Respondents Certificate Of Mailing (17D)
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Respondents Certificate Of Mailing (17D) Form. This is a Oregon form and can be use in Circuit Court Statewide.
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Tags: Respondents Certificate Of Mailing (17D), 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. ______________________
RESPONDENT’S CERTIFICATE
OF MAILING
I certify that on ____________________, 20______, I placed a true copy of the Response in the above
case in the United States mail addressed to Petitioner at _____________________________________________
(petitioner’s address)
_________________________, in a sealed envelope with postage paid.
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_____.
Signature of Respondent
Print Name
Address or Contact Address
City, State, Zip Code
Telephone or Contact Telephone
RESPONDENT’S CERTIFICATE OF MAILING - Page 1 of 1
Annul-17D: CertMail17DVer01.doc (3/08)
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