Oregon > Local County > Lincoln > Circuit Court > Divorce
Affidavit Of Proof Of Service 4 - Oregon
| Affidavit Of Proof Of Service Form. This is a Oregon form and can be used in Divorce Circuit Court Lincoln Local County . |
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FORM 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 , 20 , I served the Sum m ons, Petition, Notice of (month) (year) Continuance of Health Coverage, Certificate of Residency, Notice of Statutory Restraining Order Prevention Dissipation of Assets, and a copy of ORS 107.089 Yes No in this case personally upon the above named On the day of I am a resident of the State of Oregon or of the state of service. I am a com petent person 18 years of age or older. I am not an attorney fo r or a party to this c ase , or an office r, director or e m ployee of an y party to this cas e. I, (print name) , swe ar/affirm und er oa th that: STATE OF OREGON Coun ty of Res pon den t. ) ) ss. ) and , Petitioner, In the Matter of the Marriage of , IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE CO UNT Y OF LINCOLN ) ) ) ) ) ) ) ) ) ) ) NO . AFFIDAVIT OF PROOF OF SERVICE respondent in ______________________________ County, State of _____________________. /// /// /// AFFIDAVIT OF PROOF OF SERVICE - Page 1 of 2 S.D.4(12/03) American LegalNet, Inc. www.USCourtForms.com 1 2 3 by delivering to th e re spondent a copy of those papers, e ach of which was certifie d to be a true copy of ea ch orig inal. Signature of Process Server 4 Print or Type Name of Process Server 5 Address City Sta te Zip Telephone or Contact Telephone Number(s) 6 7 8 9 10 (Print Nam e of Proces s Server) 11 12 13 14 15 17 18 19 20 21 22 23 24 25 26 27 /// /// Subm itted by: Print Name Petitioner Attorney for Petitioner OSB No. Address or Contact Address City State Zip NOTARY PUBLIC FOR OREGON / COURT CLERK My C om m ission exp ires: SUBSCR IBED AND SW ORN TO before me this day of (month) , 20 , by (year) Telephone or Contact Telephone Number(s) AFFIDAVIT OF PROOF OF SERVICE - Page 2 of 2 S.D.4(12/03) American LegalNet, Inc. www.USCourtForms.com
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