PAGE sole CERTIFICATE OF NOTICE GIVEN of INTENT TO APPEAR AT EX PARTE TIME (01-09) IN THE CIRCUIT COURT OF THE STATE OF OREGON COUNTY OF MULTNOMAH Family Law Department Petitioner Co - Petitioner ) ) ) ) ) ) ) ) ) Case No. and CERTIFICATE re NOTICE GIVEN OF INTENT TO APPEAR AT EX PARTE TIME SLR 8.041(3) Respondent Co - Petitioner I certify that on , 20 (date must be 2 working/business days before you come to court), I gave notice to all opposing parties of my plan to appear before the Judge at ex parte time (without a scheduled hearing). I told the opposing parties of the date, time, and court (place) I would do this by: (Explain how you gave the other party/ies notice you were coming to court, i.e., by phone call, in-person conversation, etc.) The other party (check one) Agrees Disagrees with what I want, or I do not know his/her position. (Explain your answer if you checked the last box) DATED this day of , 20 . Certification of Document Pre paration 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 myself and completed it without paid assistance. I paid or will pay money to for assistance in preparing this form . Sign ature of Petitioner Co - Petitioner Respondent Print Name Address City/State/Zip Code Telephone or Contact Telephone American LegalNet, Inc. www.FormsWorkFlow.com