IN THE COURT OF COMMON PLEAS ASHLAND COUNTY, OHIO Name:_________________________, Address: _____________________________ _____________________________________ Case No. __________________________ Petitioner, vs. Name: _________________________, Address: _____________________________ _____________________________________ Respondent. MOTION TO DISMISS OR MODIFY CIVIL PROTECTION ORDER-REQUEST FOR SERVICE-NOTICE OF HEARING Now comes ____________________ and hereby requests that the Court do the following in this case: 9 1. Dismiss the Civil Protection Order currently in effect. 9 2. Modify the Civil Protection Order currently in effect. Briefly describe the reason you are requesting the Court dismiss/modify the Civil Protection Order. ____________________________________________________________________________________________ _______________________________________________________________________________________________ REQUEST FOR SERVICE I hereby request that the Clerk of Courts serve a copy of this Motion on the opposing party at the address listed in the caption of this pleading, by the following method: 9 9 Regular U.S. mail Other (please describe): ________________________________________ Signature: ____________________________________ Typed/Printed Name: ______________________________ NOTICE OF HEARING The Court hereby sets this matter for hearing on ______________, the ______ day of ___________, 201__ at _______ a.m./p.m. both parties must be present at said hearing. Heather Adkins Judicial Assistant American LegalNet, Inc. www.FormsWorkFlow.com