IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE THIRD JUDICIAL DISTRICT ___________________________________,) Plaintiff,) ORDER FOR DEFERRAL OF ) FILING FEES v. ) ___________________________________,) Case No. ______________________ Defendant.) BASED UPON THE MOTION AND AFFIDAVIT filed herein, it is hereby Ordered: Motion for Fee Deferral is DENIED. Plaintiffs filing fee Defendants filing fee shall be deferred as follows. Payment of said fee(s) shall be: due in full before Judgment. payable at a rate of $________/month until paid in full. The first payment is due on or before ___________________________, and subsequent payments shall be due on the same day of each month thereafter until paid in full. payable under the following terms: _______________________________________________________ _______________________________________________________ _______________________________________________________ The Court reserves the right to strike pleadings if fees are not paid as ordered, and proceed with the case on the pleadings of the opposing party only. In accordance with ORS 21.605, all amounts deferred constitute a monetary obligationpayable to the State of Oregon, and may be added to the judgment or other final written disposition of this action or proceeding without further notice to the debtor or further court order. Dated this _____ day of _______________, ______. __________________________________ Circuit Court Judge __________________________________ Print, Type or Stamp Name of JudgeORDER FOR DEFERRAL OF FILING FEES - Page 1 of 1 FC (2/1/04)