Commonwealth of Massachusetts
Division
The Trial Court Probate and Family Court Department
Docket No.
COMPLAINT FOR
, Plaintiff 1. Plaintiff resides at
(Street address)
CIVIL CRIMINAL V.
CONTEMPT
, Defendant
(City/Town) (City/Town)
(County) (County)
(State) (State)
(Zip) (Zip)
2. Defendant resides at
(Street address)
3. By to pay $
judgment alimony
order of the Court, dated and/or support for minor or dependent child(ren) in the sum of weekly monthly .
defendant was ordered
to grant visitation rights with not to impose any restraint on the personal liberty of plaintiff to pay health insurance premiums for plaintiff and/or plaintiff child(ren) and/or child(ren) to pay reasonable medical and dental expenses for
and said
judgment
order is still in force. judgment order and
4. Defendant has not obeyed that
is in arrears of court-ordered support payments. there now remains due and unpaid to plaintiff the sum of $ amounts as may accrue to the date of hearing. plaintiff has been denied parenting time on has violated the order on by plus such further
5. Wherefore, plaintiff requests that defendant be required to appear before this Court to show cause why defendant should not be adjudged in contempt of Court and for such other relief as the Court deems just. Date
(Signature of attorney or plaintiff, if pro se) (Print name)
(Street address)
(City/Town)
(State)
(Zip)
Tel. No.
CJ-D 103 (10/07)
B.B.O. #
C.G.F