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APPLICATION TO MODIFY, TERMINATE, OR EXTEND THE ORDER (Mescalero Apache Tribe)

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Mescalero Tribal Court (2018) PO Box 227 / 159 Deer Trail Mescalero, NM 88340
MESCALERO APACHE TRIBAL COURT
MESCALERO APACHE RESERVATION, NEW MEXICO
Check List
APPLICATION TO MODIFY, TERMINATE, OR
EXTEND THE ORDER OF PROTECTION FROM
DOMESTIC ABUSE
Completed Application
Any Evidence
Use/Instructions:
If you would like to make any changes to your current Protection Order you will complete the
attached application requesting to modify, terminate or extend the Order. You will check the
applicable response and legibly write in your reason. You will also need to indicate if the other
party has been notified.
Request for Termination may be subject to a $15.00 drop fee
You will need to provide your updated address and phone number to the Court Clerk.
In order to properly process the attached application, all necessary documents
must be attached at the time of filing.
Mescalero Tribal Court (2018) PO Box 227 / 159 Deer Trail Mescalero, NM 88340
MESCALERO APACHE TRIBAL COURT
MESCALERO APACHE RESERVATION, NEW MEXICO
COVER SHEET
Type of Case: ☐ Civil ☐ Criminal ☐ Other: ____________________
NAME OF PETITIONER: _____________________________________________________
Tribal Census Number: ________________________________________
Telephone Number or Message Number: ____________________________________________
MAILING ADDRESS: __________________________________________________________
RESIDENTAL ADDRESS:
PLACE OF EMPLOYMENT:
___ ________
NAME OF RESPONDENT: _____________________________________________________
Tribal Census Number: ____________________________________
Telephone Number or Message Number:_____________________________________________
MAILING ADDRESS:
RESIDENTAL ADDRESS:
PLACE OF EMPLOYMENT:
This information is necessary to process your case, and will remain confidential.
Thank you for your understanding. The Mescalero Apache Tribal Court
Mescalero Tribal Court (2018) PO Box 227 / 159 Deer Trail Mescalero, NM 88340
MESCALERO APACHE TRIBAL COURT
MESCALERO APACHE RESERVATION, NEW MEXICO
____________________________, CAUSE NO. ______________________
Petitioner,
Vs.
APPLICATION TO MODIFY, TERMINATE,
OR EXTEND THE ORDER OF
_____________________________, PROTECTION FROM DOMESTIC ABUSE
Respondent.
On ___________________________ (date) the Court entered an Order of Protection pursuant to
the Mescalero Apache Tribal Code in the above-mentioned cause number.
[ ] Petitioner [ ] Respondent asks the court: (check and complete applicable alternatives)
[ ] to modify the protection order as follows: ______________________________________
_______________________________________________________________________.
[ ] to terminate the protection order because: ______________________________________
_______________________________________________________________________.
[ ] to extend the protection order for an additional ________ days because:
________________________________________________________________________
_______________________________________________________________________.
The other party:
[ ] objects to the extension, modification, or termination of the protection order.
[ ] agrees to the extension, modification, or termination of the protection order.
[ ] has not told me whether he/she objects or agrees to the extension, modification, or
termination of the protection order.
I, the [ ] Petitioner [ ] Respondent, affirms under penalty of perjury and by the laws of the
Mescalero Apache Tribal Code that I am the [ ] Petitioner [ ] Respondent in the above-
entitled cause; that I have read this application to modify, terminate, or extend the order of
protection from domestic abuse; and that the contents of the application are true and correct to
the best of my information and belief.
__________________________ ____________________________________
Date Signature
____________________________________
Printed Name
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APPLICATION TO MODIFY, TERMINATE, OR EXTEND THE ORDER (Mescalero Apache Tribe)

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Completed 31 January 2021

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