Petitioners Verified Request For Dismissal {PO-0108}

PO-0108 Approved 07-01-02 Revised 07-23-04 STATE OF INDIANA ) IN THE ________________COURT ____ ) SS: (____ _________ DIVISION, ROOM ____) COUNTY OF ___________ ) CASE NO._________________________ _______________________, ) Petitioner ) vs. ) _______________________, ) Respondent ) PETITIONERS VERIFIED REQUEST FOR DISMISSAL On ______________________________, I, the Petitioner, filed a Petition for an Order for Protection and Request for a Hearing. At this time, I am filing this Verified Request for Dismissal pursuant to IC 34-26-5-12. I respectfully request that the Court grant this Request without delay or any conditions, and dismiss the case without prejudice. I affirm, under the penalties for perjury, that the foregoing representations are true. DATE: ________ Petitioners Signature __________________________ Printed _________________________ Petitioners Address ___________________________ ___________________________ Respondents Address __________________________ ___________________________