COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : IN THE CIRCUIT COURT OF THE STATE OF OREGON JUDICIAL SUBPOENA Plaintiff(s) FOR THE COUNTY OF __________________ -against: In the Matter of: ) : ) ________________________________, ) Case No. ______________________ : Petitioner, ) ” PETITIONER’S ” RESPONDENT’S and ) Defendant(s) ) AFFIDAVIT: IN SUPPORT OF MOTION ...................................................... ________________________________, ) FOR ORDER OF DEFAULT Respondent. ) STATE OF ________________________ ) ss. THE PEOPLE OF THE STATE OF NEW YORK County of _________________________ ) TO I, _______________________________, being first duly sworn, say: I am the ” Petitioner ” Respondent in this proceeding. ‘ To my GREETINGS: best knowledge and belief, the ” Petitioner ” Respondent is not now, and was not at the time of the service of the Motion and Order to Show Cause, in the active military service of the United States, a minor, WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before “incapacitated,” a “financially incapable” person, a “protected person,” nor a “respondent” in a fiduciary protective , the Honorable at the Court located at County of defined by Oregon law. proceeding, as in room , on the day of , 20 , at o'clock in the noon, and at any recessed ‘ The ” Petitioner ” and give evidence as a witness in this of the on the of the the or adjourned date, to testify Respondent is now, or was at the time action service part of Motion and Order to Show Cause, in the active military service of the United States, but the ” Petitioner ” Respondent has waived his or her rights under the Servicemembers Civil Relief Act, as shown by the attached affidavit, labeled as Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Exhibit _________. the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Certificate of Document Preparation. You are required to truthfully complete this certificate regarding result of your failure to comply. the document you are filing with the court. Check all boxes and complete all blanks that apply: ‘ I Witness, this document for myself and I completed it without paid assistance. Justices of the selected Honorable , one of the ‘ I paid or will pay money to _____________________________ for assistance in preparing Court in this document. County, day of , 20 DATED this _______ day of ____________________, 20_____. (Attorney must sign above and type name below) ____________________________________________________________________________________ ” Petitioner ” Respondent, Signature Print Name ___________________________________________________________________________________________ Attorney(s) for Address or Contact Address City, State, Zip Telephone or Contact Telephone SIGNED AND SWORN to before me this _________ day of _____________________, 20_____, by _________________________________________________. Office and P.O. Address ________________________________ Telephone No.: Notary Public for ____________/Court Clerk Facsimile No.: My Commission Expires: ______________ E-Mail Address: Mobile Tel. No.: Page 1 of 1 - PETITIONER’S/RESPONDENT’S AFFIDAVIT IN SUPPORT OF MOTION FOR ORDER OF DEFAULT American LegalNet, Inc. Modification-4A: AffDefault4AVer03.wpd (3/04) www.USCourtForms.com