Oregon > Statewide > Circuit Court > Family Law > Custody Parenting Time And Child Support
Certificate of Mailing To Division Of Child Support 4A - Oregon
| Certificate of Mailing To Division Of Child Support 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: ___________________________________, Petitioner, and ___________________________________, Respondent. ) ) ) ) ) ) ) ) Case No. ______________________ CERTIFICATE OF MAILING TO THE DIVISION OF CHILD SUPPORT I certify that on __________________, 20______, I mailed a true copy of the Ex Parte Motion for Order to Show Cause re: Modification of Judgment in the above case to the local branch office of the Department of Justice, Division of Child Support (list address):____________________________________________________________ ____________________________________________________________________________________________. Certificate of Document Preparation. You are required to truthfully complete this certificate regarding the 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. DATED this _____ day of _______________________, 20_____. ________________________________________ ` Petitioner, ` Respondent, Signature ________________________________________ Print Name ________________________________________ Address or Contact Address ________________________________________ City, State, Zip Code ________________________________________ Telephone or Contact Telephone Page 1 of 1, CERTIFICATE OF MAILING TO THE DIVISION OF CHILD SUPPORT Modification-4A: CertMail4AVer01.wpd (12/03) American LegalNet, Inc. www.USCourtForms.com
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