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Stalking Six Month Protective Order Form. This is a Georgia form and can be use in Superior Court Statewide.
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Tags: Stalking Six Month Protective Order, Georgia Statewide, Superior Court
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
ORI Number _________________
Plaintiff(s)
:
JUDICIAL SUBPOENA
-againstTHE SUPERIOR COURT FOR THE COUNTY :OF_________________
STATE OF GEORGIA :
:
_________________________,
:
Petitioner,
:
Civil Action File
Defendant(s)
:
. . . . . . v.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:. . . . . . . . . . __________________
.
No. . . . . .
__________________________,
:
Respondent.
:
THE PEOPLE OF THE STATE OF NEW YORK
STALKING SIX MONTH PROTECTIVE ORDER
TO
A hearing was held on this matter on ______________, 20____ at which the Respondent appeared
and/or was provided with the opportunity to be heard and the Petitioner requested that the
Protective Order entered in this case be continued. Having heard the evidence presented, reviewed
GREETINGS:
the petition and the record concerning this case and for good cause shown, IT IS HEREBY
WE COMMAND YOU,
ORDERED AND ADJUDGED: that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
The Respondent has knowingly and wilfully violated O.C.G.A. § 16-5-90 et seq.
located at
County1.
of
Petitioner’s
in room[pco01] and on the the Petitioner in reasonable fear for the o'clock in the safety. Respondent recessed
, placed
day of
, 20
, at
noon, and at any
or adjourned date, hereby enjoined and restrained from doing or attemptingpartdo,the
[pco02] is to testify and give evidence as a witness in this action on the to of or
threatening to do any act constituting a violation of O.C.G.A. § 16-5-90 et seq. and
of harassing, interfering, or intimidating the Petitioner or Petitioner’s immediate
family. comply with Respondent is hereby enjoined and restrained from
Your failure to Specifically this subpoena is punishable as a contempt of court and will make you liable to
______________________________________ which is of $50 and of O.C.G.A. §
the party on whose behalf this subpoena was issued for a maximum penalty a violation all damages sustained as a
result of your failure to comply. and that any future acts committed by the Respondent towards the
16-5-90 et seq.
Petitioner which are in violation of this statute and this Protective Order can
Witness, Honorable
, one of § Justices which
amount to AGGRAVATED STALKING, pursuant to O.C.G.A.the16-5-91,of the
is a felony. A person convicted of Aggravated Stalking shall be punished by
Court in
County,
day of
, 20
imprisonment for not less than one nor more than ten years and by a fine of not
more than $10,000.00.
(Attorney must sign above and type name below)
2.
[pco04]
3.
Respondent is enjoined and restrained from approaching within _______ yards of
Petitioner and/or Petitioner’s immediate family, and/or residence, place of
Attorney(s) for
employment, or school.
[pco05]
Respondent is not to have any contact of any type, direct, indirect, or through
another person with the Petitioner or her/his Office and P.O. Address
immediate family, including but not
limited to telephone, fax, e-mail, voice mail, mail, or any other type of contact.
4.
That these proceedings be filed in the office Facsimile No.: this Court.
of the Clerk of
Telephone No.:
E-Mail Address:
Mobile Tel. No.:
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Calendar No.
CIVIL ACTION FILE NO. ____________________
Plaintiff(s)
5.
:
JUDICIAL SUBPOENA
This Order -againstshall remain in effect for six (6) months from this date. This Order
:
expires on ____________________, 20_______.
:
6.
That this Order applies in every county throughout the state and it shall be the duty
:
of every court and every law enforcement official to enforce and carry out the
Defendant(s)
provisions of this Order pursuant to O.C.G.A. §§ 16-5-94(e) and 19-13-4(d). Law
:
......................................................
Enforcement may use their arrest powers pursuant to O.C.G.A. §§ 16-5-91 and 174-20 to enforce the terms of this Order.
THE PEOPLE OF THE STATE OF NEW YORK
7.
That this Court determined that it had jurisdiction over the parties and the subject
matter under the laws of the State of Georgia and Respondent received reasonable
TO
notice and had the opportunity to be heard before this Order was issued sufficient
to protect the Respondent’s due process rights and this Order shall be presumed
valid and pursuant to18 U.S.C. § 2265(a) shall be accorded full faith and credit by
GREETINGS:
any other state or local jurisdiction and shall be enforced as if an Order of the
enforcing state or jurisdiction.
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
ONLY the following that are initialed by the JUDGE shall apply:
located at
County of
in room
day is
, 20
, at
o'clock in the
noon, and at any
____ 8. , on the
Respondent of to receive appropriate psychiatric or psychological services. recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
____
9.
Petitioner is awarded costs and attorney fees in the amount of _________.
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
____ 10.
Petitioner/protected party is either a spouse, former spouse, parent of a
result of your failure to comply.
common child, Petitioner’s child, child of Respondent, cohabitates or has
cohabited with Respondent and qualifies for 18 U.S.C. § 922(g).
