CT CIV 140 / revised 1/31/2007
CIRCUIT COURT, PINELLAS COUNTY, FLORIDA
CIVIL DIVISION
UCN:
REF. NO.
Petitioner,
and
Respondent.
MOTION TO DISMISS
NOW COMES the
motion to dismiss for all further actions which may be pending or in effect, as entered under one of the Florida Statutes:
741.30 Domestic Violence
784.046 Repeat Violence
784.046 Dating Violence
784.046 Sexual Violence
WHEREFORE, the
Petitioner
prays that this Honorable Court dismiss the above mentioned case.
This
day of
, 20
.
Petitioner
Address:
Telephone:
BEFORE ME personally appeared
,
the
Petitioner
in this matter known to me to be the person described in and who
executed the foregoing Instrument, and acknowledged to and before me that he/she executed said instrument for the purpose
therein expressed.
WITNESS my hand and official seal, this
day of
, 20
.
KEN BURKE
Clerk of the Circuit Court
BY:_________________________
Deputy Clerk
Petitioner
CT CIV 140 / revised 1/31/2007
CASE NUMBER:
I REQUEST DISMISSAL OF INJUNCTION FOR PROTECTION BECAUSE:
Petitioner’s Address:
Respondent’s Address:
IF THE RESPONDENT DOES NOT KNOW YOUR ADDRESS, WRITE
CONFIDENTIAL ABOVE.
Petitioner Signature:
click to sign
signature
click to edit
CT CIV 137 (Revised 1/31/2007)
Based on Florida Supreme Court Approved Family Law Form 12.980(e), Order of Dismissal of Temporary Injunction for
Protection Against Domestic Violence, Repeat Violence, Dating Violence, or Sexual Violence (03/04)
IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,
IN AND FOR COUNTY, FLORIDA
UCN:
REF. NO.
SECTION:
Petitioner
and
Respondent
ORDER OF DISMISSAL OF INJUNCTION FOR PROTECTION
AGAINST ( ) DOMESTIC VIOLENCE ( ) REPEAT VIOLENCE
( ) DATING VIOLENCE ( ) SEXUAL VIOLENCE
THIS CAUSE came before the Court on
, upon Petitioner’s action for an
injunction for protection against domestic violence, repeat, dating, or sexual violence, and it appearing to the Court
as follows
[check all that apply]
PETITIONER
requested a dismissal in writing.
Petitioner failed to appear at the hearing scheduled in this cause.
Petitioner appeared at the hearing but desires to voluntarily dismiss this action.
The evidence presented is insufficient under Florida law (section 741.30 or 784.046, Florida
Statutes) to allow the Court to issue an injunction for protection against domestic, repeat, dating,
or sexual violence.
Accordingly, the case is dismissed without prejudice.
ORDERED on
.
(date)
CIRCUIT JUDGE
COPIES TO:
Sheriff of Pinellas County
Petitioner
by U.S. Mail
by hand delivery
Respondent
by U.S. Mail
by hand delivery
State Attorney’s
Other:
I CERTIFY the foregoing is a true copy of the original as it appears on file in the office of the Clerk of the
Circuit Court of Pinellas County, Florida, and that I have furnished copies of this order as indicated above.
Ken Burke
(SEAL) CLERK OF THE CIRCUIT COURT
By:
Deputy Clerk