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IN THE DISTRICT COURT OF ______________ COUNTY, KANSAS

____________________, Plaintiff vs. ____________________, Defendant Case No. _______________

FINAL ORDER - PROTECTION FROM ABUSE INFORMATION ABOUT DEFENDANT: Race _________________ Sex _________________ Date of Birth __________________ Social Security Number ________________________ THIS FINAL ORDER SHALL EXPIRE AT MIDNIGHT ON ____________________ UNLESS EXTENDED OR MODIFIED BY THIS COURT. On this date, ____________________, plaintiff's petition for protective orders comes for consideration under the provisions of K.S.A. 60-3101, et seq. The plaintiff appears: __ in person __ and pro se __ by his/her attorney _________________________ The defendant appears: __ not, but was duly served and is otherwise in default __ in person __ and pro se __ by his/her attorney _________________________ WHEREAS, the plaintiff filed a verified petition for issuance of protective orders, and the cause has been heard after duly serving and notifying the defendant, and the plaintiff has proved the allegations of the abuse by the preponderance of the evidence; IT IS THEREFORE BY THE COURT ORDERED: 1. This final order of protection supersedes the ex parte order of protection or any other temporary or emergency order previously entered by the Court and serves as notice of termination thereof upon service of this final order upon the defendant. The defendant shall not abuse, molest, or interfere with the privacy or rights of the plaintiff, the plaintiff's child(ren) or the minor child(ren) residing with the plaintiff, wherever they may be. This means no contact with the plaintiff, directly or indirectly, by the defendant or by someone at the defendant's direction or request, except as authorized by the Court in this Order. The defendant shall not enter or come on or around the premises or the residence or workplace where the plaintiff resides, stays or works.

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REVISED 04-10-06

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______ (CHECK IF APPLICABLE) The plaintiff is granted exclusive possession of the residence located at: _____________________________________________________________________. _______ (CHECK IF APPLICABLE) The plaintiff's ____ address and ____ telephone number must remain confidential for the protection of the plaintiff, plaintiff's child(ren) or the minor child(ren) residing with plaintiff.

If the plaintiff is granted exclusive possession of the residence then the defendant must immediately move from such address and take only personal clothing and effects until further order of the court. Defendant shall not cancel utilities to such residence for 60 days following the issuance of this order. Law enforcement officials are hereby directed to evict the defendant from such residence, and to ensure that defendant does not enter or re-enter the premises or any other residence the plaintiff may occupy.

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Law enforcement officers are directed to grant any assistance necessary to protect the plaintiff and the plaintiff's child(ren) from abuse by the defendant, and to provide any other assistance necessary to enforce these orders, including the order excluding the defendant from the plaintiff's place of residence, wherever it may be.

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_______ (CHECK IF APPLICABLE) Defendant shall provide suitable alternative housing for the plaintiff and/or the minor children as follows: ____________________________________ __________________________________________________________________________ __________________________________________________________________________

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_______ (CHECK IF APPLICABLE) Physical and legal custody and residency of the minor child(ren), named: __________________________________________________________ _________________________________________________________________________ is hereby granted to _______ plaintiff or to ________ defendant until this order expires. Rights of visitation shall be as follows: __________________________________________________ __________________________________________________________________________ __________________________________________________________________________ NO PERSON SHALL TAKE OR CONCEAL THE CHILD(REN) EXCEPT AS ALLOWED BY THIS ORDER.

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________ (CHECK IF APPLICABLE) Defendant shall pay child support as follows: $___________ per __________, commencing on the _________ day of ______________, _____, and payable on the __________ day of each month thereafter for a period of ____ months.

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________ (CHECK IF APPLICABLE) Defendant shall pay support for plaintiff as follows: $ ____________ per ____________, commencing on the _________ day of ______________, _____, and payable on the __________ day of each month thereafter for a period of ____ months.

