Form 66 "Amendment/Revocation of Non-contact Order" - Queensland, Australia

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FORM 66
QUEENSLAND
Penalties and Sentences Act 1992
(Part 3A)
Penalties and Sentences Regulation 1992
AMENDMENT/REVOCATION OF NON-CONTACT ORDER
Court:
Place:
Offender:
Date of Order:
It is ordered that the non-contact order made by:
Court:
Place:
Date:
be amended/revoked as follows:
Sheriff/Registrar/Clerk of the Court
Date:
Place:
Note to offender:
Penalty: If you unlawfully fail to comply with any of the requirements of this order or the
unamended requirements of the original order, you commit an offence against this the Act
and will be liable to a penalty up to 40 penalty units or imprisonment for one year.
FORM 66
QUEENSLAND
Penalties and Sentences Act 1992
(Part 3A)
Penalties and Sentences Regulation 1992
AMENDMENT/REVOCATION OF NON-CONTACT ORDER
Court:
Place:
Offender:
Date of Order:
It is ordered that the non-contact order made by:
Court:
Place:
Date:
be amended/revoked as follows:
Sheriff/Registrar/Clerk of the Court
Date:
Place:
Note to offender:
Penalty: If you unlawfully fail to comply with any of the requirements of this order or the
unamended requirements of the original order, you commit an offence against this the Act
and will be liable to a penalty up to 40 penalty units or imprisonment for one year.