[pco07]
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
SO ORDERED this _____ day of ___________________, 20_____.
(Attorney must sign above and type name below)
________________________
JUDGE, SUPERIOR COURT
__________________ County
Attorney(s) for
________________________
Print or stamp Judge’s name
Office and P.O. Address
Violation of the above Order may be punishable by arrest.
2
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Calendar No.
CIVIL ACTION FILE NO. ____________________
Plaintiff(s)
-against-
:
JUDICIAL SUBPOENA
:
:
:
Defendant(s)
NOTICE TO RESPONDENT
:
......................................................
1.
Violation of this Order may result in immediate arrest and criminal prosecution that may result
in jail time and/or fines and/or may subject you to prosecution and penalties for contempt of
court.
2.THE PEOPLE OF THE STATE OFeffect unless specifically superceded by a subsequent Order signed
This Order shall remain in NEW YORK
and filed, by operation of law, or by Order of dismissal, whichever occurs first. Only this Court
TO can void, modify or dismiss this Order. Either party may ask this Court to change or dismiss this
Order.
3.
If after a hearing, of which the Respondent received notice and opportunity to participate, a
protective order is issued which restrains Respondent from harassing, stalking or threatening
GREETINGS:
an intimate partner, Respondent is prohibited from possessing, receiving, or transporting a
firearm or ammunition which has been shipped or transported in interstate or foreign commerce
forWE COMMANDthe Order. all business and excuses being laid aside, you and each of you attend before
the duration of YOU, that 18 U.S.C. § 922(g).
,
the Honorable commits the offense of Aggravated Stalking when such person, in violation of a
at the
Court
4.
A person
located at
County of
temporary or permanent protective Order prohibiting this behavior follows, places under
in room
, or contacts another person, on public or private property for the purpose of
day of
20
, at
o'clock in the
noon, and at any recessed
surveillance,on the
or adjourned date, to testify and give evidenceperson. Thisin this action on the part of the
as a witness activity can subject the Respondent to arrest
harassing and intimidating the other
and prosecution for felony aggravated stalking, which carries penalties of imprisonment for not
less than 1 year nor more than 10 years and a fine of up to $10,000.00.
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
3
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Calendar No.
CIVIL ACTION FILE NO. ____________________
Plaintiff(s)
Pursuant to O.C.G.A. Section-against19-13-3,
Petitioner assisted by
:
JUDICIAL SUBPOENA
:
:
Name: _________________________
:
Address: _______________________
_______________________________
Defendant(s)
:
Telephone: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . _____________________
THE PEOPLE OF THE STATE OF NEW YORK
Note to Judges: This form is promulgated as a Uniform Superior Court Rule under the auspices of
TO
O.C.G.A. § 19-13-53. To order a specific provision, please initial in the space
provided. The court may delete or otherwise make inoperative any provision in the
standardized form which is not supported by the evidence in the case and in order to
comply with the court's application of the law and facts to an individual case.
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
4
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Calendar No.
CIVIL ACTION FILE NO. ____________________
Plaintiff(s)
-against-
:
JUDICIAL SUBPOENA
:
RESPONDENT’S IDENTIFYING INFORMATION
(please complete as much as possible; one of these must be provided to have the order placed in the National Crime
:
Information C enter registry: Respond ent’s date of birth, social security number, or driver’s license number)
Respondent’s social security number is _______________, date: of birth is _________, sex ___, color
of hair ___________, color of eyes ______________, height _______, weight _____. Respondent’s
Defendant(s)
:
race. is. ______. .Ethnic. background. ____________ .Respondent drives a _____________________,
.. . ....... ..... .......... ............. ..........
license tag number _________________ and has a ____(state) driver’s license number ___________.
Respondent has distinguishing marks (tattoos, scars, etc.)_____________________. Respondent’s
home address ______________________________.
THE PEOPLE OF THE STATE OF NEW YORK
and is employed by________________ at _______________________ and works from ____ to ____
on (days)___________.
TO
GREETINGS:
PETITIONER’S IDENTIFYING INFORMATION
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
Protected parties ___________________________ the ____ sex Court race _____
______
,
the Honorable
at DOB
located at
County of
___________________________ DOB, ____ sex o'clock inrace _____ and at any recessed
______ the
in room
, on the
day of
, 20
at
noon,
or adjourned date, to testify and give evidence as a witness in this action on the part of the
___________________________ DOB ____ sex ______ race _____
___________________________ DOB ____ sex ______ race _____
___________________________ punishable sex ______ of court and
Your failure to comply with this subpoena is DOB ____ as a contemptrace _____ will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
in
day of
, 20
Court Transmitted to County, Protective Order Registry
Georgia
, one of the Justices of the
Date _______ Clerk _______
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
5
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
Rev’d 7/1/02
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