ORDER OF DISMISSAL- PETITIONER222S/GUARDIAN PETITIONER222S REQUEST - Page 1 of 2 (EPPDAPA 8/2016) IN THE CIRCUIT COURT OF THE STATE OF OREGON COUNTY OF (See CIF) ) Petitioner (date of birth) ) (name of person to be protected) ) ORDER OF DISMISSAL ) (Petitioner222s/Guardian Petitioner222s Request) by and through his/her Guardian Petitioner: ) (Elderly Persons and Persons With Disabilities ) Abuse Prevention Act) (name of Guardian Petitioner) ) ) Case No. v. ) (See CIF) ) Respondent (date of birth) ) (person to be restrained) ) Based on Petitioner222s/Guardian Petitioner222s Motion to Dismiss, IT IS ORDERED that: Motion Granted. The restraining order is TERMINATED. The Order shall be removed from LEDS/NCIC forthwith. Motion Denied. The Order CONTINUES IN EFFECT. Other: IT IS SO ORDERED this day of , 20 . Judge Signature: American LegalNet, Inc. www.FormsWorkFlow.com ORDER OF DISMISSAL- PETITIONER222S/GUARDIAN PETITIONER222S REQUEST - Page 2 of 2 (EPPDAPA 8/2016) Certificate of Document Preparation and Readiness for Judicial Signature. You are required to truthfully complete this certificate regarding the document you are filing with the court. Check all boxes and complete all blanks that apply: I selected this document for myself and I completed it without paid assistance. I paid or will pay money to for assistance in preparing this form. This proposed order is ready for judicial signature under UTCR 5.100 because this order is submitted ex parte as allowed by statute or rule. Dated: Submitted by (signature): Print Name, Petitioner Attorney for Petitioner OSB No. (if applicable) Address or Contact Address City, State, Zip Telephone or Contact Telephone Number Use a Safe Contact address Use a Safe Contact number American LegalNet, Inc. www.FormsWorkFlow.com