Paragraph 4 Tiris Courl is tite proper venue for: this action because: The rnaritai domicile is located in
The household is located in
The defendant resides or is dorniciled in
The abuse occurred in
The petitionel resides or is domiciled
(Do not fill tltis ottt
atldress is to renutirt cortfidential.)
Paragraph 5 Tlre plotected person(s) is related to the defendant
all that apply:)
cun'ent or forrner dating partner'
cuLrent or fonner spouse
current ol fonuer unmaruied
paretrt, steppalent, or fostel parent
cirild, stepchild, or foster child
child of defendant's curreut ol fonner intirnaLe partuer
_ A suit for divorce between the parties is not pending. X A suit fol divorce between the parties is pending. (If yort
NOT tlrc petitiorter in tlre divorce suit, useform LPOII Il-R erfiitled "Petitiort Jbr Protectiort I'-rorn Abuse, Petitiorrcr-in-Reconverfiicrt't instead of tlis orte.) Thele is a suit for custody pending involving children named in this petition --._ (fill out pageT of this form "Addendum").
There is a custody ordel in effect involving cirildren named in this petition (fiil out page 7 of this form "Addendurn'!, or attach a copy of the order if available).
X The protected pe'son(s) a'd defenda,',l1"1,t"iii5il, in commo'.
Defendant abused protected person(s)
Slapped protected person(s)
Tlueatened protected pelson(s) with bodily hann
Punched protected person(s)
TLu'eatened protected person(s)'
Threatened protected person(s) r,vitli a weailoll
Cholced plotected pelson(s)
Shoved protected person(s)
Abused petitioner's child(ren)or alleged
Ificked plotected pelson(s)
Stalked protected person(s)
Page 2 of 6
Court minutes 2009-2010