Affidavit Of Publication (Alternative Form Of Service) (6A)
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Affidavit Of Publication (Alternative Form Of Service) (6A) Form. This is a Oregon form and can be use in Circuit Court Statewide.
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Tags: Affidavit Of Publication (Alternative Form Of Service) (6A), 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. __________________
AFFIDAVIT OF PUBLICATION
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I, ____________________________________, being first duly sworn, say that I am the
___________________________ of ______________________, a newspaper of general circulation published
(job title/description)
in ________________________ (town/state) located in _______________ County; and that I know from my
personal knowledge that the summons, “Notice of Statutory Restraining Order Preventing the Dissipation of
Assets in Domestic Relations Actions,” and summary of the petition, a printed copy of which is attached, were
published in the entire issue of said newspaper four times in the following issues:
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 form myself, and I completed it without paid assistance.
□ I paid or will pay money to ________________________ for assistance in preparing his form.
Signature
Address or Contact Address
Print Name
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:
AFFIDAVIT OF PUBLICATION - Page 1 of 1
AlternativeService-6A: AffidavitPub6AVer02.doc (2/08)
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