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原文:SOURCE TEXT (English)

FINAL ORDER OF COURT

Defendant's Name: __________

   Defendant's Date of Birth: __________

   Defendant's Social Security Number: __________

   Names and Dates of Birth of All Protected Persons, including Plaintiff and minor children:

Names

Dates of Birth

______

______

______

______

______

______

CHECK ALL THAT APPLY:
Plaintiff or Protected Person(s) is/are:

   [  ]  spouse or former spouse of Defendant

   [  ]  parent of a common child with Defendant

   [  ]  current or former sexual or intimate partner with Defendant

   [  ]  child of Plaintiff

  [  ]  child of Defendant

   [  ]  family member related by blood (consanguinity) to Defendant

  [  ]  family member related by marriage or affinity to Defendant

   [  ]  sibling (person who shares biological parenthood) of Defendant

   [  ]  current or former cohabitant (person who lives with) Defendant

Defendant was served in accordance with Pennsylvania Rules of Civil Procedure 1930.4 and provided notice of the time, date and location of the hearing scheduled in this matter.

   AND NOW, this            day of                  , 20[ ], the court having jurisdiction over the parties and the subject-matter, it is ordered, adjudged, decreed as follows:

   [  ]  1.  Defendant shall not abuse, stalk, harass, threaten or attempt to use physical force that would reasonably be expected to cause bodily injury to the Plaintiff or any other protected person in any place where they might be found.

   [  ]  2.  Defendant is completely evicted and excluded from the residence where Plaintiff or any other person protected under this Order may live. Exclusive possession of the residence is granted to Plaintiff. Defendant shall have no right or privilege to enter or be present on the premises of Plaintiff or any other person protected under this Order.

   [  ]  3.  Custody of the minor children, shall be as follows:[STATE TO WHOM PRIMARY PHYSICAL CUSTODY AWARDED; STATE TERMS OF PARTIAL CUSTODY OR VISITATION, IF ANY.]

   [  ]  4.  Defendant is prohibited from possessing, transferring or acquiring any other weapons for the duration of this order. Any weapons delivered to the sheriff shall not be returned until further order of court.

   [  ]  5.  Defendant is directed to pay temporary support for: [INSERT THE NAMES OF THE PERSONS FOR WHOM SUPPORT IS TO BE PAID] as follows: [INSERT AMOUNT, FREQUENCY AND OTHER TERMS AND CONDITIONS OF THE SUPPORT ORDER]. This order for support shall remain in effect until a final order is entered by this Court. However, this order shall lapse automatically if the Plaintiff does not file a complaint for support with the Domestic Relations Section of the court within two weeks of the date of this order. The amount of this temporary order does not necessarily reflect the Defendant's correct support obligation, which shall be determined in accordance with the guidelines at the support hearing. Any adjustments in the final amount of support shall be credited, retroactive to this date, to the appropriate party.

   [  ]  Plaintiff is granted leave to present a petition, with appropriate notice to Defendant, to [INSERT THE NAME OF THE JUDGE OR COURT TO WHICH THE PETITION SHOULD BE PRESENTED] requesting recovery of out-of-pocket losses. The petition shall include an exhibit itemizing all claimed out-of-pocket losses, copies of all bills and estimates of repair, and an order scheduling a hearing. No fee shall be required by the Prothonotary's Office for the filing of this petition.

[ ]  12.  BRADY INDICATOR.

   1.  [  ]  The Plaintiff or protected person(s) is a spouse, former spouse, a person who cohabitates or has cohabited with the Defendant, a parent of a common child, a child of that person, or a child of the Defendant.

   2.  [  ]  This order is being entered after a hearing of which the Defendant received actual notice and had an opportunity to be heard.

   3.  [  ]  Paragraph 1 of this Order has been checked to restrain the Defendant from harassing, stalking, or threatening Plaintiff or protected person(s).

   4.  [  ]  Defendant represents a credible threat to the physical safety of the Plaintiff or other protected person(s).

OR

   [  ]  The terms of this order prohibit Defendant from using, attempting to use, or threatening to use physical force against the Plaintiff or protected person that would reasonably be expected to cause bodily injury.

   [  ]    All provisions of this order shall expire in [INSERT DURATION], on [INSERT EXPIRATION DATE]


譯文:TARGET TEXT (Chinese)

法庭頒布的最終保護令

被告人姓名:

被告人出生日期:

社會安全號碼 ________________

所有受保護人士的姓名和出生日期,包括原告人及未成年子女

姓名

出生日期

______

______

______

______

______

______

請勾選適合的項目

原告人/受保護人士為:

   [  ]  被告之配偶或前配偶

   [  ]  被告孩子的父(母)親

   [  ]  被告的現任或前任性伴侶或有親密關係的伴侶

   [  ]  原告的孩子

   [  ]  被告的孩子

   [  ]  與被告有血緣關係的家庭成員

   [  ]  與被告有婚姻或姻親關係的家庭成員(姻親或非血緣關係的家庭成員)

   [  ]  被告同父或同母的兄弟姊妹

   [  ]  被告的現任或前任同居伴侶

根據Pa. R.C.P. 1930.4條,已向被告傳達通知為本案安排的聽證時間、日期及地點。

現,即20_____ _____ _____日,本庭因對當事雙方和受理案件擁有管轄權,特此判決、裁定和宣判如下:

被告不得在原告或受保護人士出現的地方對其進行虐待、跟蹤、騷擾、恐嚇或使用在合理推測下可造成身體受傷的武力。

被告全面禁止進入原告或受此保護令保護人士的居所。原告擁有居所的獨佔權。告不得也無權進入或留在原告或受此保護令保護的人士的房產。

[  ]  未成年孩子的監護權如下:

[注明何人擁有監護權;若有部份監護權或允許探訪,需注明]

[  ]  禁止被告在保護令執行期間擁有、轉讓、取得任何槍枝。任何遞交至警方的槍枝將不獲歸還,直到法庭另行通知。

[  ]  被告需向以下人士直接支付臨時撫養費:[注明受支付的撫養人之姓名]細則如下所示[注明金額、頻率及撫養令其他細則及條款)。在法庭頒布最終判決前,該撫養令將持續有效。但是,若原告未能在本判令下達後的兩星期內向法庭的家庭關係部提交撫養訴狀,本判令將自動失效。臨時判決規定的金額未必完全正確反映被告的撫養義務,該義務應根據撫養聽證的標準裁定。對撫養費最後金額的任何調整,相關當事人保留追溯權,可追溯至今日。

[  ]  准予原告在已適當通知被告的情況下,提交申請書予[注明接收申請書的法官姓名或法庭名稱),要求追償已直接支付的費用。申請書應列明所有追賠現付金額的細目、所有帳單副本和預估補償所需金額,以及安排一次聽證的判決。首席書記官辦公室不應對此申請書收取任何費用。

[  ]  法院頒令 :

   [  ]  原告或受保護人為被告之配偶或前配偶、被告的現任或前任同居伴侶、與被告擁有共同的孩子、原告的孩子或被告的孩子

[  ]  此保護令頒布前,被告已接受聽證會的聽證。

[  ]  已勾選了保護令的第一條,禁止被告騷擾、跟蹤、恐嚇原告或受保護人士

[  ]  被告對原告或受保護人士的人身安全造成威脅

[  ]  保護令禁止被告對原告或受保護人士使用、企圖使用或威脅使用在合理推測下可造成身體受傷的武力。

保護令有效至[注明有效日期],有效期限為[注明有效期限]

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