FORM 5.10A Order of Court

IN THE COURT OF COMMON PLEAS

OF __________________ COUNTY, PENNSYLVANIA

PLAINTIFF : No.

v. :

DEFENDANT

: IN CUSTODY

ORDER

AND NOW, this __________________ of __________________, 20______, upon consideration of

[Plaintiff's/Defendant's] Petition for Contempt of Order of Custody, [Plaintiff's/Defendant's] Answer thereto, and

hearing thereon, it is hereby ORDERED and DECREED:

1. [Plaintiff/Defendant] is adjudicated in willful contempt of court for failing to (specify).

2. [Plaintiff/Defendant] shall have additional partial physical custody of the parties' [Child/Children] on the

following dates and times to make up for the missed time caused by [Plaintiff's/Defendant's] contempt: (specify).

3. [Plaintiff/Defendant] shall pay $__________________ to [Plaintiff/Defendant] within ten (10) days from the

date of this Order for counsel fees and costs.

4. [Plaintiff/Defendant] shall comply fully with the terms of this Order or be subject to sanctions of this Court,

including, but not limited to, fines and/or incarceration.

BY THE COURT:

__________________

J.

__________________