Affidavit For Confidential Address {PA-015} | Pdf Fpdf Doc Docx | Maine

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Affidavit For Confidential Address {PA-015} | Pdf Fpdf Doc Docx | Maine

Affidavit For Confidential Address {PA-015}

This is a Maine form that can be used for Protection From Abuse within Statewide, District Court.

Alternate TextLast updated: 4/13/2015

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STATE OF MAINE DISTRICT COURT Location Docket No. Plaintiff v. AFFIDAVIT FOR CONFIDENTIAL ADDRESS/ TELEPHONE NUMBER (19-A M.R.S.A. § 4008) (5 M.R.S.A. § 4656) Defendant For the protection of the plaintiff, the plaintiff requests the court to keep his/her address and/or telephone number(s)confidential. The plaintiff's address is: The plaintiff's telephone number(s) are: The undersigned plaintiff states under oath that the health, safety or liberty of myself and/or my child(ren) would be jeopardized by disclosure of this information for the following reasons: Date: Signature Personally appeared the above named and signed and made oath to the truth of the statements in the above affidavit, before me, Date: Clerk / Notary Public / Attorney at Law PA-015, Rev. 11/08 American LegalNet, Inc. www.FormsWorkFlow.com

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