Free PETITIONER'S MOTION and ORDER of DISMISSAL - Oregon

IN THE CIRCUIT COURT OF THE STATE OF OREGON COUNTY OF _________________

Petitioner (your full name),

v.

________________________________ Respondent (full name of person to be restrained).

) ) ) ) ) ) ) ) )

Case No. PETITIONER'S MOTION AND AFFIDAVIT FOR DISMISSAL AND ORDER (Family Abuse Prevention Act)

MOTION AND AFFIDAVIT Petitioner, , being first duly sworn, moves this court for an order allowing the

voluntary withdrawal and dismissal of the Restraining Order on file herein for the following reasons:

STATEMENT OF POINTS AND AUTHORITIES ORS 107.720(2) authorizes the court to terminate a Family Abuse Prevention Act Restraining Order upon the request of the Petitioner. Signature of Petitioner
STATE OF OREGON County of ) ) ) day of , 20 by

Print or type name of Petitioner

This instrument was acknowledged before me this

(Print Name of Petitioner) NOTARY PUBLIC FOR OREGON/COURT CLERK My commission expires: PETITIONER'S MOTION AND ORDER OF DISMISSAL - PAGE 1 OF 2
(FAPA 6/08)

ORDER Motion Granted Motion Denied Other:

IT IS SO ORDERED this

day of

, 20

.

JUDGE (Signature)

Print, Type or Stamp Name of Judge

Certificate of Document Preparation. You are required to truthfully complete this certificate regarding the document you are filing with the court. Check all boxes and complete all blanks that apply: I selected this document for myself and I completed it without paid assistance. I paid or will pay money to for assistance in preparing this form. Submitted by: Print Name, Petitioner Attorney for Petitioner OSB No. (if applicable)

Address or Contact Address

City, State, Zip

Telephone or Contact Telephone Number

PETITIONER'S MOTION AND ORDER OF DISMISSAL - PAGE 2 OF 2
(FAPA 6/08)