IN THE CIRCUIT COURT OF THE SIXTEENTH JUDICIAL CIRCUIT DEKALB COUNTY, ILLINOIS Case No.__________________ -vs- file stamp here ORDER The Court finds that: [ ] An Exparte Order of Protection was issued on _____________________, 20____. [ ] An Order of Protection was issued on _________________________, 20____. THE COURT HAVING JURISDICTION OF THE SUBJECT MATTER, IT IS HEREBY ORDERED THAT: [ ] 1. An extension of the Exparte Order of Protection is granted and is hereby extended to _______________________________________________, 20____. [ ] 2. A hearing on the Exparte Order of Protection is set for _____M., on ______________________________________, 20____ in Room ________. [ ] 3. [ ] 4. The Order of Protection previously issued is extended to _____M., on ______________________________________, 20____. [ ] 5. A hearing on the Order of Protection is set for _____M., on ______________________________________, 20____ in Room ________. [ ] 6. The Order of Protection is vacated. [ ] 7. [ ] The Exparte Order of Protection is modified as follows: [ ] The Order of Protection is modified as follows: ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ Name: Attorney for: Address: City/State/Zip: Telephone No. The Exparte Order of Protection is vacated. _____________________ _____________________ _____________________ _____________________ _____________________ ENTER:______________________________ JUDGE Date:________________________, ______M. OP00005OOP 9/6/06 American LegalNet, Inc. www.USCourtForms.com