STATE OF MAINE DISTRICT COURT Location Docket No. Plaintiff: individually and on behalf of: on behalf of: DEFENDANT'S MOTION TO DISSOLVE TEMPORARY ORDER FOR PROTECTION
(19-A M.R.S.A. § 4006(7)) (5 M.R.S.A. § 4654(6))
v. Defendant: on behalf of:
MOTION TO MODIFY/AMEND
The Defendant _____________________________ requests that for the following reasons, the Temporary Order for Protection dated be Dissolved Modified/Amended 1.________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ 2.________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Attached is Defendant's affidavit in support of the above reasons. Date:________________ ___________________________________ Defendant Personally appeared the above named Defendant and signed and made oath to the truth of the statements in the above Motion and any attachments, before me, Date: Clerk / Notary Public / Attorney at Law NOTICE OF HEARING The parties are hereby notified that the hearing in this matter is set for at (am) (pm) at the District Court located at:
(Deputy) Clerk
PA-010, Rev. 04/03
RETURN OF SERVICE , ss. On , at a.m. / p.m., I made service of the
Defendant's Motion to Dissolve/Amend/Modify Temporary Order upon the plaintiff by delivering a copy of the Motion and Notice of Hearing to the defendant in hand at:
(location where served)
Authorized Officer