Petition For Protection From Abuse Page 4
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7e.
____ granting the petitioner or protected person(s) the use of the residence located at:
________________________________________________________________________________
No. & Street
Apt. No.
City
State
Zip Code
to the exclusion of defendant by evicting defendant and ordering the defendant to surrender any keys to
that residence to the petitioner, and ordering ___________________________ (Sheriff’s office) to
evict the defendant.
Said residence is:
____
jointly owned by defendant and petitioner or protected person(s).
____
jointly leased by defendant and petitioner or protected person(s).
solely leased by defendant who has a duty to support petitioner or protected person(s). (NOTE:
____
If solely owned by defendant AND petitioner is awarded custody of child(ren) of the parties,
check appropriate item in Paragraph 10.
____
solely owned or leased by petitioner or protected person(s).
Presently occupied by _____________________________________.
f.
____ ordering the defendant not to damage any belongings of the protected person(s), not to shut off any
utilities, telephone service, or mail delivery to the protected person(s), or in any way interfere with the
living conditions of the protected person(s).
____ granting petitioner or protected person(s) possession of the following property (including pets) solely
g.
owned or leased by petitioner or protected person(s) (state location of each item by street address
and who is presently in possession).
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
granting petitioner or protected person(s) the exclusive use and possession of the following property
(including pets) jointly owned or leased by petitioner or protected person(s) (state location of each
item by street address and who is presently in possession).
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
for the following reasons: __________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
And ordering ___________________________ (Sheriff’s office) to accompany petitioner to where the
above listed property is located to allow petitioner to take possession of the property.
h.
____ prohibiting either party from transferring, encumbering, or otherwise disposing of property jointly owned
or leased, except in the normal course of business or necessary for the support of the petitioner and/or
the minor child(ren) or alleged incompetent.
i.
____ awarding the temporary custody of the minor child(ren) or alleged incompetent,
_______________________________________________________________________________
_______________________________________________________________________________
to petitioner; the minor child(ren) or alleged incompetent is currently in the physical custody of
________________________________________________________.
j.
____ ordering a representative of ___________________________ (Sheriff’s office) to accompany
petitioner to where the minor child(ren) or alleged incompetent mentioned above is/are currently and to
effect petitioner obtaining physical custody of said child(ren) or alleged incompetent.
LPOR B
v.7
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