Form 53.04A
(rule 53.04)
File number: 20____ ____ G __________

IN THE SUPREME COURT OF NEWFOUNDLAND AND LABRADOR
GENERAL DIVISION

BETWEEN:			
	(Plaintiff’s name)	PLAINTIFF	
			
AND:			
			
	(Defendant’s name)	DEFENDANT	
			
(Modify title of proceeding as necessary.)
Contempt Order
Before the Honourable _________ Justice____________
UPON THE APPLICATION OF M.N., of counsel for the (plaintiff) (defendant) AND UPON READING the affidavit of _______________, filed herein, and the affidavit of _______________, filed herein, verifying service on the (defendant) (plaintiff) of a (copy of the order of this Court dated, etc.,), (this application and any supporting affidavit);  
AND UPON it appearing to the satisfaction of the Court that the (defendant) (plaintiff) has been guilty of contempt of court in that (state the contempt); 
(IT IS ORDERED THAT for his or her contempt, the (defendant) (plaintiff) be committed to the ________________ (prison) ____________ to be there imprisoned until ______________); 
(IT IS ORDERED THAT this order shall not be executed if the (defendant) (plaintiff) complies with the following terms) (state the terms); 
(IT IS ORDERED THAT the sheriff enter upon and take possession of all the following property of the (defendant) (plaintiff) and collect and receive the rents, profits and income thereof until the (defendant) (plaintiff) clears his or her contempt by complying with the following provisions of the order of the Honourable __________ Justice _________, dated the __________ day of ___________, 20, _______, namely, etc.)
DATED at 					  (city/town) in the Province of Newfoundland and Labrador this 		 (day) of 			 (month), 		 (year).

(signature)
Registrar/Registry clerk