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Affidavit In Support Of Motion For Evidentiary Hearing To Modify Judgment Form. This is a Oregon form and can be use in Jackson Local County.
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Tags: Affidavit In Support Of Motion For Evidentiary Hearing To Modify Judgment, Oregon Local County, Jackson
Document 5.2
IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR JACKSON COUNTY
In the Matter of:
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Petitioner,
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and
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)
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Respondent.
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___________________________________ )
STATE OF OREGON
County of Jackson
CASE NO. __________________
AFFIDAVIT IN SUPPORT OF MOTION
FOR EVIDENTIARY HEARING TO
MODIFY JUDGMENT
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) ss
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I, ______________________________________, Petitioner
Respondent
being first duly sworn, do depose and state as follows:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________.
UCCJEA Information
Check the appropriate box below ONLY IF Oregon IS the state that issued the order or
judgment sought to be modified:
The child(ren) has/have continuously resided in Oregon for six months before this
motion was filed
OR
Other basis for Oregon jurisdiction ______________________________________
___________________________________________________________________.
Check the appropriate box below ONLY IF Oregon IS NOT the state that issued the order
or judgment sought to be modified:
Neither the child(ren) nor the parents presently reside in the State of __________
OR
Other basis for Oregon jurisdiction ______________________________________
___________________________________________________________________.
AFFIDAVIT IN SUPPORT OF MOTION FOR EVIDENTIARY HEARING TO MODIFY JUDGMENT – PAGE 1 OF 3 (02/06/08)
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Document 5.2
List the place(s) where the minor child(ren) of the parties have lived for the past five years
and the name(s) of the people they lived with at that time.
Dates
County, State
Parent(s)/
Caretaker(s)
Current/Contact Address
of Parent(s)/Caretaker(s)
Which
Child(ren)
I have not participated in any litigation concerning the custody, visitation, parenting
time or placement of the child(ren) in this or any other state,
OR
□ I have participated in the following litigation:
Name of Court
State
Case No.
Date
Result
□ I do not know of any other domestic violence; custody; visitation; parenting time; or
placement proceeding involving the child(ren), or of any other court case which could affect
this case, pending in this or any other state.
OR
□ I do know of the following litigation.
Name of Court
State
Case No.
Date
Result
□ I do not know of any other person other than the other parent who has physical custody of
the child(ren) or who claims to have custody; visitation; or parenting time rights.
OR
□ I do know of the following person.
Name
Address
AFFIDAVIT IN SUPPORT OF MOTION FOR EVIDENTIARY HEARING TO MODIFY JUDGMENT – PAGE 2 OF 3 (02/06/08)
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Document 5.2
Dated:_________________________
Signed:_________________________________
Name:__________________________________
(Please Print)
Address:________________________________
________________________________
Phone:__________________________________
Subscribed and Sworn to before me the _____ day of ____________________, 200_____.
_______________________________________
Clerk of the Court/Notary Public
I certify that this is a true copy.
_______________________________
Petitioner
Respondent
AFFIDAVIT IN SUPPORT OF MOTION FOR EVIDENTIARY HEARING TO MODIFY JUDGMENT – PAGE 3 OF 3 (02/06/08)
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OJIN CODE: AFSM _____
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