Plaintiffs Motion To Modify Or Terminate Abuse Prevention Order Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Plaintiffs Motion To Modify Or Terminate Abuse Prevention Order Form. This is a Massachusetts form and can be use in State District Court Statewide.
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Tags: Plaintiffs Motion To Modify Or Terminate Abuse Prevention Order, FA-13, Massachusetts Statewide, State District Court
PLAINTIFF’S MOTION TO
MODIFY OR TERMINATE
ABUSE PREVENTION ORDER
DOCKET NO. (FOR COURT USE ONLY)
PLAINTIFF’S NAME
TRIAL COURT OF MASSACHUSETTS
DEFENDANT’S NAME
COURT DIVISION
________________________________________, Plaintiff in the above entitled matter, respectfully moves that this court
modify or
terminate the abuse prevention order issued pursuant to G.L. c. 209A.
In support of this request, the Plaintiff states: ______________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
Plaintiff: Please read and check box below.
I understand that I can request at any time a new abuse prevention order, if the Defendant harms or attempts to
harm me physically; or places me in fear of imminent serious physical harm; or, by using force, threat or duress,
makes me engage in sexual relations.
Signed under the penalties of perjury.
___________________________________________
Signature of Plaintiff
The motion is:
ALLOWED
________________
Date
DENIED
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
SIGNATURE OF JUDGE
PRINT/TYPE NAME OF JUDGE
WITNESS - FIRST OR CHIEF JUSTICE
FA-13 (1/12)
DATE OF ORDER
TIME OF ORDER
A true copy, attest (Asst.) Clerk-Magistrate/ (Asst.) Register of Probate
COURT COPY
A.M.
P.M.
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