Petitioners Certificate Of Mailing To The Division Of Child Support (17B)
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Petitioners Certificate Of Mailing To The Division Of Child Support (17B) Form. This is a Oregon form and can be use in Circuit Court Statewide.
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Tags: Petitioners Certificate Of Mailing To The Division Of Child Support (17B), 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.
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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 Annulment 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
Annul-17B: CertMail-17BVer01.doc (3/08)
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