Form DC19:41 "Application to Dismiss Petition and Affidavit to Obtain or Renew a Protection Order" - Nebraska

What Is Form DC19:41?

This is a legal form that was released by the United States District Court for the District of Nebraska - a government authority operating within Nebraska. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2017;
  • The latest edition provided by the United States District Court for the District of Nebraska;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DC19:41 by clicking the link below or browse more documents and templates provided by the United States District Court for the District of Nebraska.

ADVERTISEMENT
ADVERTISEMENT

Download Form DC19:41 "Application to Dismiss Petition and Affidavit to Obtain or Renew a Protection Order" - Nebraska

1204 times
Rate (4.7 / 5) 60 votes
Nebraska State Court Form
APPLICATION TO DISMISS
PETITION AND AFFIDAVIT
DC 19:41 NEW 08/17
TO OBTAIN OR RENEW A
Neb. Rev. Stat. §§ 42-924,
PROTECTION ORDER
28-311.09, and 28-311.11
IN THE DISTRICT COURT OF
COUNTY, NEBRASKA
________________________________________
,
Petitioner
Case No
. ____________________
_________________________________________
Additional Petitioner/Minor Child(ren),
APPLICATION TO DISMISS PETITION
_________________________________________
AND AFFIDAVIT TO OBTAIN OR
Additional Petitioner/Minor Child(ren),
RENEW A PROTECTION ORDER
vs.
_________________________________________
Respondent.
Comes now the petitioner and hereby requests the court to dismiss the Petition and Affidavit to
Obtain or Renew a Protection Order filed by the petitioner on __________________________.
In support of this request, the petitioner sets forth the following. This request is being done by the
petitioner as a free and voluntary act.
DATED: ________________________.
(do NOT sign UNTIL THE CLERK OF THE DISTRICT COURT OR A NOTARY IS PRESENT AND WITNESSES YOU SIGNING)
Date
Signature of Petitioner
Name
Street Address/P.O. Box
Bar Number and Firm Name (attorneys only)
City/State/ZIP Code
Phone
E-mail Address
Subscribed and sworn before me this _______ day of ______________________, 20_______.
_________________________________
Clerk of District Court/Notary Public
Page 1 of 1
Application to Dismiss Petition and Affidavit to
Obtain Protection Order
DC19:41 NEW 0817
Nebraska State Court Form
APPLICATION TO DISMISS
PETITION AND AFFIDAVIT
DC 19:41 NEW 08/17
TO OBTAIN OR RENEW A
Neb. Rev. Stat. §§ 42-924,
PROTECTION ORDER
28-311.09, and 28-311.11
IN THE DISTRICT COURT OF
COUNTY, NEBRASKA
________________________________________
,
Petitioner
Case No
. ____________________
_________________________________________
Additional Petitioner/Minor Child(ren),
APPLICATION TO DISMISS PETITION
_________________________________________
AND AFFIDAVIT TO OBTAIN OR
Additional Petitioner/Minor Child(ren),
RENEW A PROTECTION ORDER
vs.
_________________________________________
Respondent.
Comes now the petitioner and hereby requests the court to dismiss the Petition and Affidavit to
Obtain or Renew a Protection Order filed by the petitioner on __________________________.
In support of this request, the petitioner sets forth the following. This request is being done by the
petitioner as a free and voluntary act.
DATED: ________________________.
(do NOT sign UNTIL THE CLERK OF THE DISTRICT COURT OR A NOTARY IS PRESENT AND WITNESSES YOU SIGNING)
Date
Signature of Petitioner
Name
Street Address/P.O. Box
Bar Number and Firm Name (attorneys only)
City/State/ZIP Code
Phone
E-mail Address
Subscribed and sworn before me this _______ day of ______________________, 20_______.
_________________________________
Clerk of District Court/Notary Public
Page 1 of 1
Application to Dismiss Petition and Affidavit to
Obtain Protection Order
DC19:41 NEW 0817