WPC  ;zC-|e᠄Sl}bm u;;DYmXEϗqNϲX @J qAZ<\XMhrx5~@݂l֏mkWQqZxģsbG<03uPݗRaZdg":*5H`+yMǛ=͹8)"/V%lq:o7u8U);.[SH0+ޥ Wi^Su Z=>bmVCvXrh|EX!58ߜ*Ma}HJOBǣ5& A|!nC Vo?:'ABSUwC}n/5c# vҪ7r t9Vt%&1#UNw % 0:^ w4)8 m:NQU@SSSSSSSSSSSSSSSSSSSSSSSSSSS 0V' ' ' ' ' ' ' ' :} Student Printer,,,,0(9 Z6Times New Roman RegularX($USUS.,4 フ1:i+003|xU* `(CG TimesScalable ()USUS.,  _k|XX @  @ 07/10/04(.3$ !USUS.,   0       X !USUS.,  _ 99' XXXX  03  CINTHEDISTRICTCOURTOF______________COUNTY,KANSAS  ____________________,Plaintiff  vs.     A     I     CaseNo._______________  ____________________,Defendant b t    PETITIONFORPROTECTIONFROMSTALKINGORDER : L  (PursuanttoK.S.A.6031a01,#XXX XÊ#B.` hp x (#XB XXXXetseq.) & 8   Ar^X4` hp x (#%'0*,.8135@8:<H?AXr    1.  Mynameis________________________.IliveintheCityof_________________,inthe   Countyof__________________,Kansas.     2.  Iamseekingprotectionfor:(checkallthatapply)  {^,4` <DL!T$&)\+- 0d247l9;>t@X4` X{    _____  myself      _____  myminorchild(underage18)      _____  aminorchildwholiveswithme r #XXX X# XXXX  3.  Thefollowingminorchildrenareinvolvedinthismatter:(givefullnamesandages) J\ 9w,X,X, X9Name0  0$$0$$0 $$0A  $ $0m A $A $DOB0 m $m $0 $ $0$$0I$$MothersName0%I$I$0Q%$%$0}Q$Q$0}$}$FathersName0!$$0 $!$!$"4 $$ $$  e          A 0 m       0Im $m $ u        %  Q  } 0I$I$     Y  !  $  @ $ 0@ $?T$?T$ $$ #XXX XÚ# XXXX e          A 0 m       0Im $m $ u        %  Q  } 0I$I$     Y  !  $  @ $ 0@ $?T$?T$ $$ #XXX Xã # XXXX e          A 0 m       0Im $m $ u        %  Q  } 0I$I$     Y  !  $  @ $ 0@ $?T$?T$ $$ #XXX Xp # XXXX e          A 0 m       0Im $m $ u        %  Q  } 0I$I$     Y  !  $  @ $ 0@ $?T$?T$ $$ #XXX X=# XXXX e          A 0 m       0Im $m $ u        %  Q  } 0I$I$     Y  !  $  @ $ 0@ $?T$?T$ $$ #XXX X # XXXX e          A 0 m       0Im $m $ u        %  Q  } 0I$I$     Y  !  $  @ $ 0@ $?T$?T$ $$ #XXX X# XXXX e 4.Thedefendantsnameis_________________________________.  #XXX Xä# XXXX e 5.  Iamseekingaprotectionfromstalkingorderbecausethedefendanthas:(#XXX XI# XXXXBrieflydescribethe Z!l! specificfactsaboutwhyyouareseekingaprotectionfromstalkingorder) F"X" $$N$$$N$$$N$$$N$#XXX X# XXXXԈ e 6.Thedefendantsconducthascausedmetofeel:$$N$ &#' $$N$$$N$ e 7.  Theactscomplainedofoccurredonthesedates:$$N$ *'+ $$N$inthecountyof_______________,Kansas. j,|)-  e   #XXX X# XXXX8.  Thedefendantcanbefoundat:(giveallavailableaddresses,ifknown) ./@,0 03 0       X 0   e HOME:  street$$N$ d  e   0    city______________________state______________zipcode$$N$$$ T  e     0  phonenumber$$N$$$ D  e     0  timeswhendefendantisusuallythere$$N$$$ 4  e WORK:  street$$N$    e     0  city______________________state______________zipcode$$N$$$    e     0  phonenumber$$N$$$  p   e     0  timeswhendefendantisusuallythere$$N$$$  `  #XXX X T# X XXX e OTHER:  street$$N$ @   e     0  city______________________state______________zipcode$$N$$$ 0   e     0  phonenumber$$N$$$    e     0  timeswhendefendantisusuallythere$$N$$$  #XXX X # X XXX e     #XXX X "# X XXX? XX4," Xw,X?  WHEREFORE,plaintiffrequeststhattheCourtissueanorderofprotectionrestrainingdefendant d from: T     _____0  0  $ $a)0 $ $following,harassing,telephoning,contactingorotherwisecommunicatingwiththe D victim4 $ $ a,4 " <DL!T$&)\+- 0d247l9;>t@XX4," X    _____0 b)0 $ $abusing,molestingorinterferingwiththeprivacyrightsofthevictim$ $ $     _____ c)0 enteringuponorinthevictimsresidenceortheimmediatevicinitythereof. $ $     _____0 d)0 $ $other______________________________________________________ $ $ 0  0$$0$$0 $$0 $ $  $ $       Plaintifffurtherrequeststhatcopiesofordersbegiventotheappropriatelawenforcementagencies; P thatadate,timeandplaceforahearingonthismatterbeset;andthatsummonsbeissuedtodefendant, @ notifyingthedefendantofthisactionandthereliefrequested. 0   Plaintifffurtherrequeststhatuponhearingofthiscause,theCourtissueafinalorderofprotection   fromstalking,enjoiningdefendantfromanyactsofstalkingagainsttheplaintiffand/ortheminorchild, !  andthattheCourtawardtoplaintiffthefollowingadditionalrelief: t"!       _____ a) attorney'sfees,ifrepresentedbycounsel;andcosts T$ #     _____ b) other,pleasespecify:________________________________________ D%!$ 0  0$$0$$0 $$0 $ $__________________________________________________________4&"% $ $         __________________________________________________________ $'#& andforsuchotherandfurtherrelief,allasappropriateandastheCourtdeemsnecessary. )%(             I __________________________________________ *`'*             I Plaintiff'ssignature +P(+   ,@), (Ifattorneyrepresentstheplaintiff,the  attorney'saddressandphonenumber t mustbeprovided.) d ___________________________ T ___________________________ D ___________________________ 4   VERIFICATION      STATEOFKANSAS  )  P           )  ss: @  COUNTYOF__________ ) 0    _____________________________,oflawfulage,beingfirstdulyswornstatesthat(she)(he)isthe  plaintiffintheaboveaction;that(she)(he)hasreadtheforegoingPetitionandknowsthecontentsofitand t thatthedeclarationsinitaretrueandcorrecttothebestofplaintiff'sknowledgeandbelief. T             I __________________________________________ 4             I Plaintiff'ssignature $ SIGNEDANDSWORNto(oraffirmed)beforemeonthis_____dayof_______________,______. p             I __________________________________________ P             I ClerkoftheDistrictCourt/NotaryPublic @ MyAppointmentExpires:   ___________________#XXX X #