Petitioners Certificate Of Mailing To Division Of Child Support (1B)
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Petitioners Certificate Of Mailing To Division Of Child Support (1B) Form. This is a Oregon form and can be use in Circuit Court Statewide.
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Tags: Petitioners Certificate Of Mailing To Division Of Child Support (1B), Oregon Statewide, Circuit Court
IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR THE COUNTY OF
In the Matter of □ the Marriage of:
,
Petitioner,
and
,
Respondent.
)
)
)
)
)
)
)
)
Case No.
PETITIONER’S CERTIFICATE
OF MAILING TO THE DIVISION
OF CHILD SUPPORT
I certify that on
, 20
, I mailed a true copy of the Petition for Dissolution
in the above case to the local branch office of the Department of Justice, Division of Child Support (list
address):
Certificate of Document Preparation. You are required to truthfully complete this certificate
regarding the document you are filing with the court. Check all boxes and complete all blanks that apply:
□ I selected this document for myself and I completed it without paid assistance.
□ I paid or will pay money to
for assistance in preparing this form.
DATED this
day of
, 20
.
Petitioner, Signature
Print Name
Address or Contact Address
City, State, Zip Code
Telephone or Contact Telephone
PETITIONER’S CERTIFICATE OF MAILING TO THE DIVISION OF CHILD SUPPORT - PAGE 1 OF 1
Disso-1B: CertMail1BVer01.doc (1/08)
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