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Case No. ________________ Dept. No.________________ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 IN THE ________________________ JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA IN AND FOR THE COUNTY OF ________________________________ _________________________________________, Applicant, vs. _________________________________________, Adverse Party, UPON MOTION OF Applicant Adverse Party, to: MODIFY the Order for Protection OTHER __________________________________ ORDER FOR HEARING TO EXTEND, MODIFY OR DISSOLVE THE ORDER FOR PROTECTION EXTEND the Order for Protection DISSOLVE the Order for Protection YOU ARE HEREBY NOTIFIED that a hearing will be held in ___________________________Court located at _____________________________________________________________________________, on __________________________________________, at ___________ above named Party. A.M. P.M., to determine whether or not to EXTEND, MODIFY or DISSOLVE the ORDER FOR PROTECTION against the ANY ORDER FOR PROTECTION WILL CONTINUE IN EFFECT UNTIL SUCH HEARING AND FURTHER ORDER OF THIS COURT. A copy of the Motion for Hearing, Affidavit and a copy of this Order shall be served on the other party by MAIL PERSONAL SERVICE. Dated: ___________________________ ____________________________________________ Judge/Hearing Master Transmitted to the state repository on _______________________________________ Clerk of the Court American LegalNet, Inc. www.USCourtForms.com