Certificate of Service Mailing Page 1 of 1 (Aug 2019) IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF Case No. Plaintiff/Petitioner v. CERTIFICATE OF SERVICE MAILING Defendant/Respondent A process server served the party named below by substitute service, office service, or service by mail as defined in ORCP 7D(2). I mailed true copies by first class mail of the same papers along with a statement of the date, time, and place of primary service, and the name of the person served. I certify that on (date) , I mailed a true copy of (form name) to lawyer at the following address: who represents (party name) (or) to (party name) , who is not represented by a lawyer, at the following address: I hereby declare that the above statements are true to the best of my knowledge and belief, and that I understand they are made for use as evidence in court and I am subject to penalty for perjury. Submitted by: Plaintiff/Petitioner (or) Defendant/Respondent Date Signature Name (printed) Contact Address City, State, ZIP Contact Phone American LegalNet, Inc. www.FormsWorkFlow.com