IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF DOUGLAS ROOM 201 JUSTICE BUILDING ROSEBURG, OR 97470 PROBATE DEPARTMENT In the Matter of Case No. OBJECTION TO PETITION/MOTION ON PROTECTED PERSON I, , am objecting to the Motion protective proceeding. My reasons are as follows: , Petition , in this 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: G I selected this document for myself, and I completed it without paid assistance. G I paid or will pay money to form/document. for assistance in preparing this G Address/Mailing Address Signature Phone: Objectors Signature SUBSCRIBED AND SWORN TO before me this day of , 20 . CLERK/NOTARY PUBLIC FOR OREGON My Com m ission expires: DOU*PB-26:11/00 - Objection to Petition/Motion on Protected Person American LegalNet, Inc. www.USCourtForms.com