Acceptance Of Service (Of Documents To Correct Or Amend Judgment) (1A)
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Acceptance Of Service (Of Documents To Correct Or Amend Judgment) (1A) Form. This is a Oregon form and can be use in Circuit Court Statewide.
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Tags: Acceptance Of Service (Of Documents To Correct Or Amend Judgment) (1A), Oregon Statewide, Circuit Court
IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR THE COUNTY OF ____________________
In the Matter of the Marriage of:
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________________________________,
Petitioner,
and
________________________________,
Respondent.
STATE OF ________________________
County of ________________________
Case No. ______________________
ACCEPTANCE OF SERVICE
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I, ____________________________________, being first duly sworn, say: I am the Respondent in this
matter and on ________________________ I received a true copy of the Petition, Summons (with attached
notices of statutory restraining order preventing dissipation of assets, continuation of health coverage, Notice of
CIF Filing, mediation 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
Print Name
__________________________________________________________________________________________
Address or Contact Address
City, State, Zip
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
SummDisso-1A: AccServ1AVer02.doc (9/10)
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