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STATE OF SOUTH DAKOTA COUNTY OF ______________

__________________________ Plaintiff, v. __________________________ Defendant.

) )SS. ) ) ) ) ) ) ) ) ) )

IN CIRCUIT COURT __________ JUDICIAL CIRCUIT Civ. No. _________ PETITION FOR ORDER TO SHOW CAUSE

COMES NOW, __________________________, (person filing Petition) and petitions this Court for an order requiring _________________________, (person receiving Petition), to show cause why I should not be allowed visitation as previously ordered by the Court with my minor child(ren); (list all involved minor children) DOB _____________ DOB _____________ DOB _____________

1. ___________________________________________ 2. ___________________________________________ 3. ___________________________________________

and why he/she should not be held in contempt of Court for refusing to give me the visitation previously granted by the Court. In support of my request I state as follows: 1. That I am the Plaintiff/Defendant (circle one) in the above-entitled action which is an

action for visitation/custody (circle one). 2. That on the _____ day of ______________, 20_____, the Court ordered that I could have visitation. 3. _______ I have attached the prior custody or visitation Court Order to this Petition.

Form UJS-271 Rev. 10/2008

4.

The Plaintiff/Defendant (circle one) denied me visitation with our child(ren) in what appears to be a violation of the prior Court Order. What happened was:

______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ _____________________________________________________________________________. 4. Current address of minor child(ren): __________________________________________

Form UJS-271 Rev. 10/2008

State: _________________ Zip: ______________ 5. The addresses of minor child(ren) for the past five years: (Please attach additional pages if necessary): ____________________________________________________________ ________________________________________________________________________ 6. Names and addresses of all persons with whom the child(ren) has lived during the past five years: _______________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 7. I have/have not (circle one) participated in any capacity in any other legal proceeding that concerns the custody or visitation with the child(ren)? If so please explain: _______________________________________________________ ________________________________________________________________________ 8. I know/do not know (circle one) of any proceeding (Protection Order, adoption, termination of parental rights, etc) which could effect this proceeding? If so please explain: _______________________________________________________ ________________________________________________________________________ 9. Names and addresses of any person not a party to this proceeding who has the physical custody of the child or claims rights to the legal and/or physical custody of or visitation with the child(ren). ________________________________________________________________________ ________________________________________________________________________ THEREFORE, I ask that the Court enter an Order to set a date for a Hearing to enforce my visitation rights and hold ____________________________ (person receiving Petition) in

Form UJS-271 Rev. 10/2008

contempt for violating my visitation rights. I further request whatever other relief the Court believes justified. My current address is: _____________________________________________________ State _______________________ Zip Code ______________________. The Plaintiff/Defendant's (circle one) current address is __________________________ State _______________________ Zip Code _______________________.

________________________________________ Signature (person filing Petition)

__________________________ Date

State of South Dakota

) )ss. County of ______________ ) On this _______ day of ________________, 20___, I swear under oath that the allegations set forth in this Verified Petition are true and correct to the best of my knowledge, and that I believe that I am entitled to the relief requested for, and that this legal action is not filed for harassment, abuse of process, or delay. ______________________________________________ Signature (person filing Petition)

Signed and sworn to before me this _______ day of _________________, 20___.

(SEAL)

______________________________________________ Signature (Notary Public) Commission Expires:

Form UJS-271 Rev. 10/2008