ORI Number ____________________
THE SUPERIOR COURT FOR THE COUNTY OF________________
STATE OF GEORGIA
Petitioner, : Civil Action File
_____________________, : No. _____________________
STALKING THREE YEAR/PERMANENT PROTECTIVE ORDER
A civil hearing was held on this matter on _______________, 20 at which the
Respondent appeared and/or was provided with the opportunity to be heard and the Petitioner
requested, pursuant to O.C.G.A. §§ 16-5-94 (e) and 19-13-4 (c), that a permanent Protective Order
be issued. Having heard the evidence presented, reviewed the petition and the record concerning this
case and for good cause shown, IT IS HEREBY ORDERED AND ADJUDGED:
1. The Respondent has knowingly and willfully violated O.C.G.A. §§ 16-5-90 et seq.
[pco01,02] and placed the Petitioner in reasonable fear for the Petitioner’s safety, because
Respondent is hereby enjoined and restrained from doing or attempting to do, or
threatening to do any act constituting a violation of O.C.G.A. §§ 16-5-90 et seq. and
of harassing, interfering, or intimidating the Petitioner or Petitioner’s immediate family.
Any future acts committed by the Respondent towards the Petitioner which are in
violation of this statute and this Protective Order can amount to AGGRAVATED
STALKING, pursuant to O.C.G.A. § 16-5-91, which is a felony. A person convicted
of Aggravated Stalking shall be punished by imprisonment for not less than 1 nor more
than 10 years and by a fine of not more than $10,000.00.
2. Respondent is permanently enjoined and restrained from approaching within ______
[pco01,04] yards of Petitioner and/or Petitioner’s immediate family, and/or residence,
place of employment, or school or subsequent residence, place of
employment or school.
3. Respondent is not to have any contact of any type, direct, indirect, or through
[pco05] another person with the Petitioner or her/his immediate family, including but not limited
to telephone, fax, e-mail, or any other means of communication.
4. That this order be filed in the office of the Clerk of this Court.
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