FORM 5.10A Order of Court

IN THE COURT OF COMMON PLEAS OF

__________________ COUNTY, PENNSYLVANIA

CIVIL ACTION-LAW

PLAINTIFF

vs No. CI -

DEFENDANT

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:

Date ________________

J.