Notice 226 Intent to Move More than 60 Miles Page 1 of 1 (Apr 2019) IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF To: Re (case name): and (Petitioner) (Respondent) I am the petitioner respondent Case #: Notice of Intent to Change Residence More than 60 miles further 226 Notice of this move is required by Oregon Revised Statute (ORS) 107.159. My new physical address will be more than 60 miles further away from the other party. The court did not previously waive the requirement. As required by judgment of the court 226 Notice of this move is required by a judgment in this case Effective (date): Date Signature of parent or guardian Name (printed) Contact Address City, State, ZIP Contact Phone Certificate of Mailing (File a copy - with this Certificate completed - with the court after mailing) I certify that on (date): I placed a true and complete copy of this Notice in the United States mail to the other party at (address): Date Signature Name (printed) American LegalNet, Inc. www.FormsWorkFlow.com