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Certificate Re Pending Child Support Proceedings And Or Existing Child (9A) - Oregon
| Certificate Re Pending Child Support Proceedings And Or Existing Child (9A) Form. This is a Oregon form and can be used in Co Petitioners Family Law Circuit Court Statewide . |
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FORM 5 IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LANE In the Matter of t the Marriage of: ) ) _____________________________, ) Co-Petitioner, ) and ) ) _____________________________, ) Co-Petitioner.. ) Case No. ______________________ CERTIFICATE RE: PENDING CHILD SUPPORT PROCEEDINGS and/or EXISTING CHILD SUPPORT ORDERS/JUDGMENTS (UTCR 8.090) We hereby certify that: 1. PENDING CHILD SUPPORT PROCEEDINGS (include any child support matter being heard by either a court or agency as part of a dissolution, separation, annulment, paternity, juvenile court, support or modification case): t There is no pending child support proceeding in this or any other state involving the parties' child[ren]. t There is a pending child support proceeding in t Oregon t in another state which involves the parties' child[ren] as follows: Name/County of Court or Agency where pending: Agency Case Number: ___________________________________________________________ Court Case Number: 2. EXISTING CHILD SUPPORT ORDERS OR JUDGMENTS (include any order/judgment whether made by an agency or a court in this or any other state, and whether or not currently effective): t There are no other child support orders/judgments in this or any other state involving the parties' child[ren]. t There is/are other child support orders/judgments involving the parties' child[ren], as follows: Page 1 of 2, CERTIFICATE RE: PENDING CHILD SUPPORT PROCEEDINGS and/or EXISTING CHILD SUPPORT ORDERS/JUDGMENTS (UTCR 8.090) Packet 14: CertifSuppCo-PetVer01.wpd (1 American LegalNet, Inc. www.FormsWorkFlow.com ORDER/JUDGMENT #1 (Attach a certified copy of the order): Name/County of Court or Agency where issued: Case Number: Date of Order: ORDER/JUDGMENT #2 (Attach a certified copy of the order): Name/County of Court or Agency where issued: Case Number: Date of Order: ORDER/JUDGMENT #3 (Attach a certified copy of the order): Name/County of Court or Agency where issued: Case Number: Date of Order: ORDER/JUDGMENT #4 (Attach a certified copy of the order): Name/County of Court or Agency where issued: ________________________________ Case Number: ____________________ Date of Order: ____________________ t Additional pages attached, labeled "Attachment 1 to Certificate Re: Child Support Proceedings and Orders." 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: t We selected this document for ourselves and completed it without paid assistance. t We paid or will pay money to ________________________________ for assistance in preparing this form. DATED this _____ day of _______________________, 20______. Signature Print name Address or Contact Address City, State, Zip Code Telephone or Contact Telephone Signature Print name Address or Contact Address ________________________________ City, State, Zip Code ________________________________ Telephone or Contact Telephone Page 2 of 2, CERTIFICATE RE: PENDING CHILD SUPPORT PROCEEDINGS and/or EXISTING CHILD SUPPORT ORDERS/JUDGMENTS (UTCR 8.090) Disso-1B: CertifSupp1BVer01.wpd (9/03) American LegalNet, Inc. www.FormsWorkFlow.com
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