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Application For Modification Of Protection Order Form. This is a Nebraska form and can be use in 8th District Local County.
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Tags: Application For Modification Of Protection Order, A-21, Nebraska Local County, 8th District
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
IN THE DISTRICT COURT OF
Calendar No.
COUNTY, NEBRASKA
Plaintiff(s)
,
-against-
Index No.
:
:
Petitioner,
JUDICIAL SUBPOENA
Case No.
APPLICATION FOR
MODIFICATION OF
: PROTECTION ORDER
:
vs.
,
Defendant(s)
:
. . . . . . . . . . . . . . . . . . . . . Respondent. . . . . . . . . . . . . . . . . . . . . .
............
STATE OF NEBRASKA
THE PEOPLE OF THE STATE OF
COUNTY OF
)
ss.
NEW) YORK
)
TO
The undersigned, being first duly sworn, says that:
1.
I am the petitioner or respondent in the above matter. I now ask that the protection
GREETINGS: previously entered be modified to
order
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 ofA substantial and material change of circumstances has occurred since I last
2.
in room appeared which justifies my request, 20
, on the
day of
, consisting of the following specific facts: at any recessed
, at
o'clock in the
noon, and
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
(Attach additional page(s) if necessary)
result of your failure to comply.
3.
Court in
Check one:
___
The costs were
Witness, Honorable waived, taxed to the other party, or have been fullyone of the Justices of the
, paid.
___
I can pay the costs, but I need 90 days to pay the costs.
County,
day of
, 20
___
I request a hearing to show that the allegations were not false and were made in good
faith.
Dated: _____________, 20____.
___________________________________
(Attorney must sign above and type name below)
Petitioner/Respondent
SUBSCRIBED AND SWORN TO before
me on ______________________.
___________________________________
Attorney(s) for
Clerk of District Court/Notary Public
NOTICE OF HEARING AND CERTIFICATE OF SERVICE
Office and P.O. Address
A hearing will be held on the above application on
at
.m.
in the District Courtroom,
County Courthouse,
,
Nebraska. Failure of moving party to appear may result in denial of the application.
Telephone No.:
I certify that a copy of this application and notice of hearing was mailed to all parties and any
attorneys of record for any party.
Facsimile No.:
E-Mail Address:
__________________________________________
Mobile Tel. No.:
Clerk of District Court (Deputy)
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