Approved, SCAO

STATE OF MICHIGAN

JUDICIAL CIRCUIT
COUNTY

Court  address

Petitioner's name

Address and telephone no. where court can reach petitioner

ORDER ON MOTION TO
MODIFY, EXTEND, OR TERMINATE
PERSONAL PROTECTION  ORDER

Respondent's name, address, and telephone no.

v

Original - Court
1st copy - LEIN (if applicable)
2nd copy  - Respondent
3rd copy - Petitioner

CASE NO.

Court  telephone  no.

Date:

Judge:

Bar no.

1. This order is entered after hearing.

THE COURT FINDS:
2. A motion was filed to

a. modify the personal protection order dated
b. extend the expiration date of the personal protection order dated
c. terminate the personal protection order dated

.

.

   .

3.

a. Circumstances continue to exist that would require extension/modification of the order.
b. Circumstances do not exist that would require extension/modification of the order.
c. Circumstances do not exist that would require continuation of the term of the order.

IT IS ORDERED:

order shall be issued.

4. The motion to modify the personal protection order is grantedin

full.

part.     An amended personal protection

5. The personal protection order is extended from

Current expiration date

to

New expiration date

    .

The court clerk shall file this order with

Name of law enforcement agency

who shall enter the new expiration date in the LEIN system.  The conditions of the existing personal protection order are
continued except as to the new expiration date.

6. The motion to terminate the personal protection order is granted.  The court clerk shall complete and file the Removal of

Entry from LEIN (form MC 239) with the law enforcement agency named in the last order.

7. The motion to modify, extend, or terminate the personal protection order is denied and the existing personal protection order

will expire on the date of that order.

8. This order is effective when signed.

Date

Date

Instruction to moving party:  You must mail this order to the other party, date and sign below, and file a copy of this certificate of
mailing with the court clerk as soon as possible.

I certify that on this date I served a copy of this order on the parties or their attorneys by first-class mail addressed to their last-known
addresses as defined in MCR 2.107(C)(3).

CC 385   (3/08)   ORDER ON MOTION TO MODIFY, EXTEND, OR TERMINATE PERSONAL PROTECTION ORDER

MCR 3.707

Judge

CERTIFICATE OF MAILING

Moving party