Free Order of Protection - Tennessee

Motion to Modify/Extend Order of Protection And Order Extending Order of Protection Until Hearing
PETITIONER/PLAINTIFF
First Middle Last

Case No. Court _____________________________ County Tennessee

PETITIONER/PLAINTIFF IDENTIFIERS
Date of Birth of Petitioner

Minor Children Protected Under this Order: ________________________________________________ ________________________________________________ V. RESPONDENT
SEX First Middle Last HAIR SOCIAL SECURITY #

RESPONDENT IDENTIFIERS
RACE DOB HT WT

EYES 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: ________________________________________________________

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

11-24-08