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Petitioners Certificate Of Mailing To The Division Of Child Support (17B) - Oregon

Petitioners Certificate Of Mailing To The Division Of Child Support (17B) Form. This is a Oregon form and can be used in Annulment Family Law Circuit Court Statewide .
 Fillable pdf Last Modified 7/14/2009
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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. ______________________ PETITIONER'S CERTIFICATE OF MAILING TO THE DIVISION OF CHILD SUPPORT I certify that on __________________, 20______, I mailed a true copy of the Petition for Annulment 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, Signature Print Name Address or Contact Address City, State, Zip Code Telephone or Contact Telephone PETITIONER'S CERTIFICATE OF MAILING TO THE DIVISION OF CHILD SUPPORT - Page 1 of 1 Annul-17B: CertMail-17BVer01.doc (3/08) American LegalNet, Inc. www.FormsWorkFlow.com
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