Form 5 IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINN In the Matter of: ________________________________, Petitioner, and ________________________________, Respondent. ) ) ) ) ) ) ) ) Case No. ______________________ SUMMONS TO: _______________________________________, Respondent. Home Address Work Address ____________________________________________ _______________________________________________ ____________________________________________ _______________________________________________ A petition involving your child/ren has been filed with the court. If you do not file the appropriate legal paper with the court in the time required (see below), the petitioner may ask the court for a judgment against you that orders the relief requested. NOTICE TO RESPONDENT: READ THESE PAPERS CAREFULLY! You must "appear" in this case or the other side will win automatically. To "appear", you must file with the Court a legal paper called a "Response" or "Motion." This paper must be given to the Court within thirty (30) days along with the required filing fee. It must be in proper form and you must show that the petitioner's attorney (or the petitioner if he or she does not have an attorney) was served with a copy of the "Response" or "Motion." Response forms may be available through your local court located at: PHYSICAL LOCATION is 300 Fourth Avenue, SW, Albany, OR 97321 Room 107 and MAILING ADDRESS is Linn County Circuit Court, P.O. Box 1749, Albany, OR 97321. WEBSITE ADDRESS is www.courts.oregon.gov/linn If you have legal questions, you should see an attorney immediately. If you need help finding an attorney, information is available on the Oregon State Bar website at www.osbar.org/public or you may call the Oregon State Bar's Lawyer Referral Service at (503) 684-3763 or toll free in Oregon at (800) 452-7636. 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. _________________________________________________________ Petitioner, Signature Contact Address Contact Telephone Print Name City, State, Zip I certify that this is a true copy. ___________________________ Petitioner's Signature _________________________________________________________ _________________________________________________________ Page 1of 1, SUMMONS Linn County Form Disso-1BC: Form 5 Sumons.wpd (6/11) American LegalNet, Inc. www.FormsWorkFlow.com