IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF JACKSON ________________________________ Case No: v. Plaintiff (Landlord or Agent) GENERAL JUDGMENT of EVICTION AND MONEY AWARD _ Defendant (Tenant or Occupant) On (date) Street Address The following parties appeared: None Plaintiff Defendants Agent: Attorney: Attorney: Attorney: The court grants judgment as follows: Judgment of dismissal with without prejudice. _, a hearing was held in an action to recover possession of: City State ZIP County Default judgment in favor of plaintiff for possession of premises described above. Default judgment in favor of defendant dismissing plaintiff's complaint. Judgment in favor of plaintiff pursuant to the Mediation Agreement filed herewith. Plaintiff is awarded possession of the premises described above Effective Immediately or Effective . Judgment in favor of plaintiff after trial. Plaintiff is awarded possession of the premises described above Effective Immediately or Effective . Judgment in favor of defendant after trial. Stipulated judgment: Other: And costs and fees to prevailing party prevailing party fee according to ORS 20.190 FED-Judgment - Page 1 of 2 eForm (8/2012) Public FED Residential Judgment Jackson Case No: 10/24/2016 American LegalNet, Inc. www.FormsWorkFlow.com MONEY AWARD Judgment Creditor: (name, address) Judgment Creditor's Attorney (name, address, phone number) Additional information attached, titled "Additional Judgment Creditors" Judgment Debtors: Name Address Year of Birth SSN (last 4) or Tax ID Driver License # (last 4) & State Additional information attached, titled "Additional Judgment Debtors" Lawyer (name) The following person or public body is known to be entitled to a portion of this money award: The total amount awarded by this judgment is $ 1. Money Award $ 3. Attorney Fees $ , which includes: 2. Costs & Service Expenses $ 4. Prevailing Party Fee $ Plus post-judgment interest at the rate of 9% per annum as set by ORS 82.010(2). Prevailing party is granted leave to submit a Supplemental Judgment for costs and fees under ORCP 68C. FED-Judgment - Page 2 of 2 eForm (8/2012) Public FED Residential Judgment Jackson Case No: 10/24/2016 American LegalNet, Inc. www.FormsWorkFlow.com