IN THE SUPERIOR COURT OF GWINNETT COUNTY STATE OF GEORGIA ____________________________________________, Petitioner, Civil Action No. ______________________ vs. Prior/Pending Case No(s). __________________ ____________________________________________, Respondent. MOTION FOR THREE YEAR - PERMANENT FAMILY VIOLENCE PROTECTIVE ORDER Comes now ________________________________ (your name), I am the PETITIONER and I request that this Court to make _________________________________ the prior Family Violence (date of prior order) into a [ Protective Order ] three year; [ issued on ] permanent protective order by submitting to the Court the following: (This motion must be filed prior to the expiration date of the protective order/judgment. ) 1. On the above date, the Court entered a prior Family Violence Protective Order, under the Family Violence Act. 2. I am in continued need of protection from the Respondent, listed above. There is a reasonable likelihood that further acts of family violence will occur in the future if the Respondent is not restrained. 3. There [ ] have; [ ] have not; been further acts of family violence since the above date of the prior order. (If there have been additional acts of family violence, please list them and give the approximate date of occurrence.) _____________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Page 1 of 4 Q:\MAGFORMS\MAG 60-23 Motion for Permanent Protective Order American LegalNet, Inc. www.FormsWorkflow.com 4. There has been a history of family violence between the parties, which include the acts of the past ________ [ ] months; [ ] years; which were described in the prior petition. Please see those pleadings filed with this court. 5. Therefore, I move that the Court convert the prior Judgment under the Family Violence Act into a [ ] three year; [ ] permanent; protective order. This _____ day of _______________________, 200____. _______________________________________ Petitioner (Signature) Please print the following information: (IF YOU ARE STAYING AT A CONFIDENTIAL LOCATION OR HAVE AN UNLISTED PHONE NUMBER, PLEASE PROVIDE AN ALTENATE ADDRESS AND TELEPHONE NUMBER WHERE COURT NOTICES CAN BE SENT. THE ADDRESS AND TELEPHONE NUMBER YOU PROVIDE BELOW BECOMES A PUBLIC RECORD.) Name: _____________________________________________ Address: ___________________________________________ ___________________________________________________ ___________________________________________________ Daytime Phone: ______________________________________ Page 2 of 4 Q:\MAGFORMS\MAG 60-23 Motion for Permanent Protective Order American LegalNet, Inc. www.FormsWorkflow.com IN THE SUPERIOR COURT OF GWINNETT COUNTY STATE OF GEORGIA ____________________________________________, Petitioner, Civil Action No. ______________________ vs. Prior/Pending Case No(s). __________________ ____________________________________________, Respondent. CERTIFICATE OF SERVICE I hereby certify, under penalty of perjury, that I [ ] have served; [ ] will provide a pre-addressed envelope for the clerk to serve the Respondent; a copy of this Motion for Permanent Restraining Order and Rule Nisi upon the opposing party in the following manner: [ ] mailing a copy by first class mail to the address listed below: (list Respondent’s address) ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ [ ] providing the Clerk of Court with an envelope pre-addressed to the Respondent at the address indicated above. I further certify that the above address is correct to the best of my knowledge. This ____ day of __________________________, 200____. _______________________________________ Petitioner Please note that you must serve the opposing party with a copy of your Motion and a Rule Nisi, signed by the Judge. If you fail to do so, the Court cannot hear your case. As the moving party, it is your responsibility to ensure that the opposing party is properly served. Page 3 of 4 Q:\MAGFORMS\MAG 60-23 Motion for Permanent Protective Order American LegalNet, Inc. www.FormsWorkflow.com IN THE SUPERIOR COURT OF GWINNETT COUNTY STATE OF GEORGIA ____________________________________________, Petitioner, Civil Action No. ______________________ vs. Prior/Pending Case No(s). __________________ ____________________________________________, Respondent. RULE NISI The Petitioner having filed a Motion for Permanent Restraining Order and the same having been read and considered, the parties are ordered to appear before this Court on the ____ day of ____________________, 200____, at ________ ___.m. in courtroom _____ of the Gwinnett County Justice and Administration Center at 75 Langley Drive, Lawrenceville, Georgia for a hearing on the motion. So ordered, this ____ day of _______________________, 200____. _______________________________________ Judge, Superior Court [ ] by designation Page 4 of 4 Q:\MAGFORMS\MAG 60-23 Motion for Permanent Protective Order American LegalNet, Inc. www.FormsWorkflow.com