FORM 6 IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINN In the Matter of: ________________________________, Petitioner, and ________________________________, Respondent. ) ) ) ) ) ) ) ) ) ) ) Case No. ______________________ AFFIDAVIT OF SERVICE Personal Service (ORCP 7D(2)(a) Substitute Service (ORCP 7D(2)(b) Office Service (ORCP 7D(2)(c) Service by Mail, Return Receipt Requested (ORCP 7D(2)(d) I, I am a resident of the County of , being first duly sworn, state as follows: , State of . I am a competent person 18 years of age or older and not a party to or attorney in this proceeding. (Check one of the following): Personal Service. On the _______day of _____________________, 20____, at __________ a.m./p.m., I served true copies of the original Motion, Affidavit and Order re: Modification of Custody and/or Parenting Time and/or Child Support by delivering them to Petitioner Respondent 2. Substitute Service. On the (name) in person at the following address day of , 20____, at a.m./p.m., I served true copies of the original Motion, Affidavit and Order re: Modification of Custody and/or Parenting Time and/or Child Support by delivering them to of the party to be served, at the following address within the County of , State of ________________. (name), who is a person age 14 or older and a member of the household (If Substitute Service was used, you must complete the followup mailing section below as required by ORCP 7D(2)(b). If someone other than yourself completed the follow up mailing, s/he must use a separate Affidavit of Service). On the day of , 20 , I personally deposited a true copy of the originals listed (name), at the party's home address listed above, together American LegalNet, Inc. www.FormsWorkFlow.com above with the United States Postal Service, via first class mail, in a sealed envelope, postage prepaid, addressed to the party to be served: Petitioner Respondent Page 1 of 3 - AFFIDAVIT OF SERVICE Linn County: Form 6 Multi Affidavit Service.wpd (6/12) with a statement of the date, time and place that the documents were hand-delivered to the party's dwelling (residence). 3. Office Service. On the day of , 20____, at a.m./p.m., I served true copies of the original Motion, Affidavit and Order re: Modification of Custody and/or Parenting Time and/or Child Support by delivering them, in person, to the office of the party to be served, located at: (address), during normal working hours for that office, where I left the documents with (name), who is a person apparently in charge and who has a business duty to provide the documents to the party to be served. (If Office Service was used, you must complete the followup mailing section below as required by ORCP 7D(2)(c). If someone other than yourself completed the follow up mailing, s/he must use a separate Affidavit of Service.) On the day of , 20 , I personally deposited a true copy of the originals listed (name), at the party's: home address located (address), OR business address, listed above, above with the United States Postal Service, via first class mail, in a sealed envelope, postage prepaid, addressed to the party to be served: Petitioner Respondent at: together with a statement of the date, time and place that the documents were hand-delivered to the party's office. 4. Service by Mail, Return Receipt Requested. On the day of , 20 , I personally deposited a true copy of the Motion, Affidavit and Order re: Modification of Custody and/or Parenting Time and/or Child Support with the United States Postal Service, one via first class mail, and the other by certified or registered, return receipt requested, or express mail, with postage on both copies fully paid, addressed to the party to be served: Petitioner Respondent at (address). /// /// /// /// /// /// Page 2 of 3 - AFFIDAVIT OF SERVICE Linn County: Form 6 Multi Affidavit Service.wpd (6/12) American LegalNet, Inc. www.FormsWorkFlow.com The party served signed a receipt for the certified, registered or express mailing, and the return receipt is attached to this Affidavit. (NOTE: The return receipt MUST be attached to this Affidavit of Service.) Case #_______________________ [ ] Attach return receipt here [ ] 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. I hereby declare that the above statement is 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 this _______ day of ______________________, 20 _____. ______________________________________________________________________________________________________ Signature of Server Print Name ______________________________________________________________________________________________________ Contact Address City, State, Zip Contact Telephone SIGNED AND SWORN to before me this _________ day of ____________________, 20_____. ________________________________ Notary Public for ___________/Court Clerk My Commission Expires:____________ Page 3 of 3 - AFFIDAVIT OF SERVICE Linn County: Form 6 Multi Affidavit Service.wpd (6/12) American LegalNet, Inc. www.FormsWorkFlow.com