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Addendum To Petition For Personal Protection Order (Domestic) CC-PPO 11 - Michigan
| Addendum To Petition For Personal Protection Order (Domestic) Form. This is a Michigan form and can be used in Domestic Relations Oakland Local County . |
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STATE OF MICHIGAN 6th CIRCUITOAKLAND COUNTY { } moving party Petitioner's name ADDENDUM TO PETITION FOR PERSONAL PROTECTION ORDER (DOMESTIC) { } moving party Age Respondent's name V CASE NO. Age { } Check if non-public mailing address filed with Court I need a personal protection order because respondent: { } Entered onto my property. { } Assaulted, attacked, beat, molested, or wounded me on or about the following dates: { } Threatened to kill or physically injure me on or about the following dates: { } Removed minor child(ren) from the individual having physical custody of the child(ren) without a court order. { } Interfered with me at my job or is threatening my job relationship or environment. { } Interfered with my efforts to remove my child(ren) or personal property from defendant's property. { } Did the following things which make me fear violence or interfere with my freedom: 1. When Where What 2. When Where What 3. When Where What 4. When Where What (Attach extra sheets if necessary) VERIFICATION UNDER MCR 2.114(2)(b): I declare that the statements above are true to the best of my information, knowledge and belief. DATED: Signature of moving party 1 of 1 CC-PPO 11 (6/00) Addendum to Petition for PPO (Domestic) American LegalNet, Inc. www.FormsWorkflow.com
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