South Dakota > Statewide > Protection Orders > Domestic
Order For Protection (Domestic Modification Of Permanent Order) UJS-091I - South Dakota
| Order For Protection (Domestic Modification Of Permanent Order) Form. This is a South Dakota form and can be used in Domestic Protection Orders Statewide . |
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STATE OF SOUTH DAKOTA COUNTY OF ______________ DOMESTIC ) ) ) STALKING PERMANENT IN CIRCUIT COURT _________ JUDICIAL CIRCUIT EX PARTE TEMPORARY ORDER FOR PROTECTION TPO NO. _____________________ CAUTION: Weapon Involved MODIFICATION PETITIONER First Middle Last PETITIONER IDENTIFIERS: And/or on behalf of minor family member(s): (list name and DOB):______________________________ ________________________________________________ __________________________________________ Date of Birth of Petitioner Other Protected Persons/DOB:_________________ _____________________________________________ V. RESPONDENT __________________________________________ __________________________________________________ SEX First Middle Last RESPONDENT IDENTIFIERS: RACE HEIGHT WEIGHT HAIR DATE OF BIRTH STATE EXPDATE Relationship to Petitioner: ________________________________________________ __________________________________________ Respondent's Address: __________________________________________________ __________________________________________________ __________________________________________________ EYES DRIVERS LICENSE # Distinguishing Features: ________________________________________________ __________________________________________ THE COURT FINDS: That it has jurisdiction over the parties and subject matter, and the Respondent has been provided with reasonable notice and opportunity to be heard, and that in the case of an ex parte order, the Respondent will be provided with reasonable notice and opportunity to be heard sufficient to protect the Respondent's due process rights. THE COURT ORDERS: That the Respondent is restrained from acts of abuse and physical harm, making threats of abuse, stalking or harassment. That the Respondent is restrained from contact with the Petitioner by any direct or indirect means except as authorized in this order. Additional findings and orders are on the following pages. This order shall be effective through Month/Day Year Month/Day Year or if a permanent protection order is issued, until that order is served. Only this Court can change this order. VIOLATION OF THIS PROTECTION ORDER IS A CRIMINAL OFFENSE. WARNING TO RESPONDENT: This order shall be enforced, even without registration, by courts of any state, the District of Columbia, any U.S. Territory, and may be enforced by Tribal Lands (18 U.S.C.§2265). Crossing state, territorial, or tribal boundaries to violate this order may result in federal imprisonment (18 U.S.C. §2262). Form UJS-091I (Domestic Modification of Permanent Order) Rev. 11/07 1 American LegalNet, Inc. www.FormsWorkflow.com ADDITIONAL FINDINGS: This matter came before this Court on this day and the following parties appeared personally: Petitioner Petitioner's Attorney ______________________ Other ____________________ Respondent Respondent's Attorney ___________________ Other ____________________ 1) This Court FINDS that, without admitting to the allegations in the Petition, the Respondent waives further hearing, findings of fact, and conclusions of law, and stipulates to the entry of an Order of Protection on the terms specified below. 2) Having considered the evidence presented and any affidavits and pleadings on file, this Court FINDS: A. That jurisdiction and venue are properly before this Court; B. That the above-named Petitioner and Respondent are "family or household members" within the meaning of SDCL 25-10-1(2); C. By a preponderance of the evidence that "domestic abuse" as defined by SDCL 25-10-1(1) has occurred; and D. That the Respondent had actual notice of the hearing and an opportunity to participate. E. That the Motion to Modify is granted and modified terms incorporated herein. ADDITIONAL ORDERS: 1) The Respondent shall not come within a distance of ________________________of the Petitioner or the children named above unless otherwise specified in this order and of the following: A. The Petitioner's residence including: (street/apt/box)_____________________________ (city) ____________________________ (state)______ (zip)___________B. The Petitioner's place of employment including (street/apt/box) _____________________ (city) ,(state) ______ (zip) C. Other places including: (street/apt/box)________________________________________ (city)____________________________, (state) ______ (zip)___________-_________ (street/apt/box) ________________________________ (city) ____________________________,(state) ______ (zip)___________-_________ (street/apt/box) ________________________________ (city) ____________________________,(state) ______ (zip)___________-_________ 2) The Petitioner shall have temporary custody of the minor child(ren), whose names are: _________ ______________________________________________________________________________ 3) Temporary visitation for the respondent with the minor child(ren) named above shall consist of: Existing order in File #_____________________ Supervised at _____________________ Jurisdiction: South Dakota South Dakota tribe Other State ____________ Other Other Visitation: ______________________________________________________________ _______________________________________________________________________________ 4) The Respondent shall pay temporary: child support in the amount of $ a month starting on and continuing until further order of the Court; Child support shall be paid to: Office of Child Support Enforcement Kneip Building 700 Governors Drive Pierre, SD 57501 spousal support in the amount of $ a month starting on and continuing until further order of the Court. Spousal support shall be paid to the Clerk of Courts Office in the county this order was filed. Form UJS-091I (Domestic Modification of Permanent Order) Rev. 11/07 2 American LegalNet, Inc. www.FormsWorkflow.com 5) Phone calls, emails, third party contact, and correspondence, direct or indirect, is not permitted except as follows: ________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ 6) Respondent is ordered to immediately turn over all weapons and ammunition to local sheriff. 7) Other relief as follows:______________________________________________________________ _________________________
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