STATE OF SOUTH DAKOTA COUNTY OF ) ) ) IN ____________ COURT _________ JUDICIAL CIRCUIT , Petitioner, -vs, Respondent. (Please check the box that best describes you.) TPO NO. MOTION TO DISMISS PROTECTION ORDER (VULNERABLE ADULT ABUSE) the Petitioner / the Substitute Petitioner who petitioned for a Temporary Protection Order. I am the Respondent and the one against whom the Temporary Protection Order was granted. I am I am/We are requesting that the Court dismiss the Order of Protection that was filed in this case. I am/We are requesting that the Order of Protection be dismissed based on the following grounds: On this _______ day of _____________, __________, I/we swear or affirm under oath that the information I/we have provided in this Motion to Dismiss is true and correct to the best of my/our knowledge. I/we believe I am/we are entitled to the modification I/we have requested. I am/We are asking for this modification for valid reasons and am/are not attempting to harass the other party, and am/ are not attempting to abuse or delay the court process or any other legal action. Petitioner / Substitute Petitioner (circle one) Respondent Signed and sworn to before me on this day of , . (SEAL) Notary Public/Deputy Clerk of Courts Commission Expires: Form UJS-120K (Vulnerable Adult) Motion to Dismiss Rev. 6/16 American LegalNet, Inc. www.FormsWorkFlow.com