Form G IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINN In the Matter of the Guardianship of: Case Number: PROOF OF SERVICE OF NOTICE OF PETITION TO APPOINT GUARDIAN FOR A MINOR ORS 125.065 (Complete after Personal Service on Parent(s) of Minor) and Minor (if over 14 years of age) minor child(ren) STATE OF OREGON County of Linn ) ) ss. ) I, , being first duly sworn, under oath, say: I am a competent person, 18 years of age or older. I am not a party in this proceeding, nor am I an attorney in this proceeding. I am not an officer, director or employee of a party in this proceeding. I am a resident of Oregon (or the state in which personal service occurred.) Specifically, I reside in the County of: , State of . I served a true copy of the following documents: ! "Notice of Petition to Appoint Guardian for a Minor and Time for Filing Objection to Guardianship" ! "Petition for Guardianship of a Minor" ! "Objection to Petition for Guardianship" and Request for Notice" Forms. by delivering them to the following person(s) at the address(es) listed below, on the date(s) and time(s) listed: Mother: Father: Date and Time of Personal Service: Date and Time of Personal Service: ! ! ! I served a true copy of the following documents: (only if minor is 14 years of age or older) "Notice to Respondent of Petition to Appoint Guardian for a Minor and Time for Filing Objection to Guardianship" "Petition for Guardianship of a Minor" "Objection to Petition for Guardianship" and Request for Notice" Forms. by delivering them to the following person(s) at the address(es) listed below, on the date(s) and time(s) listed: Minor Child : Date and Time of Personal Service: The original Petition had already been filed with the Court at that time. The copy served was identical to the one on file with the Court. Signature of Server (Affiant) Signed and Sworn to before me on Notary Public for My Commission Expires: , 20 /Court Clerk American LegalNet, Inc. www.FormsWorkFlow.com . Page 1 of 1 Proof of Service- Notice of Petition to Appoint Guardian for a Minor ­ Linn County (3/16)