Free Packet E1 - Petition for Restraining Order- Sweepstakes Promotions - Oregon


File Size: 58.5 kB
Pages: 5
Date: December 29, 2004
File Format: PDF
State: Oregon
Category: Court Forms - Local
Word Count: 1,109 Words, 9,791 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.ojd.state.or.us/lin/home.nsf/Files/E1.PDF/$File/E1.PDF

Download Packet E1 - Petition for Restraining Order- Sweepstakes Promotions ( 58.5 kB)


Preview Packet E1 - Petition for Restraining Order- Sweepstakes Promotions
IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINN

_____________________________________
Petitioner (your nam e) Gua rdian Petitioner,
vs. _____________________________________ Respondent (person to be restrained)

) ) ) ) ) ) ) ) )

CASE NO :__________________________ PETITION FOR RESTRAINING ORDER TO PREVENT ABUSE OF ELDERLY OR DISABLED PERSON [Elderly Persons and Person s with Disabilities Abus e Prevention A ct]

YOU MUST PROVIDE COMPLETE AND TRUTHFUL INFORMATION. IF YOU DO NOT, THE COURT MAY DISMISS ANY RESTRAINING ORDER AND MAY ALSO HOLD YOU IN CONTEMPT OF COURT. If you wish to have your residential address or telephone number withheld from respondent, use a contact address and telephone number so the court and the sheriff can reach you if necessary. ATTACH ADDITIONAL PAGES IF NECESSARY. (Check one): I am the Petitioner and reside in Linn County, state of Oregon. I state that the information provided below is true.

I am the Guardian Petitioner. The elderly person or person with disabilities on
whose behalf I am filing this petition is (Name) _______________________________________________ who is a resident of Linn County, state of Oregon. I am the guardian guardian ad litem for the named elderly person or person with disabilities. I state that the information provided below is true; Respondent is a resident of __________________ County, State of _____________. The name and address to which Petitioner the elderly/disabled person on whose behalf the "guardian petitioner" is filing, would have sent any payment for the goods or services promoted in the sweepstakes promotional materials received is: _____________________________________________________________________ (Name of Respondent) _____________________________________________________________________ (Address of Respondent)
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_____________________________________________________________________ City State Zip 1. Check and fill out the section that applies to you or the person on whose behalf you are petitioning:

I am (or the person on whose behalf I am petitioning is) 65 years of age or older.
Age: _____ years.

I am (or the person on whose behalf I am petitioning is) a person with disabilities.
Explain the nature of the mental or physical disability: ______________________________________________________________________________ _____________________________________________.________________________________ ______________________________________________________________________________ 2. Check and fill out the section(s) that apply: A. Within the last 180 days, the respondent mailed me (or the elderly/disabled person on whose behalf I am petitioning) sweepstakes promotions. B. I (or the elderly/disabled person on whose behalf I am petitioning) spent more than $500 on sweepstakes promotions that I (or the elderly/disabled person on whose behalf I am petitioning) received in the United States mail from the respondent in the past year. C. Petitioner/Guardian Petitioner feel the court's assistance is needed to protect me (or the elderly/disabled person on whose behalf the "guardian petitioner" is petitioning) from incurring further expense on sweepstakes promotions from the respondent. NOTICE TO PETITIONER/GUARDIAN PETITIONER: Sweepstakes companies are allowed up to 150 days to stop sending you sweepstakes entry materials. For a time after the court issues a Restraining Order, you may receive additional solicitations from respondent. However, beginning on the date the Restraining Order is issued, the respondent must immediately reject any further orders from you and, if ordered by the court, must return promptly any money you send to the respondent after the date the Restraining Order is issued. 3. Did the respondent mail sweepstakes promotions to you (or the elderly/disabled person on whose behalf the "guardian petitioner" is petitioning) within the last 180 days? Yes No (Circle one.) Dates you (or the elderly/disabled person on whose behalf the "guardian petitioner" is petitioning) received sweepstakes promotions from the respondent: ____________________________________________________________________. Address to which the respondent mailed the sweepstakes promotions to you (or the elderly/disabled person on whose behalf the "guardian petitioner" is petitioning):
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____________________________________________________________________ (Address of elderly/disabled person) _____________________________________________________________________ City State Zip Is the address to which the respondent mailed the sweepstakes promotions the address where you reside (or the residence of the elderly/disabled person on whose behalf the "guardian petitioner" is petitioning)? Yes No If no, please explain how and where you (or the elderly/disabled person on whose behalf the "guardian petitioner" is petitioning) received the sweepstakes promotions from the respondent: _________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ ________________________________________________________. How did respondent's sweepstakes promotions injure or threaten to injure you (or the elderly/disabled person on whose behalf the "guardian petitioner" is petitioning) ? _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________. 4. Are there incidents other than those described in question 3. above in which the sweepstakes promotions mailed by the respondent injured or threatened to injure you (or the elderly/disabled person on whose behalf the "guardian petitioner" is petitioning)? If yes, explain:_______________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ 5. The sweepstakes promotional mailings I am complaining about were witnessed by: _____________________________________________________________________ _____________________________________________________________________ (affidavits attached). Other persons with knowledge of the mailings are ____________ ____________________________________________________ (affidavits attached). 6. I am (or the elderly/disabled person on whose behalf the "guardian petitioner" is petitioning is) in immediate and present danger of receiving further sweepstakes promotional mailings from the respondent because: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________

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7. There (is) (is not) another Elderly Persons and Persons With Disabilities Abuse Prevention Act or Family Abuse Prevention Act proceeding pending between respondent and me (or the elderly/disabled person on whose behalf the "guardian petitioner" is petitioning) . It is filed in _________________ (County), ______________ (State), and I am, or the person on whose behalf you are filing this petition is, the (Petitioner) or (Respondent) in that case (check one). The case number of the case is: ____________________. PETITIONER/GUARDIAN PETITIONER ASKS THE COURT TO GRANT THE RELIEF INDICATED IN THE PETITIONER'S /GUARDIAN PETITIONER'S REQUEST" COLUMN OF THE PROPOSED RESTRAINING ORDER, WHICH IS ATTACHED. PETITIONER/GUARDIAN PETITIONER MUST NOTIFY THE COURT OF ANY CHANGE OF ADDRESS. ALL NOTICES OF HEARING WILL BE SENT TO THIS ADDRESS AND DISMISSALS MAY BE ENTERED IF THE PETITIONING PARTIES DO NOT APPEAR AT A SCHEDULED HEARING. If you wish to have a residential address or telephone number withheld from respondent, use a contact address and contact telephone number so the court and the sheriff can reach you if necessary. ________________________________ Signature of Petitioner Guardian Petitioner ________________________________ Print or Type Name of Petitioner Guardian Petitioner STATE OF OREGON ) ) ss. County of _________________ )

SUBSCRIBED AND SWORN TO before me this __________ day of _____________, 20____, by ___________________________________. (Print Name of Petitioner/Guardian Petitioner)

________________________________ NOTARY PUBLIC FOR OREGON/COURT CLERK My commission expires: _______________________

Submitted by: __________________________________________________________________ Print Name Address or Contact Address Petitioner Guardian Petitioner
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_____________________________________________________________________ Attorney for Petitioner/Guardian Petitioner OSB No: Telephone or Contact:___________________________________________________ Telephone Number(s)____________________________________________________
C:\Documents and Settings\strickland\My Documents\My Files\Elder Abuse Sweepstakes\Petition1Sweepstakes.wpd

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