PETITIONER222S MOTION AND AFFIDAVIT FOR TERMINATION - Page 1 of 2 (SAPO 08/2019) IN THE CIRCUIT COURT OF THE STATE OF OREGON COUNTY OF Petitioner Case No: PETITIONER222S MOTION AND (Parent/Guardian of Minor Petitioner) AFFIDAVIT FOR TERMINATION (use full names) (Sexual Abuse Protective Order) v. Respondent (full name of person restrained) MOTION AND AFFIDAVIT Petitioner, , being first duly sworn, moves this court for an order allowing the voluntary withdrawal and termination of the Sexual Abuse Protective Order on file herein for the following reasons: STATEMENT OF POINTS AND AUTHORITIES ORS 163.775 authorizes the court to terminate a Sexual Abuse Protective Order upon the request of the Petitioner. Submitted by: Date Signature of Petitioner, Parent of Guardian of Minor Petitioner Print Name, Petitioner, Parent or Guardian of Minor Petitioner Attorney for Petitioner OSB No. (if applicable) Contact Address City, State, Zip Contact Telephone Number Use a Safe Contact address Use a Safe Contact number American LegalNet, Inc. www.FormsWorkFlow.com PETITIONER222S MOTION AND AFFIDAVIT FOR TERMINATION - Page 2 of 2 (SAPO 08/2019) STATE OF OREGON ) ) County of ) This instrument was acknowledged before me this day of , 20 by (Print Name of Petitioner) NOTARY PUBLIC FOR OREGON/COURT CLERK My commission expires: American LegalNet, Inc. www.FormsWorkFlow.com