Fillable Order of Protection And Order Extending Order of (Hamilton County I.T.)

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Order of Protection And Order Extending Order of (Hamilton County I.T.)

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11-24-08
Motion to Modify/Extend
Order of Protection
And
Order Extending Order
of Protection Until
Hearing
Case No.
Court _____________________________
County Tennessee
PETITIONER/PLAINTIFF
First Middle Last
PETITIONER/PLAINTIFF IDENTIFIERS
Date of Birth of Petitioner
Minor Children Protected Under this Order:
________________________________________________
________________________________________________
V.
RESPONDENT RESPONDENT IDENTIFIERS
First Middle Last
Relationship to Petitioner _________________________________
Address & Phone No. ____________________________________
________________________________________________________
Respondent’s Employer __________________________________ Distinguishing Features
____________________________
_______________________
NOTICE: PURSUANT TO T.C.A. §36-3-608 AND THE ATTACHED ORDER, THE ORDER OF
PROTECTION ENTERED ON _______________ REMAINS IN FULL FORCE AND EFFECT
PENDING THIS HEARING AND FURTHER ORDERS OF THE COURT.
Comes now the Petitioner, ____________________, and swears and affirms pursuant to
T.C.A. §36-3-605(d), and T.C.A. §36-3-608, and moves this court to modify/extend the Order of
Protection entered by this court on ___________________________ for:
One year, and Petitioner, upon notice to Respondent, may request a continuation of the Order.
This is requested because:
SEX
RACE
DOB
HT
WT
EYES
HAIR
SOCIAL SECURITY #
11-24-08
Five years based on an initial violation of the Order of Protection. This is requested because:
Ten years based on a second or subsequent violation of the Order of Protection. This is
requested because:
Other relief requested.
STATE OF TENNESSEE )
COUNTY OF _________ )
, Petitioner, being first duly sworn, has read the
foregoing Motion, knows the contents thereof, and states that the same is true and correct to the
best of Petitioner's knowledge, information and belief.
____________________________________
PETITIONER
Sworn to and subscribed before me this day of _______________, 20___.
____________________________________
NOTARY PUBLIC/CLERK
My Commission Expires:_____________________
TEMPORARY ORDER EXTENDING ORDER OF
PROTECTION
It appears to the Court from the sworn motion to extend the order of protection that such an order
should issue pursuant to Tennessee Code Annotated, title 36, chapter 3, part 6.
IT IS, THEREFORE, ORDERED, ADJUDGED, AND DECREED:
1. That this court’s Order of Protection entered on the ___ day of ___________, 20__
shall remain in effect until the hearing on the Motion to Extend the Order of Protection is
heard.
2. That a copy of the Motion to Extend the Order of Protection, this Temporary Order
Extending Order of Protection and the attached Notice of Hearing, shall be served upon
the Respondent.
______________________________ _____________________________________
DATE JUDGE/MAGISTRATE
11-24-08
NOTICE OF HEARING
To the Respondent:
Notice is hereby given to you that the above named Petitioner shall appear requesting the Court to
modify and/or extend the Order of Protection previously entered in this cause and to award the
relief prayed for in the Motion to Modify/Extend Order of Protection.
IF YOU WANT TO TELL YOUR SIDE TO THE JUDGE, YOU MUST BE AT THE HEARING. IF
YOU DO NOT COME TO THE HEARING, THE JUDGE WILL DECIDE BASED ONLY ON THE
PETITIONER’S TESTIMONY.
DATE OF HEARING ________________________ AT ____________________ A.M./P.M.
PLACE OF HEARING ________________________________________________________
CERTIFICATE OF SERVICE
I hereby certify that I have sent a copy of the foregoing motion, notice of hearing and temporary
order extending order of protection by fax to the ______________County Sheriff’s Department and
by U.S. mail postage pre-paid, to the respondent at his or her last known address:
_________________________________________.
This ___ day of ______________, 2____.
, CLERK
By: __________________________
Deputy Clerk
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Order of Protection And Order Extending Order of (Hamilton County I.T.)

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Completed 25 January 2021

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