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IN THE DISTRICT COURT OF ______________ COUNTY, KANSAS

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

MOTION TO MODIFY PROTECTION FROM ABUSE ORDER The undersigned party in the above captioned matter moves the court to set a hearing to modify the protection from abuse order entered on ___________________, ______. In support of the motion, I request modification of the order by changing it in the following way: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ The name, current address and telephone number of the other party where the order for hearing may be served is: _____________________________________________________________________________________ _____________________________________________________________________________________ WHEREFORE, I request that the court modify its original order and ask for any other relief the court deems just and equitable. I also request that the court set this matter for hearing. ____________________________________ Movant Date of hearing: Time: Place: ____________________ ____________________ ____________________ ____________________ ____________________ ____________________________________ ____________________________________ Movant's address ____________________________________ Movant's phone number

NOTE:

DO NOT DISCLOSE THE MOVANT'S ADDRESS IF SUCH LOCATION MUST REMAIN CONFIDENTIAL FOR THE PROTECTION OF THE PLAINTIFF, PLAINTIFF'S CHILD(REN) OR THE MINOR CHILD(REN) RESIDING WITH THE PLAINTIFF!

CERTIFICATE OF MAILING
07/10/04

I hereby certify that I served a copy of the foregoing motion to modify a protection from abuse order by mailing it on the _____ day of _____________, _____, as certified mail return receipt requested to the following name and address: ______________________________________________ ______________________________________________ ______________________________________________

_______________________________________ Movant

07/10/04