Petitioners Certificate Of Mailing To Division Of Child Support
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Petitioners Certificate Of Mailing To Division Of Child Support Form. This is a Oregon form and can be use in Circuit Court Statewide.
Tags: Petitioners Certificate Of Mailing To Division Of Child Support, 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.
)
)
)
)
)
)
)
)
Case No.
PETITIONER’S CERTIFICATE
OF MAILING TO THE DIVISION
OF CHILD SUPPORT
I certify that on
, 20
, I mailed a true copy of the Petition for Separation
in the above case to the local branch office of the Department of Justice, Division of Child Support (list
address):
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.
DATED this
day of
, 20
.
Petitioner, Signature
Print Name
Address or Contact Address
City, State, Zip Code
Telephone or Contact Telephone
PETITIONER’S CERTIFICATE OF MAILING TO THE DIVISION OF CHILD SUPPORT - PAGE 1 OF 1
Separation-2A: CertMail2AVer01.doc (1/08)
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