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Affidavit Of Service (Petition And Summons) - Oregon
| Affidavit Of Service (Petition And Summons) 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: ) ) ________________________________, ) Case No. ______________________ Petitioner, ) and ) AFFIDAVIT OF SERVICE ) ________________________________, ) Personal Service (ORCP 7D(2)(a) Respondent. ) Substitute Service (ORCP 7D(2)(b) Office Service (ORCP 7D(2)(c) Service by Mail, Return Receipt Requested STATE OF ________________________ ) (ORCP 7D(2)(d) ) ss. County of _________________________ ) I, , being first duly sworn, say: I am a resident of the County of , State of . I am a competent person 18 years of age or older and not a party to or attorney in this proceeding. (Check one of the following): 1. Personal Service. On the _______day of _____________________, 20____, at __________ a.m./p.m., I served true copies of the original Petition and Summons (with attached notices on mediation and otherinformation provided by the court clerk) by delivering them to Petitioner Respondent (name) in person at the following address within the Countyof _______________________, State of . 2. Substitute Service. On the day of , 20____, at a.m./p.m., I served true copies of the original Petition and Summons (with attached notices on mediation and otherinformation provided by the court clerk) by delivering them to (name), who is aperson age 14 or older and a member of the household of the party to be served, at the following address within the County of , State of_____________________. /// /// /// /// Page 1 of 3 - AFFIDAVIT OF SERVICE UnmarriedParents-3AB: AffServ3ABVer05.wpd (4/04) <<<<<<<<<********>>>>>>>>>>>>> 2(Complete the section below only if the undersigned performed the followup mailing required by ORCP 7D(2)(b). If a party or other person other than the undersigned did the follow up mailing, s/he must use a separate Affidavit/Certificate of Mailing.) On the day of , 20 , I personally deposited a truecopy of the Petition and Summons (with attached notices on mediation and other information provided by the court clerk) with the United States Postal Service, via first class mail, in a sealed envelope, postage prepaid,addressed to the party to be served: Petitioner Respondent (name),at the partys home address listed above, together with a statement of the date, time and place that the documentswere hand-delivered to the partys dwelling (residence). 3. Office Service. On the day of , 20____, at a.m./p.m., I served true copies of the original Petition and Summons (with attached notices on mediation and otherinformation provided by the court clerk) by delivering them, in person, to the office of the party to be served,located at: (address), during normal working hours for thatoffice, where I left the documents with (name), who is a person apparentlyin charge and who has a business duty to provide the documents to the party to be served. (Complete the section below only if the undersigned performed the followup mailing required by ORCP 7D(2)(c). If a party or other person other than the undersigned did the follow up mailing, s/he must use a separate Affidavit/Certificate of Mailing.) On the day of , 20 , I personally deposited a truecopy of the Petition and Summons (with attached notices on mediation and other information provided by the court clerk) with the United States Postal Service, via first class mail, in a sealed envelope, postage prepaid,addressed to the party to be served: G Petitioner G Respondent (name),at the partys: home address located at: (address), OR business address, listed above, together with a statement of the date, timeand place that the documents were hand-delivered to the partys office. /// /// /// /// /// /// /// /// Page 2 of 3 - AFFIDAVIT OF SERVICE UnmarriedParents-3AB: AffServ3ABVer05.wpd (4/04) <<<<<<<<<********>>>>>>>>>>>>> 3 4. Service by Mail, Return Receipt Requested. On the day of , 20 , I personally deposited a true copy of the Petition and Summons (with attached noticeson mediation and other information provided by the court clerk) with the United States Postal Service, via firstclass mail sent certified or registered, return receipt requested, or express mail, addressed to the party to beserved: Petitioner Respondent (name), at the partyGs: home addresslocated at: (address). The partyserved signed a receipt for the certified, registered or express mailing, and the return receipt is attached tothis Affidavit. (NOTE: The return receipt MUST be attached to this Affidavit of Service.) (Complete the section below only if the undersigned performed the followup mailing required by ORCP 7D(2)(c). If a party or other person other than the undersigned did the follow up mailing, s/he must use a separate Affidavit/Certificate of Mailing.) On the day of , 20 , I personally deposited a truecopy of the Petition and Summons (with attached notices on mediation and other information provided by the court clerk) with the United States Postal Service, via first class mail, in a sealed envelope, postage prepaid,addressed to the party to be served: G Petitioner G Respondent (name),at the partys: home address located at: (address), OR business address, listed above, together with a statement of the date, timeand place that the documents were hand-delivered to the partys office. 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. 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 are subject to penalty for perjury. Dated the day of , 20 . ___________________________________________________________________________________________ Signature of Server Print Name ___________________________________________________________________________________________ Address or Contact Address City, State, Zip Telephone or Contact TelephonePage 3 of 3 - AFFIDAVIT OF SERVICE UnmarriedParents-3AB: AffServ3ABVer05.wpd (4/04)
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