Addendum To Petition For Personal Protection Order Against Stalking (Non-Domestic) {CC-PPO 12}

STATE OF MICHIGAN 6th CIRCUITOAKLAND COUNTY Court address 1200 N. Telegraph Road, Pontiac, MI 48341-1043 Petitioner's name ADDENDUM TO PETITION PERSONAL PROTECTION ORDER STALKING Age V Respondent's name CASE NO. page of Court telephone no. (248) 975-9511 Age Stalking is defined as a willful course of conduct involving repeated or continuing harassment that would cause a reasonable person to feel terrorized, frightened, intimidated, threatened, harassed, or molested, and actually caused someone to feel terrorized, frightened, intimidated, threatened, harassed or molested. The respondent did the following acts or made the following threats which caused me to feel terrorized, frightened intimidated, threatened, harassed or molested: 1. When Where What 2. When Where What 3. When Where What 4. When Where What (Attach extra sheets if necessary) VERIFICATION UNDER MCR 2.114(2)(b): I declare that the statements above are true to the best of my information, knowledge and belief. Date Signature of petitioner American LegalNet, Inc. www.FormsWorkFlow.com CC-PPO 12 (06/00) Addendum to Petition for PPO Against Stalking (Non-Domestic) 1 of 1