COURT OF COMMON PLEAS

DIVISION OF DOMESTIC RELATIONS

Plaintiff / Petitioner

-vs/and-
Defendant / Petitioner

HAMILTON COUNTY, OHIO

Enter:
Date:
Case No.
File No.
CSEA No.
Judge
AFFIDAVIT FOR CITATION [] Support; or [] Parenting Time/ Visitation

STATE OF OHIO

COUNTY OF HAMILTON

being duly cautioned and sworn, deposes and says:

Affiant

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1.	That effective the day of , , Obligor was ordered to pay Obligee $ each week/month for child support/spousal support and that payments are/are not to be made through the Child Support Enforcement Agency. Affiant states that as of (date) an arrearage exists in the amount of $ . Affiant states further

that Obligor has disobeyed said order of the Court by failing to pay the amount required.

OR ********************************************************************************

2.	That on the day of , , Affiant was awarded parenting time/ visitation with the minor child(ren) and that has disobeyed said order of the Court by failing to provide access to the child(ren) as follows: (state specific dates and events)

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WHEREFORE, Affiant hereby requests that a summons issue against to appear and answer why they should not be punished as for contempt of this Court.

Affiant

Sworn to and subscribed in my presence this_________day of_________________________, 20________.

Notary Public_______________________________________