400-00153 226 Motion to Modify Temporary RFA Order Prior to Scheduled Hearing (01/2019)Page 1 of 1 Plaintiff DOB Defendant DOB MOTION TO MODIFY TEMPORARY RELIEF FROM ABUSE ORDER PRIOR TO SCHEDULED HEARING I am the Defendant in this case. I cannot wait until the date of the hearing specified in the Temporary Order for Relief From Abuse because of compelling reasons detailed below in the Affidavit. I request modification of the terms of the Order relating ONLY to: Parental Rights & Responsibilities and/or Possession of the residenceI will not be represented by an attorneyI will be represented by an attorney. My attorney222s name, address and phone number are:Attorney Information:Name: Phone: Address: Date: Defendant222s Signature: Printed Signature: Affidavit in Support of Motion to Modify Temporary Relief From Abuse Order In support of this request to modify the Order, subject to the penalties for perjury, I state the following facts to be true to the best of my knowledge and belief about the present situation. The compelling reasons for modification of the Order are: I swear or affirm that the facts set forth in this petition are true and correct to the best of my knowledge and belief. Date: Defendant222s Signature: Printed Signature: Signed and sworn to before me: Date: Expiration Date: Signature of Notary: NOTICE This affidavit will be served on Plaintiff with the Motion to Modify. WARNING: MAKING FALSE STATEMENTS IN THIS AFFIDAVIT IS A CRIME SUBJECT TO A TERM OF IMPRISONMENT OR A FINE, OR BOTH AS PROVIDED BY 13 V.S.A. 2472904. STATE OF VERMONT SUPERIOR COURT FAMILY DIVISION Unit Docket No. American LegalNet, Inc. www.FormsWorkFlow.com