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IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL (Pasco County Clerk, FL)

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IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT,
IN AND FOR PASCO COUNTY, FLORIDA
In re:
Case No.: ___________________________
___________________________________
Vulnerable Adult
___________________________________
Petitioner
and
___________________________________
Respondent
TEMPORARY PROTECTIVE INJUNCTION AGAINST EXPLOITATION OF A
VULNERABLE ADULT AND NOTICE OF HEARING
This cause came before the court, which has jurisdiction over the parties and subject
matter under state law. The court having reviewed the petition and affidavits and considered
argument of counsel, finds as follows:
1. Reasonable notice and opportunity to be heard was given to the respondent in a manner
sufficient to protect his or her due process rights. Date of service ___________________
OR
2. The court conducted its review ex parte.
3. An immediate and present danger of exploitation of the vulnerable adult exists.
4. There is a likelihood of irreparable harm and unavailability of an adequate legal remedy.
5. There is a substantial likelihood of success on the merits.
6. The threatened injury to the vulnerable adult outweighs possible harm to the respondent.
7. Granting a temporary injunction will not disserve the public interest.
8. This injunction provides for the vulnerable adult’s physical or financial safety.
9. These findings were based on the following facts: ______________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Accordingly, it is hereby ADJUDGED that:
The petitioner’s request for a temporary protective injunction is GRANTED. This injunction
is valid for 15 days from the date of this order or _____________________. The full hearing is
set for _______________________ at _________________. The hearing will be held before the
Honorable __________________________________ at _______________________________
___________________________________________________________, Florida.
It is further ordered that:
_______ The respondent shall not commit any act of exploitation against the vulnerable
adult.
_______ The respondent will have no contact with vulnerable adult.
_______ The vulnerable adult is awarded temporary exclusive use and possession of any
dwelling he or she shares with the respondent.
_______ The respondent is barred from entering the residence of the vulnerable adult.
_______ The vulnerable adult’s assets, accounts, and/or credit lines are hereby frozen until
further court order except: ________________________________________________________
______________________________________________________________________________
_______ Institution(s) served on __________________________________
_______ The following institution(s) ___________________________________, holding
the vulnerable adult’s assets shall use his or her unencumbered assets to pay the clerk of court
the following filing fee:
_______ $75.00 (if assets are between $1,500 - $5,000)
OR
_______ $200.00 (if assets are more than $5,000).
If the court entered an injunction, these fees will be taxed as costs against the respondent.
Law enforcement is hereby directed to: __________________________________________
______________________________________________________________________________
______________________________________________________________________________
Other relief: ________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
This injunction is valid and enforceable in all Florida counties, does not affect title to real
property, and law enforcement may use their section 901.15(6), Florida Statutes, arrest powers to
enforce its terms.
DONE and ORDERED on ________________________________ at _________________.
_________________________________________
Judge
CC: All parties and counsel of record
COPIES TO: (Check those that apply)
Petitioner:
_______ by U.S. Mail
_______ by hand delivery in open court (Petitioner must acknowledge receipt in writing on the
original order – see below.)
Vulnerable Adult (if not petitioner)
_______ by U.S. Mail
_______ by hand delivery in open court
Respondent:
_______forwarded to Sheriff for service
_______ by U.S. Mail
_______ by hand delivery in open court (Respondent must acknowledge receipt in writing on the
original order – see below.)
_______ by certified mail (May only be used when respondent is present at the hearing and
Respondent fails or refuses to acknowledge the receipt of a certified copy of this injunction.)
_______ Other: ________________________________________________________________
Petitioner’s Attorney: _______ by e-mail
Respondent’s Attorney: _______ by e-mail
I CERTIFY the foregoing is a true copy of the original as it appears on file in the office of
the clerk of the circuit court of __________________________ County, Florida, and that I have
furnished copies of this order as indicated above on __________________________________.
CLERK OF THE CIRCUIT COURT
By: ________________________________
If you are a person with a disability who needs any accommodation in order
to participate in this proceeding, you are entitled, at no cost to you, to the
provision of certain assistance. Please contact either the Pasco County
Customer Service Center, 8731 Citizens Drive, New Port Richey, FL 34654,
(727) 847-2411 (V) or the Pasco County Risk Management Office, 7536 State
Street, New Port Richey, FL 34654, (727) 847-8028 (V) at least 7 days before
your scheduled court appearance, or immediately upon receiving this
notification if the time before the scheduled appearance is less than 7 days; if
you are hearing or voice impaired, call 711.
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IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL (Pasco County Clerk, FL)

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Completed 23 June 2021

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