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Petition For Personal Protection Order Against Stalking (Non Domestic) CC 377 - Michigan
| Petition For Personal Protection Order Against Stalking (Non Domestic) Form. This is a Michigan form and can be used in Domestic Relations Oakland Local County . |
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Approved, SCAO Original - Court 1st copy - Law enforcement agency (file) (green) 2nd copy - Respondent (blue) 3rd copy - Petitioner 4th copy - Return (yellow) 5th copy - Return (goldenrod) 6th JUDICIAL CIRCUIT-FAMILY DIVISION STATE OF MICHIGAN OAKLAND COUNTY PETITION FOR PERSONAL PROTECTION ORDER AGAINST STALKING (NON DOMESTIC) CASE NO. Court address 1200 N. Telegraph Rd, Pontiac, MI 48341 Petitioner's name Address and telephone no. where court can reach petitioner Age Court telephone no. Respondent's name, address, and telephone no. Age V { } Confidential address on file with the court 1. The petitioner and respondent have never been husband and wife, resided in the same household together, had a child in common, or had a dating relationship with one another. 2. The respondent is required to carry a firearm in the course of his/her employment. unknown. 3. a. There Case number are are not other pending actions in this or any other court regarding the parties. Name of court and county Name of judge b. There Case number are are not orders/judgments entered by this or any other court, regarding the parties. Name of court and county Name of judge 4. I need a personal protection order because: Explain what has happened (attach additional sheets) ****SEE ATTACHED ADDENDUM FOR PERSONAL PROTECTION ORDER**** 5. 6. I make this petition under the authority of MCL 600.2950a and ask the court to grant a personal protection order prohibiting the respondent from stalking me as defined under MCL 750.411h and MCL 750.411i which includes but is not limited to: following me or appearing within my sight. appearing at my workplace or residence. approaching or confronting me in a public place or on private property. entering onto or remaining on property owned, leased, or occupied by me. sending mail or other communications to me. contacting me by telephone. placing an object on or delivering an object to property owned, leased, occupied by me. threatening to kill or physically injure me. purchasing or possessing a firearm. Other: I ask the court to grant a personal protection order against stalking: I request an ex parte order because immediate and irreparable injury, loss, or damage will occur between now and a hearing or because notice itself will cause irreparable injury, loss, or damage before the order can be entered. 7. I have a next friend petitioning for me. I certify that the next friend is not disqualified by statute and is an adult. I declare that the statements above are true to the best of my information, knowledge, and belief. Date Petitioner's signature MCL 600.2950a, MCR 3.703 CC 377 (6/04) PETITION FOR PERSONAL PROTECTION ORDER AGAINST STALKING (NON DOMESTIC) American LegalNet, Inc. www.FormsWorkflow.com
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