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