Affidavit and Order For Dismissal: (County Where Affidavit Signed)
Affidavit and Order For Dismissal: (County Where Affidavit Signed)
District Court Judicial District: Court File Number: Case Type: Domestic Abuse
In the Matter of: Petitioner vs. Respondent. STATE OF MINNESOTA ) ) COUNTY OF _________________)
(County where Affidavit signed)
ss.
I am requesting the Court to vacate the Order for Protection and dismiss this action because: _________
Dated:
Signature (Sign only in front of notary public or court administrator.)
Telephone: (
Based on the foregoing, IT IS HEREBY ORDERED that the above matter is dismissed. This does not modify any current conditions of release ordered in any criminal file. Dated: Judge of District Court _________________________________________________________________________________________ Distribution
______ Original service by mail Copy for Petitioner(s) Copy for file until original returned Copy for Sheriff Dissolution File
OFP601 State ENG Rev 8/08
www.mncourts.gov/forms
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