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County of ______________ )
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My name is __________________ and I am the Petitioner in this matter. I am asking the
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court to issue a permanent Stalking Protective Order in the above-referenced matter because
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Respondent has subjected me to repeated and unwanted contact, as detailed in □ my Petition for
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Stalking Protective Order, dated ______________, 20___ / □ the law enforcement Citation dated
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______________, 20___. These contacts have been profoundly alarming to me, and I am very
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much afraid for my personal safety.
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A merits hearing in this matter has been set for ______________, 20___.
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Respondent’s counsel has served me with a Notice (copy attached) directing me to appear
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in counsel’s office for deposition on ______________, 20___.
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2 taking my deposition would serve no purpose, except to harass, embarrass and inconvenience
3 me. As noted above, I am afraid of Respondent, and fear that information taken in my deposition
4 could be misused by him to place me and those I care about in even greater danger. I would like
10 You are required to truthfully complete this certificate regarding the document you are
11 filing with the court. Check all boxes and complete all blanks that apply:
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□ I selected this document for myself and I completed it without paid assistance.
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