(7/24/01)
STATE OF MICHIGAN
COUNTY OF MACOMB
CIRCUIT COURT
MOTION TO TERMINATE,
ENTER, OR MODIFY
PERSONAL PROTECTION ORDER
Circuit Court No.
Petitioner’s Name
v
Respondent’s Name
1. I,
(moving party), request that the Court:
Terminate the personal protection order previously entered in this action for the reasons below:
Enter a personal protection order to prevent respondent from (use check boxes below, as applicable):
Modify the personal protection order to prevent respondent from:
Entering onto the property where petitioner lives or at:
Assaulting, attacking, beating, molesting, or wounding petitioner or
Threatening to kill or physically injure petitioner or
Removing minor children from petitioner who has court ordered custody, except as allowed by custody or parenting time order,
provided removal of the children does not violate other conditions of this order. There is/are existing custody/parenting time
order(s) dated:
Interfering with petitioner at petitioner’s employment or engaging in conduct which impairs petitioner’s employment
relationship or environment.
Interfering with petitioner’s efforts to remove his/her children or personal property from premises solely owned or leased by
respondent.
Purchasing or possessing a firearm.
Harassment which has become stalking as defined under MCL 750.411(h) and which includes but is not limited to:
Following or appearing within sight of petitioner.
Approaching or confronting petitioner in a public place or on private property.
Entering onto or remaining on property owned, leased, or occupied by petitioner.
Contacting petitioner by telephone.
Placing an object on or delivering an object to property owned, leased, or occupied by petitioner.
Appearing at the workplace or residence of petitioner.
Sending mail or other communications to petitioner.
Other:
2. I request that an order be terminated, entered, or modified because:
VERIFICATION UNDER MCR 2.114(2)(b): I declare that the statements above are true to the best of my information,
knowledge, and belief.
DATED:
Signature of moving party
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signature
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