Motion To Modify Permanent Protection Order (Stalking Or Physical Injury)
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Motion To Modify Permanent Protection Order (Stalking Or Physical Injury) Form. This is a South Dakota form and can be use in Protection Orders Statewide.
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Tags: Motion To Modify Permanent Protection Order (Stalking Or Physical Injury), UJS-121G, South Dakota Statewide, Protection Orders
STATE OF SOUTH DAKOTA
COUNTY OF ______________
)
)
)
IN CIRCUIT COURT
________________ JUDICIAL CIRCUIT
,
Petitioner,
TPO NO.____________________
-vs-
MOTION TO MODIFY PERMANENT
PROTECTION ORDER
(STALKING OR PHYSICAL INJURY)
,
Respondent
□ I am the Petitioner who originally petitioned the Court for a Permanent Protection Order.
□ I am the Respondent and the one against whom the Permanent Protection Order was granted.
I am requesting that the Court change certain terms in the Permanent Order of Protection. (Describe what
you would like changed in the previous Permanent Order of Protection.)
Describe why you want the Permanent Order of Protection changed:
On this _______ day of _____________, __________, I swear or affirm under oath that the information I
have provided in this Motion to Modify is true and correct to the best of my knowledge. I believe I am
entitled to the changes I have requested. I am asking for this modification for valid reasons and am not
attempting to harass the other party, and am not attempting to abuse or delay the court process or any
other legal action.
Petitioner
Signed and sworn to before me on this
day of
,
.
Notary Public/Deputy Clerk of Courts
Commission Expires:
(SEAL)
Form UJS-121G (Stalking Motion to Modify Permanent Order) Rev. 05/08
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