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Certificate Of Mailing (Response To Modification Request) Form. This is a Oregon form and can be use in Circuit Court Statewide.
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Tags: Certificate Of Mailing (Response To Modification Request), Oregon Statewide, Circuit Court
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Plaintiff(s)
-against-
Calendar No.
:
JUDICIAL SUBPOENA
:
:
IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR THE COUNTY OF ___________________
:
Defendant(s))
:
In the Matter of ‘ the Marriage of:
......................................................
)
___________________________________,
)
Case No. ______________________
Petitioner,
)
and
)
CERTIFICATE OF MAILING
THE PEOPLE OF THE STATE OF NEW YORK
)
___________________________________,
)
TO
Respondent.
)
I certify that
GREETINGS: on ____________________, 20______, I placed a true copy of the Response in the
above case in the United States mail addressed to ‘ Petitioner ‘ Respondent ‘ Petitioner’s/
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
Respondent’s
,
the Honorable attorney at
at the
Court
(petitioner’s address)
located at
County of
in a sealed envelope with postage paid.
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Certificate of Document Preparation. You are required to truthfully complete this certificate
regarding the failure to comply with this subpoena is punishable boxes and complete all and will make you liable to
Your document you are filing with the court. Check all as a contempt of court blanks that apply:
the party on whose behalf this this document for myself and I completed it without paid assistance. sustained as a
‘ I selected subpoena was issued for a maximum penalty of $50 and all damages
result of your failure to comply.
‘ I paid or will pay money to
for assistance in preparing this
form.
Witness, Honorable
Court in
County,
day of
, 20
DATED this _____ day of _______________________, 20_____.
, one of the Justices of the
_____________________________________
(Attorney must sign above and type name below)
Signature of ‘ Petitioner ‘ Respondent
_____________________________________
Print Attorney(s) for
Name
_____________________________________
Address or Contact Address
_____________________________________
Office and P.O. Address
City, State, Zip Code
Page 1 of 1, CERTIFICATE OF MAILING
Modification-4B: Certmail4BVer02.wpd (12/03)
_______________________________________
Telephone or Contact Telephone
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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