IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF In the Matter of  the Marriage of: ________________________________, Petitioner, and ________________________________, Respondent. ) ) ) ) ) ) ) ) ) ) ) ) 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 Notice of Change of Address Pursuant to ORS 107.159 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 Notice of Change of Address Pursuant to ORS 107.159 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 the Notice of Change of Address Pursuant to ORS 107.159 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 6D-Z.Misc.Forms: 6E-AffServAddressChange-Ver01.doc (2/08) American LegalNet, Inc. www.FormsWorkflow.com 3.  Office Service. On the __________ day of_______________, 20____, at ________ a.m./p.m., I served true copies of the Notice of Change of Address Pursuant to ORS 107.159 by delivering them, in person, to the office of the party to be served, located at: ____________________________________________ ________________________________________(address), 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 use a separate Affidavit/Certificate of Mailing.)  On the ___________ day of___________________, 20____, I personally deposited a true copy of the Notice of Change of Address Pursuant to ORS 107.159 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 handdelivered 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 Notice of Change of Address Pursuant to ORS 107.159 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 AFFIDAVIT OF SERVICE - Page 2 of 2 6D-Z.Misc.Forms: 6E-AffServAddressChange-Ver01.doc (2/08) Telephone or Contact Telephone American LegalNet, Inc. www.FormsWorkflow.com