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Affidavit For Deferral Of Filing Fees (Civil Case) Form. This is a Oregon form and can be use in Marion Local County.
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Tags: Affidavit For Deferral Of Filing Fees (Civil Case), Oregon Local County, Marion
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Plaintiff(s)
-against-
Calendar No.
:
JUDICIAL SUBPOENA
:
:
:
Defendant(s)
:
......................................................
IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR THE THIRD JUDICIAL DISTRICT
THE PEOPLE OF THE STATE OF NEW YORK
___________________________________, )
Plaintiff, )
AFFIDAVIT FOR DEFERRAL
)
OF FILING FEES
v.
)
)
Case No. ________________________
GREETINGS:
___________________________________, )
WE COMMAND YOU, that all business)and excuses being laid aside, you and each of you attend before
Defendant.
TO
,
the Honorable
at the
Court
located at
County of
in room
on the
day of
, 20
o'clock in the
noon, and at
I, swear/affirm that I am the Plaintiff, at Defendant, that I am unable to pay any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
necessary fees, that I support ______ people, and that my assets, monthly income, and expenses
are as follows:
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
1.
Name, age and relationship of people I am supporting:
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
__________________________________________________________________
result of your failure to comply.
__________________________________________________________________
Witness, Honorable
, one of the Justices of the
Date of Birth: _______________________________
Court in
County,
day of
, 20
2.
Oregon Driver’s License Number: _______________
3.
Employer Names: ___________________________________________________
(Attorney must sign above and type name below)
Employer Address: __________________________________________________
__________________________________________________
Length of Employment: _______________________
Attorney(s) for
Monthly Pay (Net): ___________________________
4.
All other income (including spouse’s income):
Monthly Total: ______________________
Office and P.O. Address
Sources: __________________________________________________________
Telephone No.:
Facsimile
AFFIDAVIT FOR DEFERRAL OF FILING FEES - Page 1 of 2 No.:
FC (9/10/03)
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
5.
Index No.
Calendar No.
:
All other assets:
What it is worth
What you owe
JUDICIAL SUBPOENA
Plaintiff(s)
Real Property:
_________
________
-against:
Motor Vehicles: _________
________
Other Property (guns, jewelry, stocks, bonds, etc.):
:
____________________________________________________________
____________________________________________________________
:
6.
Bank Accounts and Cash:Defendant(s)
____________________________________________
:
......................................................
7.
Money owed to me or my spouse by others: ______________________________
__________________________________________________________________
THE PEOPLE OF THE STATE OF NEW YORK
8.
Expenses, Monthly:
Housing
$ _________ owed to ______________________________
TO
Car Pmts
$ _________ owed to ______________________________
Loan Pmts
$ _________ owed to ______________________________
$ _________ owed to ______________________________
$ _________ owed to ______________________________
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
Other Living Expenses:
,
the Honorable
at the
Court
$ _________ for __________________________________
located at _________ for __________________________________
County of
$
in room
, on the
day of $ _________ for at
, 20
, __________________________________recessed
o'clock in the
noon, and at any
or adjourned date, to testify and give evidence as a witness in__________________________________
this action on the part of the
$ _________ for
DATED this _____ day of _________________________, _______.
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
____________________________________
Witness, Honorable
Court in
County,
day of
Signature
, one of the Justices of the
____________________________________
, 20
Printed/Typed Name
____________________________________
Address
(Attorney must sign above and type name below)
____________________________________
City/State/Zip
____________________________________
Attorney(s) for
Telephone Number
Subscribed and sworn to before me this _____ day of ____________________, _____.
Office and P.O. Address
____________________________________
Deputy Clerk of Court/Notary Public
My Commission Expires: ______________
Telephone No.:
Facsimile
AFFIDAVIT FOR DEFERRAL OF FILING FEES - Page 2 of 2 No.:
FC (9/10/03)
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
