Voluntary Stipulation To Dismiss Without Prejudice
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Voluntary Stipulation To Dismiss Without Prejudice Form. This is a Oregon form and can be use in Circuit Court Statewide.
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Tags: Voluntary Stipulation To Dismiss Without Prejudice, 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.
VOLUNTARY STIPULATION TO DISMISS
WITHOUT PREJUDICE
Stipulation to Dismiss
Both parties have agreed (stipulated) to dismiss this case without prejudice certifying that:
(a) This notice is the first dismissal filed by Petitioner in this case; and;
(b) All costs and filing of service have been paid.
Petitioner, Signature
Respondent, Signature
□ Both parties have agreed (stipulated) to the terms of this Voluntary Dismissal as evidenced by the signatures
below (signatures must be notarized):
Petitioner, Signature
State of
County of
Respondent, Signature
)
)
This instrument was acknowledged before me on
by
, 20
, (date)
.
(Petitioner’s Name)
Notary Public for
My Commission Expires:
State of
County of
/Court Clerk
)
)
This instrument was acknowledged before me on
, 20
, (date)
by
(Respondent’s Name)
Notary Public for
My Commission Expires:
VOLUNTARY STIPULATION TO DISMISS WITHOUT PREJUDICE - Page 1 of 2
Dismissal-18: StipDismissal18-Ver01.doc (3/08)
/Court Clerk
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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.
Submitted by:
□ Petitioner
□ Respondent, Signature
Address or Contact Address
City, State, Zip
I certify that this is a true copy:
Print Name
Telephone or Contact Telephone
, □ Petitioner □ Respondent, Signature
VOLUNTARY STIPULATION TO DISMISS WITHOUT PREJUDICE - Page 2 of 2
Dismissal-18: StipDismissal18-Ver01.doc (3/08)
American LegalNet, Inc.
www.FormsWorkFlow.com
