I hereby declare that the above made statements are true to the best of my knowledge and belief, and that I understand it is made for use as evidence in court and is subject to penalty for perjury. Dated: Signature Print Name Address or Contact Address City, State, Zip Telephone or Contact Telephone Certificate of Service: A copy of this Motion and Declaration was mailed delivered to: (name) at: (address) on: (date) Probate Motion Generic Page 1 of 1 IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR JACKSON COUNTY In the matter of: CASE NUMBER: MOTION AND DECLARATION IN SUPPORT OF MOTION TO: I am the in the above action. I move the court for an Order to: For the following reason(s): American LegalNet, Inc. www.FormsWorkFlow.com Probate Order Generic Page 1 of 1 IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR JACKSON COUNTY In the matter of : CASE NUMBER: ORDER ON MOTION TO: This matter came before the court on the Motion and Declaration for an Order to: . IT IS HEREBY ORDERED that the above named motion is: Granted Denied Certificate of Readiness This proposed order is ready for judicial signature because this order is being submitted after proper notice to interested parties has been given and no objections have been filed. Signature Date Print Name Address (or contact address) City, State, Zip Telephone American LegalNet, Inc. www.FormsWorkFlow.com