Acceptance Of Service
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Acceptance Of Service Form. This is a Oregon form and can be use in Circuit Court Statewide.
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Tags: Acceptance Of Service, Oregon Statewide, Circuit Court
IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR THE COUNTY OF ____________________
In the Matter of the Marriage of:
________________________________,
Petitioner,
and
________________________________,
Respondent.
STATE OF
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Case No. ______________________
ACCEPTANCE OF SERVICE
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County of
I, ____________________________________, being first duly sworn, say: I am the Petitioner
Respondent in this matter and on ________________________ I received a true copy of the Ex Parte
Motion For Order To Show Cause to Correct Clerical Error in Judgment (ORCP 71A) and Supplemental
Judgment Correcting Judgment or Money Award (ORCP 71A), and a Notice About a Written Response to a
Motion to Modify, with attached notices on mediation and other information (list other documents received):
_______________________________________________________________________________in the County
of _____________________, State of Oregon.
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 Petitioner Respondent
Address or Contact Address
City, State, Zip
Print Name
Telephone or Contact Telephone
SIGNED AND SWORN to before me this _________ day of __________________, 20_____,
by
Notary Public for ____________/Court Clerk
My Commission Expires:
ACCEPTANCE OF SERVICE - Page 1 of 1
CorrectJudgment-Packet12: AccSrv12Ver01.doc (3/08)
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