Acceptance Of Service (17AB)
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Acceptance Of Service (17AB) Form. This is a Oregon form and can be use in Circuit Court Statewide.
Tags: Acceptance Of Service (17AB), Oregon Statewide, Circuit Court
IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR THE COUNTY OF ____________________
In the Matter of the Marriage of:
STATE OF ________________________
County of _________________________
Case No. ______________________
ACCEPTANCE OF SERVICE
I, ____________________________________, being first duly sworn, say: I am the Respondent in this
matter and on ________________________ I received a true copy of the Petition for Annulment, Summons
(with attached notices of statutory restraining order preventing dissipation of assets and other information
provided by the court clerk: _____________________________________________) in the County of
_____________________, State of ____________________.
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.
Signature of Respondent
Address or Contact Address
City, State, Zip
Telephone or Contact Telephone
SIGNED AND SWORN to before me this _________ day of __________________, 20_____,
Notary Public for ____________/Court Clerk
My Commission Expires:
ACCEPTANCE OF SERVICE - Page 1 of 1
Annul-17AB: AccServ17AB-Ver01.doc (3/08)
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