REVISED 04-10-06

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________ (CHECK IF APPLICABLE) All child support and/or support payments shall be made payable to the Kansas Payment Center, and each party shall inform the Kansas Payment Center in writing of any change of name, address, and employer with business address, within seven days of such change; income withholding to enforce such support orders shall take effect under the laws of Kansas if there is an arrearage in an amount equal to or greater than the amount of support payable for one month. ________ (CHECK IF APPLICABLE) The personal property of the parties is divided as follows: _________________________________________________________________________ _________________________________________________________________________

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________ (CHECK IF APPLICABLE) Law enforcement officers are directed to assist in securing possession of the personal property as described above.

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________ (CHECK IF APPLICABLE) Defendant /plaintiff shall pay the following plaintiff's/defendant's attorney fees and costs: __________________________________________________________________________ __________________________________________________________________________

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_________ (CHECK IF APPLICABLE) Defendant shall seek counseling to aid in the cessation of abuse.

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_________ OTHER ORDERS: __________________________________________________________________________ __________________________________________________________________________

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CERTIFICATE OF COMPLIANCE WITH THE VIOLENCE AGAINST WOMEN ACT (VAWA): This Order meets all the requirements of the Violence Against Women Act, 18 U.S.C. 2265. This Court has jurisdiction of the parties and the subject matter; the defendant has been afforded notice and a timely opportunity to be heard as provided by the laws of Kansas. This Order is enforceable in all 50 states, the District of Columbia, all Indian tribal courts and all United States territories and shall be enforced as if it were an order of that jurisdiction pursuant to 18 U.S.C. 2265.
THIS ORDER IS EFFECTIVE WHEN SIGNED BY THE JUDGE. LAW ENFORCEMENT OFFICIALS SHALL ENFORCE THE ORDER IMMEDIATELY UPON RECEIPT. THE DEFENDANT IS HEREBY PUT ON NOTICE THAT VIOLATION OF THIS ORDER MAY CONSTITUTE VIOLATION OF A PROTECTIVE ORDER AS PROVIDED IN K.S.A. 21-3843. ADDITIONALLY, VIOLATION OF THS ORDER MAY CONSTITUTE

REVISED 04-10-06

ASSAULT AS PROVIDED IN K.S.A. 21-3408, AND AMENDMENTS THERETO, BATTERY AS PROVIDED IN K.S.A. 21-3412, AND AMENDMENTS THERETO, DOMESTIC BATTERY AS PROVIDED IN K.S.A. 21-3412A, AND AMENDMENTS THERETO, AND MAY RESULT IN PROSECUTION AND CONVICTION UNDER KANSAS CRIMINAL STATUTES. IF POSSESSION OF THE RESIDENCE IS GRANTED TO THE PLAINTIFF, VIOLATION OF THIS ORDER BY THE DEFENDANT CONSTITUTES CRIMINAL TRESPASS PURSUANT TO K.S.A. 21-3721, AND AMENDMENTS THERETO, AND MAY RESULT IN PROSECUTION AND CONVICTION UNDER KANSAS CRIMINAL STATUTES. VIOLATION OF THIS ORDER MAY ALSO BE PUNISHABLE AS A CONTEMPT OF THIS COURT.

THIS PROTECTION ORDER MAY SUBJECT THE DEFENDANT TO FEDERAL FIREARMS RESTRICTIONS, AND VIOLATION OF THIS ORDER MAY SUBJECT THE DEFENDANT TO PROSECUTION FOR SUCH FEDERAL CRIMES, INCLUDING, BUT NOT LIMITED TO: FIREARMS POSSESSION; INTERSTATE TRAVEL TO COMMIT DOMESTIC VIOLENCE; INTERSTATE STALKING; AND INTERSTATE VIOLATION OF A DOMESTIC VIOLENCE ORDER.

IT IS SO ORDERED. _______________________________ JUDGE OF THE DISTRICT COURT

REVISED 04-10-06