, AFFIDAVIT AND MOTION FOR BENCH WARRANT AND · AFFIDAVIT AND MOTION FOR BENCH WARRANT AND ... NOW...
3
(county where original action was filed) _____________________________, (name of person listed as plaintiff in original action) Plaintiff, Case No. CI ______________________ (case number assigned by clerk of court) vs. AFFIDAVIT AND MOTION FOR BENCH WARRANT AND COMMITMENT TO ISSUE ________________________________, (name of person listed as defendant in original action) Defendant. COMES NOW ___________________________________, without assistance of an (your name) attorney, and moves the court to take judicial notice of the court file in the above case and to issue a Warrant and Commitment for _________________________________ for the following reason: (name of person ordered to allow visitation) 1. That the District Court of ___________________________ County entered an order on (county where original action was filed) finding _______________________________________ in (date of order finding contempt) (name of person ordered to allow visitation) contempt of court for failing to allow visitation as previously ordered by the court. The court sentenced ______________________________________ to __________ days in jail. (name of person ordered to allow visitation) (number of days of sentence) 2. That the district court allowed _________________________________ the (name of person ordered to allow visitation) opportunity to purge his/her contempt by: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Nebraska State Court Form AFFIDAVIT AND MOTION FOR BENCH WARRANT AND COMMITMENT TO ISSUE DC 6:5.32 Rev. 06/19 Neb. Rev. Stat. § 42-364.15 Page 1 of 3 Affidavit and Motion for Bench Warrant and Commitment to Issue DC 6:5.32 Rev. 06/19
Transcript of , AFFIDAVIT AND MOTION FOR BENCH WARRANT AND · AFFIDAVIT AND MOTION FOR BENCH WARRANT AND ... NOW...
(county where original action was filed)
_____________________________, (name of person listed as plaintiff in original action)
Plaintiff,
Case No. CI ______________________ (case number assigned by clerk of court)
vs. AFFIDAVIT AND MOTION FOR
BENCH WARRANT AND COMMITMENT TO ISSUE ________________________________,
(name of person listed as defendant in original action) Defendant.
COMES NOW ___________________________________, without assistance of an (your name)
attorney, and moves the court to take judicial notice of the court file in the above case and to issue
a Warrant and Commitment for _________________________________ for the following reason: (name of person ordered to allow visitation)
1. That the District Court of ___________________________ County entered an order on (county where original action was filed)
___________________________, finding _______________________________________ in (date of order finding contempt) (name of person ordered to allow visitation)
contempt of court for failing to allow visitation as previously ordered by the court. The court
sentenced ______________________________________ to __________ days in jail. (name of person ordered to allow visitation) (number of days of sentence)
2. That the district court allowed _________________________________ the (name of person ordered to allow visitation)
opportunity to purge his/her contempt by:
__________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________
Nebraska State Court Form AFFIDAVIT AND MOTION
FOR BENCH WARRANT AND COMMITMENT TO ISSUE DC 6:5.32 Rev. 06/19
Neb. Rev. Stat. § 42-364.15
Page 1 of 3Affidavit and Motion for Bench Warrant and Commitment to Issue DC 6:5.32 Rev. 06/19
_________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________
3. ________________________________________ has failed to allow the visitation(name of person ordered to allow visitation)
required by the purge plan.
WHEREFORE, Affiant respectfully requests the court issue a Warrant for the arrest of the
above-named _____________________________________. (name of person ordered to allow visitation)
Date Your Signature
Your Full Name
Your Full Street Address/P.O. Box
City/State/ZIP Code
Phone E-mail Address
Page 2 of 3Affidavit and Motion for Bench Warrant and Commitment to Issue DC 6:5.32 Rev. 06/19
VERIFICATION
STATE OF NEBRASKA ) ) ss.
COUNTY OF _______________________ ) (county where verification signed)
I, _______________________________, first being sworn upon oath, (your full name)
depose and say that I am a party in the above-entitled matter and have read the foregoing
Affidavit and Motion for Bench Warrant and Commitment to Issue, and state that the facts
contained therein are true as I verily believe.
_________________________________________ Signature
Subscribed and sworn to before me this _____ day of _______________________, 20___.
________________________________________ NOTARY PUBLIC
Page 3 of 3Affidavit and Motion for Bench Warrant and Commitment to Issue DC 6:5.32 Rev. 06/19
