American LegalNet, Inc. www.FormsWorkFlow.com IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR COUNTY Case name: , Plaintiff, v. , Defendant. ) ) ) ) ) ) ) ) ) ) ) Case No. UNIFORM NOTICE OF ENTRY OF VERDICT/JUDGMENT INCLUDING AN AWARD OF PUNITIVE DAMAGES 1162 Court St NE., Salem, Oregon 97301, that a [check appropriate box] G verdict that includes an award of punitive damages G judgment based on a verdict that includes an award of punitive damages was entered in favor of , plaintiff/defendant/other [circle appropriate designation] in the above-captioned matter, on [insert date]. This notice is given pursuant to ORS 31.735(3) and UTCR 5.120. Date Signature OSB# (if applicable) Type or print name Form 5.120.1 - UNIFORM NOTICE OF ENTRY OF VERDICT/ENTRY OF JUDGMENT INCLUDING AN AWARD OF PUNITIVE DAMAGES - UTCR 5.120(1) (Revised 8-1-12)