Free Petition for Stalking Temporary Protective Order - Georgia


File Size: 33.1 kB
Pages: 3
Date: May 24, 2004
File Format: PDF
State: Georgia
Category: Court Forms - Local
Author: Kim
Word Count: 527 Words, 3,266 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://web.co.clayton.ga.us/pdfs/magistrate/stalking%20tpo.pdf

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Preview Petition for Stalking Temporary Protective Order
THE SUPERIOR COURT FOR THE COUNTY OF CLAYTON STATE OF GEORGIA Petitioner, v. Respondent. , , ] ] ] ] ] ] ]

Civil Action File No. -PO-

PETITION FOR STALKING TEMPORARY PROTECTIVE ORDER The Petitioner, pursuant to O.C.G.A. §16-5-94 hereby files this Petition for a Temporary Protective Order and in support shows the Court the following: 1. 2. OR 2a. Respondent is a resident of the State of . Under O.C.G.A.§§19-13-2(b) and 16-5-94(6) jurisdiction and venue are proper with this Court because the stalking occurred in the State of Georgia in County and the Petitioner lives in County. Respondent is subject to the jurisdiction of this court and may be . served at On or about , 20 the Respondent has knowingly and willfully committed the following acts of stalking under O.C.G.A §16-5-90 et. seq. The Petitioner is a resident of over the age of 18 years of age. The Respondent is a resident of served at , County, Georgia and is , Georgia, and may be County, Georgia.

3.

and similar events may occur in the future. These acts had no legitimate purposes, happened at places other than the residence of the Respondent, was without the consent of the Petitioner, and placed Petitioner in reasonable fer for her/his own safety and/or the safety of her/his immediate family.

THEREFORE, Petitioner requests: (a) That the Court set a hearing within thirty (30) days of the signing of the Order and to direct Respondent to appear before this Court and to show any reasons why the demands of the Petitioner should not be granted; That the Respondent be served a copy of this Petition and Temporary Protective Order as required by law; That this Court issue a restraining order to: order Respondent to stop harassing and intimidating Petitioner and her/his immediate family; order Respondent not have any direct or indirect contact with the petitioner and her/his immediate family; order Respondent be enjoined from approaching within yards of Petitioner and Petitioner's residence; order Respondent refrain from the conduct toward the Petitioner as stated in this Petition; order law enforcement to enforce the order; order Respondent to receive appropriate psychiatric or psychological services; award the Petition costs and attorney fees for having to bring this action. Respectfully submitted,

(b) (c)

Address

Petitioner

RESPONDENT'S IDENTIFYING FACT SHEET Complete as much as possible. Respondent's social security number is , date of birth is , sex , color of hair , color of eyes , height , weight . Respondent's race is , ethnic background . Respondent has distinguishing marks (tattoos, scars, etc.) . Respondent drives a , license tag number and has a (state) driver's license number . Respondent's home address is and is employed by at and works from to on (days) .

THE SUPERIOR COURT FOR THE COUNTY OF CLAYTON STATE OF GEORGIA Petitioner, v. Respondent. , , ] ] ] ] ] ] ] VERIFICATION Personally appeared , who being duly sworn states that she/he is the Petition in the above styled case and that the facts set forth in the foregoing Petition for Stalking Temporary Protective Order are true and correct.

Civil Action File No. -PO-

Petitioner Sworn and subscribed before me this day of , 20
NOTARY PUBLIC My commission expires:

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