Waiver Of Personal Service
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Waiver Of Personal Service Form. This is a Oregon form and can be use in Linn Local County.
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Tags: Waiver Of Personal Service, Oregon Local County, Linn
For m 5
IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR THE COUNTY OF LINN
IN THE MATTER OF
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PETITIONER,
AND
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RESPONDENT.
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Case No. _________________________
WAIVER OF PERSONAL SERVICE
In order to maintain the confidentiality of my residential address, I hereby waive my right to personal service if
I am subsequently charged with contempt. I am giving the following contact address for service of process and
select the following method of substituted service: (Check ONE box only.)
________________________________________________
________________________________________________
________________________________________________
Cer tificate of Document Pr epar ation. 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:
ll pay money to _______________________ for assistance in preparing this form.
Dated this ______day of ________________, 20_____
Submitted by:
____________________________________________________________________________________
t, Signature
Print Name
SIGNED AND SWORN to before me this _________ day of ______________, 20_____,
_________________________________
Notary Public for ____________/Court Clerk
My Commission Expires: ______________
Page 1 of 1 Waiver of Personal Service
Linn County Form 5 Waiver of Personal Service.doc (8/09)
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