MOTION TO TERMINATE DOMESTIC VIOLENCE CIVIL PROTECTION ORDER OR CONSENT AGREEMENT IN THE COURT OF COMMON PLEAS MAHONING COUNTY, OHIO Petitioner Address City, State, Zip Code : : : Case No. Judge/Magistrate JUDGE BETH A. SMITH v. : : MOTION TO TERMINATE DOMESTIC VIOLENCE PROTECTION ORDER OR CONSENT AGREEMENT Respondent : Address : City, State, Zip Code CHECK EVERY THAT APPLIES. IF YOU ARE REQUESTING YOUR ADDRESS REMAIN CONFIDENTIAL, DO NOT WRITE YOUR ADDRESS ON THIS FORM. PLEASE PROVIDE ANOTHER MAILING ADDRESS WHERE YOU CAN SAFELY RECEIVE NOTICES FROM THE COURT. THIS FORM IS A PUBLIC RECORD. Petitioner moves this Court to modify or terminate the Domestic Violence Civil Protection Order or Consent Agreement issued on / / . 1. The reasons for the termination are: 2. I further state that: I am no longer in fear for my safety and/or the safety of my child(ren). I am making this request to dismiss the existing Civil Protection Order of my own free will and volition and without any coercion or undue influence from Respondent or any other individual. 3. Court fees cannot be assessed against the Petitioner for filing a Motion to Modify or Terminate Domestic Violence Civil Protection Order or Consent Agreement, which is in connection with a previously issued MOTION TO TERMINATE DOMESTIC VIOLENCE CIVIL PROTECTION ORDER OR CONSENT AGREEMENT Amended: May 19, 2014 Discard all previous versions of this form American LegalNet, Inc. www.FormsWorkFlow.com [Page 3 of Form 10.01-K] Case No._____________________ protection order or approved consent agreement. Respectfully submitted, SIGNATURE OF PETITIONER Signature of Attorney for Petitioner (If Applicable) NOTICE OF HEARING THIS MATTER SHALL COME ON FOR HEARING ON THE ________DAY OF ____________________, 20_____, AT _________________ ___M. BEFORE MAGISTRATE _______________________, AT THE MAHONING COUNTY DOMESTIC RELATIONS COURT, 120 MARKET ST., YOUNGSTOWN, OH 44503. REQUEST FOR SERVICE Please serve a copy of this Motion upon the Respondent pursuant to Civ.R. 65.1(C)(3) by the following method: Mailed to the Respondent's last known address by U.S. Mail at ______________________________________ ________________________________________________________________________________________ Hand delivered to Respondent: FORM 10.01-K: MOTION TO MODIFY OR TERMINATE DOMESTIC VIOLENCE CIVIL PROTECTION ORDER OR CONSENT AGREEMENT Effective Date: July 1, 2010 American LegalNet, Inc. www.FormsWorkFlow.com