Form Cv-405 - Petition For Temporary Restraining Order And/or Petition And Motion For Injunction Hearing Page 6

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(Harassment)
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Case No.
Petition for Temporary Restraining Order and/or Petition and Motion for Injunction Hearing
If a service fee is required by the sheriff under §814.70(1), Wis. Stats., the petitioner shall pay
the fee directly to the sheriff. If the court checks box number 3. Under “The Court Orders”
section of the Temporary Restraining Order and Notice of Injunction Hearing (CV-406), no
service fee is required to be paid to the sheriff.
Yog hais tias yuav tsum them tus nqi xa ntawv rau tub ceev xwm raws li tsab cai §814.70(1),
Wisconsin Cov Cai, tus neeg ua ntawv foob yuav tsum them qhov nqi ncaj nraim mus rau tub
ceev xwm. Yog hais tias tsev hais plaub kos rau lub npov (box) naj npawb 3. Raws li nqe lus
“The Court Orders”ntawm daim ntawv Temporary Restraining Order and Notice of Injunction
Hearing (CV-406), tsis tas yuav them tus nqi xa ntawv rau tub ceev xwm.
State of
Petitioner or Person filing on behalf of Petitioner
Lub Xeev ntawm
Tus Neeg Ua Ntawv Foob los yog Tus Neeg ua ntawv sawv cev tus Ua
County of
Ntawv Foob
Lub County ntawm
Subscribed and sworn to before me on
Name Printed or Typed
Thov thiab cog lus tim ntsej tim muag ntawm kuv rau thaum
Sau Lub Npe los sis Ntaus Lub Npe
Notary Public/Court Official
Date Hnub Tim
Tus Neeg Ntaus Thwj/Neeg Hauv Tsev Hais Plaub
Name Printed or Typed
Sau Lub Npe los sis Ntaus Lub Npe
My commission/term expires:
Kuv muaj cai ntaus thwj/tag sij hawm:
DISTRIBUTION:
1. Court
2. Petitioner
3. Person filing on behalf of the Petitioner
4. Respondent
5. Law Enforcement
6. Other:
CV-405, 05/16 Petition for Temporary Restraining Order and/or Petition and Motion for Injunction Hearing (Harassment) §§48.25(6) and 813.125, Wisconsin Statutes
Hmong 07/16
This form shall not be modified. It may be supplemented with additional material.
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