Defendant moves the Court for an order adjudging [herein insert the name], in contempt of this Court on the ground that said ________ has refused and still refuses to comply with the order of this Court, dated _____, 19__, that be answer certain questions propounded to him on the taking of his deposition, [as more particularly appears from the affidavit of _______ attached hereto as Exhibit A.] [As set out below:] and ordering that _______ be committed until he complies with said order.

________________________,

Attorney for Defendant.

Address: ________________