STATE OF INDIANA. ) * INTHE MARION Greet COURT ) ss: Paternity DIVISION, Room _E.\S(o. COUNTY OF MARION) CAUSE NO=__ Petitioner ) ) vs. ) ) ) Respondent | INFORMATION FOR CONTEMPT 1 am the Petitioner in this case and I swear or affirm, under the penalties for perjury, that the following information is true. 1, The Court issued an Ex Parte/Permanent Protective Order on (circle correct type of order) (date) 2. The Order is still in effect. 3. The Respondent was served with the Order via personal service/copy service on (circle correct type of service) the dayof__ __(if applicable). (day) (month) (year) -OR— ‘The Respondent was present in person and/or by counsel at a hearing held on oe ____and is therefore aware of the Order. (date of hearing) 4, The Respondent violated the Order as described below: Date of Incident _ Location of incident_ Time of Incident _ ‘The Witnesses to this Incident are (if you personally witnessed this incident, you must include yourself as a witness): e. The Respondent violated the Order b»