IN THE CIRCUIT COURT OF THE STATE OF OREGON COUNTY OF MULTNOMAH Family Law Department Petitioner Co - Petitioner ) ) ) ) ) ) ) ) ) Case No. and NOTICE ACCOMPANYING PROPOSED ORDER SLR 8.041(4) Respondent Co - Petitioner NOTICE TO PARTY RECEIVING THESE PAPERS: If you disagree with any request in this Motion or Proposed Order, you must file with the Court a written OBJECTION setting out in specific terms what request(s) you opposed. You must also serve (deliver) a copy of your Objection on the other party=s lawyer (or to the other party if s/he has no attorney). You must pay any filing fee required by law for filing your Objection or obtain aa court order waiving (canceling) or deferring (postponing) payment of this fee. You must file this written Objection no later than 14 days after this motion and Proposed Order has been served on you. You must include your case number on this Objection. If you do not file an Objection within the time allowed, the Court may sign the Proposed Order without further notice to you. DATED this day of , 20 . Certification 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 myself and completed it without paid assistance. I paid or will pay money to for assistance in preparing this form Si gnature of Petitioner Co - Petitioner Respondent Address City/State/Zip Code Telephone or Contact Telephone PAGE SOLE B NOTICE ACCOMPANYING PROPOSED ORDER American LegalNet, Inc. www.FormsWorkFlow.com