Fee Deferral or Waiver Order Page 1 of 2 (Aug 2019) IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF Case No. Plaintiff/Petitioner v. ORDER RE: DEFERRAL OR WAIVER OF FEES Defendant/Respondent The court reviewed the Application for Deferral or Waiver of Fees and Declaration in Support for (Applicant Name): regarding the following fees: Filing Fees S heriff222s service fee Motion Fee Arbitr ation Fee Trial Fee Other: (describe) The court finds Applicant: DOES qualify for a deferral or waiver of fees DOES NOT qualify for a deferral or waiver of fees Additional findings: The court orders: Determination of fee obligation is postponed at this time. No payment is due from the applicant until further order of the court. Fees are deferred for full payment. Payment must be made according to the terms of the attached payment plan (or) $ per month until paid in full A judgment will be entered against Applicant. Collection costs may be added without further notice if fees are not paid as ordered. Fees are waived. The court may change or revoke this waiver at a later time. Application is denied Application is granted in part: Judge Signature: American LegalNet, Inc. www.FormsWorkFlow.com Fee Deferral or Waiver Order Page 2 of 2 (Aug 2019) Certificate of Readiness This proposed order is ready for judicial signature because service is not required under UTCR 5.100 because this order is submitted ex parte as allowed by statute or rule Submitted by: plaintiff/petitioner defendant/respondent other: Signature Print Name I understand that I am subject to penalty for perjury for giving false information to the court. All factual information in this Order is true to the best of my knowledge and belief. I agree to the terms of this Order. I understand that this Order is enforceable by the court. Date Signature Name (printed) Contact Address City, State, ZIP Contact Phone American LegalNet, Inc. www.FormsWorkFlow.com