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Sixth Circuit’s Approved Family Form for Modification of Injunction in Pinellas (5/08)
IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT
IN AND FOR PINELLAS COUNTY, FLORIDA
FAMILY LAW DIVISION
UCN: 52200___DR____________XXFDFD Reference No.: ________________
_______________________________,
Petitioner,
and
_______________________________,
Respondent.
_________________________________________/
MOTION FOR MODIFICATION OF INJUNCTION FOR PROTECTION AGAINST
DOMESTIC VIOLENCE
I, {full legal name} , being sworn, certify that the
following statements are true:
SECTION I. MOVING PARTY (This section is about you. It must be completed. However,
if you are the petitioner and this is a domestic violence case and you fear that disclosing
your address to the respondent would put you in danger, you must complete and file
Petitioner's Request for Confidential Filing of Address, _ Florida Supreme Court Approved
Family Law Form 12.980(h), and write "confidential" in the space provided on this form for your
address and telephone number.) You must keep your address up to date with the Clerk of the
Court so that you will receive your paperwork.
1. Moving Party is the ( ) petitioner ( ) respondent in this case.
2. Moving Party currently lives at: {street address}
{city, state and zip code}
Telephone Number: {area code and number}
3. Moving Party's attorney's name, address and telephone number is:
.
(If you do not have an attorney, write "none.")
SECTION II. NEW INFORMATION
New information since the previous injunction was issued: (If known, write the other party's
new address, place of employment, physical description, vehicle, aliases or nicknames, or
attorney’s name.)
