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IN THE CIRCUIT COURT OF THE IN AND FOR PASCO SIXTH JUDICIAL CIRCUIT, COUNTY, FLORIDA Case No.: Division:, Petitioner, and, Respondent. PETITION FOR INJUNCTION FOR PROTECTION AGAINST REPEAT VIOLENCE

/ if not applies Petitioner wants to ask an injunction, so that Petitioner will not be physically or sexually victimized by Respondent with or without any consent of Respondent. / if you wish to seek an injunction or have no objection to the sealing of this petition or of the court records, please sign the consent form and mail it to this office. 2. (I) Petitioner has an attorney but has not chosen an attorney. Petitioner desires to bring this action solely on Petitioner's own behalf. / if attorney chosen / if interested 3. (I) Petitioner has a criminal background. In fact, Petitioner is currently incarcerated on a criminal charge. If this is the case, please advise the court. / if you have a criminal background 4. (I) Petitioner has a valid driver's license. This is to protect the health and safety of the Petitioner, his or her family, and others around her. If you lack proper identification or if you want a driver's license that includes certain restrictions, please contact your local DMV office. / if not currently a licensed driver / you would like a driver's license that allows or allows you to use certain drugs, please advise the court. 5. (I) Because Respondent would be violating a court order if she were to continue assaulting & assaulting Petitioner, this is to protect the public from being assaulted and assaulted by Respondent in the future, in other words, Petitioner would have no choice but to move to Florida and live with a woman who is willing to provide for Petitioner. Petitioner desires to live with his or her parents. / if parents willing / if interested 6. (I) This petition seeks injunctive relief to protect Petitioner from being physically or sexually victimized by Respondent with or without any consent of Respondent. This request is filed specifically in response to Respondent's decision to repeatedly sexually assault and/or molest Petitioner. / if not in response to Respondent's decision to repeatedly molest Petitioner / if petitioner desires to file for injunctive protection 7. (I) I declare under penalty of perjury under the laws of the United States of America, that the matters described on this petition are true, correct, and complete in all material respects. 8.

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