Petition For Stalking Protective Order - Cherokee County [PDF]

and has a ____(state) driver=s license number ______. ... _____ order Respondent to stop harassing and intimidating Peti

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Idea Transcript


THE SUPERIOR COURT FOR THE COUNTY OF________ STATE OF GEORGIA ________________, Petitioner, v. _________________, Respondent.

] ] ] ] ] ] ] ]

Civil Action File No._____________________

PETITION FOR STALKING TEMPORARY PROTECTIVE ORDER The Petitioner, pursuant to O.C.G.A. § 16-5-94, hereby files this Petition for a Stalking Temporary Protective Order and in support shows the Court the following: 1.

The Petitioner is a resident of ____________ County, Georgia and is over the age of 18 years of age or is an emancipated minor.

2.

The Respondent is a resident of__________, Georgia, and may be served at __________________________, _____ County, Georgia.

2a.

Respondent is a resident of the State of _________________. Under O.C.G.A. §§ 19-13-2(b) and 16-5-94(6) jurisdiction and venue are proper with this Court because the stalking occurred in the State of Georgia in _______________ County and the Petitioner lives in ________________ County. Respondent is subject to the jurisdiction of this Court and may be served at_____________________________ _________________________________________________.

3.

On or about _____________, 20__, the Respondent has knowingly and willfully committed the following acts of stalking under O.C.G.A. §§ 16-5-90 et seq.: ____ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ and similar events may occur in the future. These acts had no legitimate purposes, happened at places other than the residence of the Respondent, were without the consent of the Petitioner, and placed Petitioner in reasonable fear for her/his own safety and/or the safety of her/his immediate family.

OR

THEREFORE, Petitioner requests: (a)

That the Court set a hearing within thirty (30) days of the signing of the Order and to direct Respondent to appear before this Court and to show any reasons why the demands of the Petitioner should not be granted;

(b)

That the Respondent be served a copy of this Petition and Ex Parte Protective Order as required by law;

(c)

Order law enforcement to enforce the order;

(d)

That this Court issue a twelve month protective order to:

_____ order Respondent to stop harassing and intimidating Petitioner and her/his immediate family; _____ order Respondent not have any direct or indirect contact with the petitioner and her/his immediate family; _____ order Respondent be enjoined from approaching within _____ yards of Petitioner and Petitioner's residence; _____ order Respondent refrain from the conduct toward the Petitioner as stated in this Petition; _____ order Respondent to receive appropriate psychiatric or psychological services; _____ award the Petitioner costs and attorney fees for having to bring this action. Respectfully submitted, ____________________ Petitioner Address _________________ ________________________ Phone __________________

RESPONDENT=S IDENTIFYING FACT SHEET Complete as much as possible Respondent=s social security number is _______________, date of birth is _________, sex ___, color of hair ___________, color of eyes ______________, height _______, weight _____. Respondent=s race is ______, ethnic background ____________. Respondent has distinguishing marks (tattoos, scars, etc.)_____________________. Respondent drives a _____________________, license tag number _________________ and has a ____(state) driver=s license number ___________. Respondent=s home address ______________________________ and is employed by________________ at _______________________ and works from ____ to ____ on (days)___________.

THE SUPERIOR COURT FOR THE COUNTY OF________ STATE OF GEORGIA ________________,

] ] ] ] ] ] ] ]

Petitioner, v. _________________, Respondent.

Civil Action File No._____________________

VERIFICATION Personally appeared _____________________, who being duly sworn states that she/he is the Petitioner in the above styled case and that the facts set forth in the foregoing Petition for Stalking Temporary Protective Order are true and correct.

______________________________ Petitioner Sworn and subscribed before me this _____ day of _____________, ______ __________________________ NOTARY PUBLIC My commission expires:

* REMOVE THIS PAGE FROM PETITION * Pursuant to O.C.G.A. § 19-13-3, Petitioner assisted by: Name ___________________________ Address _________________________ ________________________________ Phone __________________________

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