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Affidavit In Support Of Motion Petition For Order Of Assistance (5B) Form. This is a Oregon form and can be use in Circuit Court Statewide.
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Tags: Affidavit In Support Of Motion Petition For Order Of Assistance (5B), 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 ________________________
County of _________________________
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Case No.
AFFIDAVIT IN SUPPORT OF
MOTION/PETITION FOR
ORDER OF ASSISTANCE
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1.
I,
the □ Petitioner □ Respondent in this proceeding.
2.
The names of the parties’ minor child/ren are:
3.
, (print your name) being first duly sworn, say: I am
The child/ren’s present address is:
4.
The Order I am asking the court to enforce is a valid and current order which has has not been
registered and confirmed under the UCCJEA. The date and place of registration are as follows:
(Fill out if order has been registered and confirmed)
5.
Information Required by the Uniform Child Custody Jurisdiction and Enforcement Act.
List the places where the minor child/ren of the parties have lived in the last five years and the names of
the people they lived with at that time.
Dates
County, State
Parent(s)/Caretaker
Current Address or Contact
Address of Parent/Caretaker
Which Children
□ Additional page attached; see section labeled “UCCJEA Information Continued.”
AFFIDAVIT IN SUPPORT OF MOTION/PETITION FOR ORDER OF ASSISTANCE - Page 1 of 2
Custody Enforcement-5B: Affidavit5BVer02.doc (2/08)
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I □ have □ have not participated in any litigation concerning the custody, visitation, parenting time or
placement of the child/ren in this or any other state. I have participated in the following litigation:
Name of Court
State
Case No.
Date
Result
I do not know of any other domestic violence, custody, visitation, parenting time or placement
proceeding involving the child/ren, or of any other court case which could affect this case, pending in this or any
other state □ except for:
(identify court, case number and kind of proceeding)
I do not know any person other than petitioner who has physical custody of the child/ren or who claims
to have custody, visitation or parenting time rights □ except for:
(list name and address)
6.
The other party has not complied with the attached order in the following way(s):
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.
□ Petitioner □ Respondent, Signature
Print Name
Address or Contact Address
Telephone or Contact Telephone
City, State, Zip
SIGNED AND SWORN to before me this
day of
Notary Public for
My Commission Expires:
, 20
/Court Clerk
I certify that this is a true copy.
____________________________________
□ Petitioner □ Respondent, Signature
AFFIDAVIT IN SUPPORT OF MOTION/PETITION FOR ORDER OF ASSISTANCE - Page 2 of 2
Custody Enforcement-5B: Affidavit5BVer02.doc (2/08)
American LegalNet, Inc.
www.FormsWorkFlow.com
