Oregon > Local County > Lincoln > Circuit Court > Divorce
Affidavit In Support Of Motion For Waiver Or Deferral Of Fees And Costs 7 - Oregon
| Affidavit In Support Of Motion For Waiver Or Deferral Of Fees And Costs Form. This is a Oregon form and can be used in Divorce Circuit Court Lincoln Local County . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
F OR M 7 IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR LINCOLN COUNTY In the Matter of the Marriage of 9 Co-Pe titioner and 9 9 Co-Petitioner STATE OF OREGON County of Lin coln I, ) ) 9 ) ) ,) Petitioner ) ) ) ,) Respondent ) Ca se N o. AFFIDAVIT IN SUPPORT OF MOTION FOR WAIVER OR DEFERRAL OF FEES AND COSTS ss. being first duly sworn, depose and say: I am a party in this case. I have insufficient income and resources to pay the filing fees, service fees and cou rt cos ts neces sary to proc eed in this su it. My m onthly household income which supports _______ persons is as follows: W ages W elfare Grant Unem ployment Social Se curity $ $ $ $ Child Support / Alimony $ Veteran s Be nefits Other Other TO TAL My monthly expenses are as follows: Rent/Mortgage Utilities Food Other $ $ $ $ Transportation Clothing De bt Pa ym ents Other TO TAL My asse ts, other than househo ld goods and furnishings consist of: $ $ $ $ $ $ $ $ $____________ My present debts are as follows: $ $ $ $ TOTAL DEBTS $ $ $ $ American LegalNet, Inc. www.USCourtForms.com Oth er facts re levan t to this affidavit: ________________________________________________________ ____________________________________________________________________________________ I understand that the cou rt rules allow a sum m ons and certa in othe r doc um ents to be served (d elivered to the other party) b y any com petent person, other than m yself, who is 18 years of age or older and who is also a res ident of the state where service is m ade. I understa nd that an Oregon sheriff will norm ally charge a fee for doing this for me. I am requesting that the court waive the normal service fee of any Oregon sheriff. The reason I need the Sheriff to serve the docum ents inste ad of h aving them serve d by a friend, acquaintance or other third person is: I understan d that th e fe es and costs w hich have not been waived which rem ain unpaid at the tim e jud gm ent is ente red shall becom e a jud gm ent in favor of the Sta te of O regon, and that failure or d efault in paym ent of said judgm ent by a date certa in given by the court o r on the ha ppe ning of on e or m ore e vents sub jects m e to being cha rged with be ing in conte m pt of c ourt. Dated Signature SUBSCR IBED AND SW ORN to before me this day of , 20 . Signature Page 2 - AFFID AVIT American LegalNet, Inc. www.USCourtForms.com
|
|||||||
