PO-0106
Approved 07-01-02 Revised 07-01-08
STATE OF INDIANA COUNTY OF ________
) ) SS: )
IN THE ________________COURT_____ ( ______________ DIVISION, ROOM ___)
_______________________, ) Petitioner ) vs. ) _______________________, ) Respondent )
CASE NO._________________________
NOTICE TO APPEAR The Petitioner having filed a petition for an Order for Protection, the Court now finds the conditions in Indiana Code § 34-26-5 have been met, and sets this matter for Hearing as follows: TO: DATE OF HEARING: TIME OF HEARING: LOCATION OF HEARING: _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________
Please bring all documents and witnesses relating to this case with you to Court on your hearing date. DATE:__________ Recommended for approval by, if applicable: _____________________________________ ____________, COMMISSIONER/REFEREE Approved and ordered by: _____________________________________ ________________, JUDGE/MAGISTRATE ******IMPORTANT NOTICE****** IF YOU DO NOT ATTEND THE HEARING IN THIS CASE, THE JUDGE MAY HEAR THE CASE IN YOUR ABSENCE AND ORDER ADDITIONAL RELIEF THAT MAY INCLUDE: · EVICTION/EXCLUSION FROM A RESIDENCE; · RESTRICTING POSSESSION OF PERSONAL PROPERTY; · RESTRICTING PARENTING TIME; · AWARDING CHILD SUPPORT; AND, · PROHIBITING POSSESSION OF FIREARMS, AMMUNITION, OR DEADLY WEAPONS.