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Acceptance Of Service (Motion Affidavit And Order Re Modification Of Judgment) - Oregon
| Acceptance Of Service (Motion Affidavit And Order Re Modification Of Judgment) Form. This is a Oregon form and can be used in Custody Parenting Time And Child Support Family Law Circuit Court Statewide . |
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IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF ____________________ In the Matter of the Marriage of: ) ) ________________________________, ) Case No. ______________________ Petitioner, ) and ) ACCEPTANCE OF SERVICE ) ________________________________, ) Respondent. ) STATE OF ________________________ ) ) ss. County of _________________________ ) I, ____________________________________, being first dulysworn, say : I am the petitioner respondent in this matter and on ________________________ I received a true copy of the Motion, Affidavitand Order re: Modification of Judgment Re: Custody and/or Parenting Time and/or Child Support, and aNotice About a Written Response to a Motion to Modify with attached notices on m, ediation and otherinformation: ) in the County of _____________________, State of Oregon. Certificate of Document Preparation. You are required to truthfully complete this certificate regardingthe 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. ___________________________________________________________________________________________ Signature of Petitioner Respondent Print Name ___________________________________________________________________________________________ Address or Contact Address City, State, Zip Telephone or Contact TelephoneSIGNED AND SWORN to before me this _________ day of __________________, 20_____, by _________________________________________________. ___________________________________ Notary Public for ____________/Court Clerk My Commission Expires: ______________ Page 1 of 1, ACCEPTANCE OF SERVICE Modification-4A: AccSrv4AVer02.wpd (12/03)
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