Missouri > Statewide > Circuit Court > Adult Abuse
Adult Abuse-Stalking Affidavit Of Foreign Order Of Protection AA42 - Missouri
| Adult Abuse-Stalking Affidavit Of Foreign Order Of Protection Form. This is a Missouri form and can be used in Adult Abuse Circuit Court Statewide . |
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IN THE CIRCUIT COURT OF COUNTY, MISSOURI Judge or Division: Case Number: Court ORI Number: Petitioner: Respondents Home Address: Petitioners DOB: Sex: F M Race: vs. Home Phone Number: (Date File Stamp)Respondent: Respondents Work Address: Alias/Nicknames: Work Phone Number: Work Hours: Other Locations Where Respondent May Be Served: Respondents DOB: SSN: Race: Sex: F M Skin/Complexion: Age: Eye Color: Height: Respondents Relationship to Petitioner: Hair Color: Weight: Spouse Ex-Spouse Related by Blood/MarriageHair Length/Style: Child(ren) in Common Resided Together Other (Identifying Information for use by Law Enforcement) Visible Identifying Marks(e.g., tattoos, birthmarks, braces, mustache, beard, pierced ear, glasses) Adult Abuse/Stalkin g Affidavit of Forei gn Order of Protection I am filing my foreign order of protection as permitted by Section 455.067 RSMo. A certified copy of the foreign order of protection is attached. The order is a true and accurate copy and has not been altered. Subsequent orders affecting foreign order of protection (if any): (Describe below; e.g. divorce order, extension of original protection order, etc.) Date of Order Date of Order Date of Order I swear/affirm under penalty of perjury that these facts are true according to my best knowledge and belief. Date Petitioners Signature NOTICE: Section 455.030.3 RSMo provides Address (Optional) that a Petitioner seeking protection under the Adult Abuse Act is not required to reveal any City, State and Zip current address or place of residence on this motion.Do not provide this information if doing so will endanger you. Telephone OSCA (01-03) AA42 (AFRP) 1 of 1 455.030.3, 455.067 RSMo
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