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Affidavit Of Service Form. This is a Oregon form and can be use in Circuit Court Statewide.
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Tags: Affidavit 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.
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Case No. ______________________
AFFIDAVIT OF SERVICE
Personal Service (ORCP 7D(2)(a)
Substitute Service (ORCP 7D(2)(b)
Office Service (ORCP 7D(2)(c)
Service by Mail, Return Receipt Requested
(ORCP 7D(2)(d)
I,
, declare I am a resident of the County of
,
State of
. I am a competent person 18 years of age or older and not a party to or attorney in
this proceeding. I certify that the person, firm, or corporation served is the identical one named in this action.
(Check one of the following):
1. Personal Service. On the _______day of _____________________, 20____, at _____________
a.m./p.m., I served true copies of (list name of all documents served)
by delivering them to Petitioner Respondent
the following address
_______________________, State of
2. Substitute Service. On the day of
served true copies of (list name of all documents served)
(name) in person at
within the County of
.
, 20____, at
a.m./p.m., I
by
delivering them to
(name), who is a person age 14 or older and a member of
the household of the party to be served, at the following address
within the County of
, State of ________________.
(Complete the section below only if the undersigned performed the followup mailing required by ORCP
7D(2)(b). If a party or other person other than the undersigned did the follow up mailing, s/he must use a
separate Affidavit/Certificate of Mailing.)
On the _________ day of _______________________, 20______, I personally deposited a true copy
of (list name of all documents served) ___________________________________________________________
__________________________________________________________________________________ with the
United States Postal Service, via first class mail, in a sealed envelope, postage prepaid, addressed to the party to
be served: Petitioner Respondent _____________________________ (name), at the party’s home address
listed above, together with a statement of the date, time and place that the documents were hand-delivered to the
party’s dwelling (residence).
3. Office Service. On the _____________ day of ________________, 20____, at _____________
a.m./p.m., I served true copies of (list name of all documents served) __________________________________
_________________________________________________by delivering them, in person, to the office of the
party to be served, located at:____________________________________________(address), during normal
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working hours for that office, where I left the documents with ____________________________(name), who is
a person apparently in charge and who has a business duty to provide the documents to the party to be served.
(Complete the section below only if the undersigned performed the followup mailing required by ORCP
7D(2)(c). If a party or other person other than the undersigned did the follow up mailing, s/he must use a
separate Affidavit/Certificate of Mailing.)
On the _____________ day of ________________________, 20____, I personally deposited a true
copy of (list name of all documents served) ______________________________________________________
__________________________________________________________________________________ with the
United States Postal Service, via first class mail, in a sealed envelope, postage prepaid, addressed to the party to
be served: Petitioner Respondent __________________________________ (name), at the party’s:
home address located at:
(address),
OR business address, listed above, together with a statement of the date, time and place that the documents
were hand-delivered to the party’s office.
4. Service by Mail, Return Receipt Requested. On the ____________ day of ________________,
20
, I personally deposited two true copies of (list name of all documents served) ____________________
__________________________________________________________________________________________
__________________________________________________________________________________________
with the United States Postal Service, one via first class mail, and the other by certified or registered, return
receipt requested, or by express mail, with postage on both copies fully paid, addressed to the party to be
served: Petitioner or Respondent __________________ (name), at the party’s: home address located at:
_________________________________________________________________________ (address). (NOTE: If
mailed return receipt requested, the return receipt should be attached to this Affidavit of Service.)
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.
I hereby declare that the above statement is true to the best of my knowledge and belief, and that I
understand it is made for use as evidence in court and is subject to penalty for perjury.
Dated this _______ day of _______________________, 20_____.
Signature of Server
Address or Contact Address
Print Name
City, State, Zip
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Telephone or Contact Telephone
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