Free PA-010, Defendant's Motion, Rev. 04/03 - Maine


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STATE OF MAINE DISTRICT COURT Location Docket No. Plaintiff: individually and on behalf of: on behalf of: DEFENDANT'S MOTION TO DISSOLVE TEMPORARY ORDER FOR PROTECTION
(19-A M.R.S.A. § 4006(7)) (5 M.R.S.A. § 4654(6))

v. Defendant: on behalf of:

MOTION TO MODIFY/AMEND

The Defendant _____________________________ requests that for the following reasons, the Temporary Order for Protection dated be Dissolved Modified/Amended 1.________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ 2.________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Attached is Defendant's affidavit in support of the above reasons. Date:________________ ___________________________________ Defendant Personally appeared the above named Defendant and signed and made oath to the truth of the statements in the above Motion and any attachments, before me, Date: Clerk / Notary Public / Attorney at Law NOTICE OF HEARING The parties are hereby notified that the hearing in this matter is set for at (am) (pm) at the District Court located at:

(Deputy) Clerk

PA-010, Rev. 04/03

RETURN OF SERVICE , ss. On , at a.m. / p.m., I made service of the

Defendant's Motion to Dissolve/Amend/Modify Temporary Order upon the plaintiff by delivering a copy of the Motion and Notice of Hearing to the defendant in hand at:
(location where served)

Authorized Officer