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Application For Modification Of Protection Order A-21 - Nebraska

Application For Modification Of Protection Order Form. This is a Nebraska form and can be used in Protection Order 8th District Local County .
 Fillable pdf Last Modified 8/9/2005
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IN THE DISTRICT COURT OF COUNTY, NEBRASKA , Case No. Petitioner, APPLICATION FOR vs. MODIFICATION OF PROTECTION ORDER , Respondent. STATE OF NEBRASKA ) ) ss. COUNTY OF ) The undersigned, being first duly sworn, says that: 1. I am the petitioner or respondent in the above matter. I now ask that the protection order previously entered be modified to .2. A substantial and material change of circumstances has occurred since I last appeared which justifies my request, consisting of the following specific facts: (Attach additional page(s) if necessary) 3. Check one: ___ The costs were waived, taxed to the other party, or have been fully paid. ___ I can pay the costs, but I need 90 days to pay the costs. ___ I request a hearing to show that the allegations were not false and were made in good faith. Dated: _____________, 20____. ___________________________________ Petitioner/Respondent SUBSCRIBED AND SWORN TO before me on ______________________. ___________________________________ Clerk of District Court/Notary Public NOTICE OF HEARING AND CERTIFICATE OF SERVICE A hearing will be held on the above application on at .m.in the District Courtroom, County Courthouse, ,Nebraska. Failure of moving party to appear may result in denial of the application. I certify that a copy of this application and notice of hearing was mailed to all parties and any attorneys of record for any party. __________________________________________ Clerk of District Court (Deputy)
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