8/3/2019 Petition for Restraining Order Pg. 2

1/1

8. - . '[lie respondent has stalked me by:(a) repeatedly harassing me in the folIo

.. rv

9. 0 As evidence of injury to petitioner, photograph(s) marked "Exhibit A" are attached to and made a part of this petition.WHEREFORE, Pursuant to Sections 455.010 to 455.085, RSMo petitioner prays that the court issue an Ex Parte Order of

rotection restraining respondent from: (one or more may be checked)Abusing, threatening to abuse, molesting, stalking or disturbing the peace of the petitioner wherever the petitioner may be. Entering the premises of the dwelling of the petitioner located at:

o STATEOFMISSOURl )

)SS.COUNTY OF JACKSON )Petitioner, under oath says the facts stated in the above npt, t l l 'on

NOTICE:Section 455.030 (3) RSMo provides that petitioner seeking protection under the

is not required to revealor place of residencethis petition. However, it may beto contact you. Complete the

IF SUCH DISCLOSURE WILL

me

statement of a material fact may serve as the basis for p r C ' S e ( ~ u t l l o n denial of your petition.knowledge and

CT 1450 - 3/05