ERPO 226 Motion to Terminate Order Page 1 of 2 (Aug 2019) IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF In the Matter of: Case No: MOTION TO TERMINATE Respondent EXTREME RISK PROTECTION ORDER and DECLARATION IN SUPPORT I need an interpreter: Spanish Russian other: MOTION I am the Respondent Petitioner (name): I have not requested termination of this order before today I previously requested termination of this order on (dates): I ask the court for a hearing to terminate the Extreme Risk Protection Order STATEMENT OF POINTS AND AUTHORITIES ORS 166.527 permits the Petitioner or Respondent to file one request in any 12-month effective period to terminate an Extreme Risk Protection Order DECLARATION Respondent is no longer at risk for suicide or causing harm to another person immediately or in the near future because (explain): American LegalNet, Inc. www.FormsWorkFlow.com ERPO 226 Motion to Terminate Order Page 2 of 2 (Aug 2019) I hereby declare that the above statements are true to the best of my knowledge and belief. I understand they are made for use in court and I am subject to penalty for perjury. Date Signature Name (printed) Address City, State, ZIP Phone Certificate of Mailing I certify that on (date): I placed a true and complete copy of this Response in the United States mail to (name of other party): at (party222s address): Date Signature Print Name American LegalNet, Inc. www.FormsWorkFlow.com