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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 the original Petition for Governing Child Support Judgment by delivering
them to Petitioner Respondent
(name) in person at the following
address
within the County of
_______________________, State of
.
2. Substitute Service. On the day of
, 20____, at
a.m./p.m., I
served true copies of the original Petition for Governing Child Support Judgment 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 submit a
separate Affidavit of Service.)
On the
day of
, 20
, I personally deposited a true copy
of the original Petition for Governing Child Support Judgment 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).
AFFIDAVIT OF SERVICE - Page 1 of 2
GovernCSJudg-14: AffServ14Ver06.doc (3/08)
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3. Office Service. On the
day of
, 20____, at
a.m./p.m., I served true copies of the original Petition for Governing Child Support Judgment by delivering
them, in person, to the office of the party to be served, located at:
during normal 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 submit a
separate Affidavit of Service.)
On the
day of
, 20
, I personally deposited a true copy
of the Petition for Governing Child Support Judgment 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 the original Petition for Governing Child Support Judgment
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
AFFIDAVIT OF SERVICE - Page 2 of 2
GovernCSJudg-14: AffServ14Ver06.doc (3/08)
Print Name
City, State, Zip
Telephone or Contact Telephone
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