff=s Summons and Motion for Contempt;
2.    That a Rule Nisi be issued requiring Respondent/Defendant to appear and show cause
      why she/he should not be held in contempt.

3.    That Respondent/Defendant be found in willful contempt of this Court=s Order;

4.    That the relief requested in Petitioner=s/Plaintiff=s Motion for Contempt be granted;

5.    That the Court impose sanctions on the Respondent/Defendant pursuant to O.C.G.A.
      ' 15-6-8(5);

6.    That Petitioner/Plaintiff be awarded attorney=s fees and expenses incurred in this
      matter;

7.    That Petitioner/Plaintiff have such other and further relief as the Court deems just and
      equitable.

This ________ day of __________________, 20___.

                                             ____________________________
                                             Petitioner/Plaintiff
______________________
______________________
Address
______________________
Phone Number
(Unless confidential)
             THE SUPERIOR COURT FOR THE COUNTY OF_______________

                                      STATE OF GEORGIA

_____________________,                        ]
            Petitioner/Plaintiff,             ]       Civil Action File
                                              ]
5.                                            ]       No. ____________
                                              ]
_____________________,                        ]
            Respondent/Defendant.             ]

                                        VERIFICATION

        Personally appeared _____________________, who being duly sworn states that she/he is the
Petitioner in the above styled case and that the facts set forth in the foregoing Motion for Contempt
are true and correct.

                                                              ______________________________
                                                              Petitioner/Plaintiff
Sworn and subscribed before
me this _____ day of _____________, ________.

_______________________________
NOTARY PUBLIC
My commission expires:
                IN THE SUPERIOR COURT OF ________________ COUNTY

                                     STATE OF GEORGIA

_________________,                            ]
                                              ]
       Petitioner/Plaintiff,                  ]
v.                                            ]      Civil Action
                                              ]      File No. ___________________
_________________,                            ]
                                              ]
       Respondent/Defendant.                  ]



                                   RULE NISI NOTICE AND
                                    ACKNOWLEDGMENT

To: ______________________________

The enclosed motion and rule nisi are served pursuant to Official Code of Georgia Annotated ' 19-6-
28.

You must complete the acknowledgment part of this form and mail one copy of the completed form
to the sender within ten days of the date of the mailing to you, which is set out below.

You must sign and date the acknowledgment. If you are served on behalf of another person and you
are authorized to receive process, you must indicate under your signature your authority.

If you do not complete and return this form to the sender within ten days, you or the party on whose
behalf you are being served will be required to pay any expenses incurred in serving a summons and
complaint in any other manner permitted by law unless good and sufficient cause is shown to the
contrary.

If you do complete and mail this form, you or the party on whose behalf you are being served must
appear and show cause why you should not be attached for contempt at the time required by the
enclosed rule nisi.

I declare, under penalty of perjury, that this Notice and Acknowledgment of Receipt will have been
mailed on the date set out below.

                                              ________________________________________
                                              Signature
                                              ________________________________________
                                              Date of mailing
                IN THE SUPERIOR COURT OF ________________ COUNTY

                                      STATE OF GEORGIA

_________________,                            ]
                                              ]
       Petitioner/Plaintiff,                  ]
v.                                            ]       Civil Action
                                              ]       File No. __________________
_________________,                            ]
                                              ]
       Respondent/Defendant.                  ]

                               ACKNOWLEDGMENT OF RECEIPT
                                OF SUMMONS AND COMPLAINT

I declare, under penalty of perjury, that I received a copy of the motion and of the rule nisi in the
above captioned manner at _________________________________________ (address)

                                              _____________________________________
                                              Signature

                                              _____________________________________
                                              Printed name of signer


                                              _____________________________________
                                              Authority to receive service of process


                                              _____________________________________
                                              Date of mailing

				
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