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Acceptance Of Service 9 - Oregon

Acceptance Of Service Form. This is a Oregon form and can be used in Dissolution Of Marriage Domestic Relations Circuit Court Linn Local County .
 Fillable pdf Last Modified 4/19/2010
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FORM 9 IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINN In the Matter of the Marriage of: ________________________________, Petitioner, and ________________________________, Respondent. STATE OF ________________________ County of _________________________ ) ) ) ) ) ) ) ) ) ) ss. ) Case No. ______________________ ACCEPTANCE OF SERVICE I, ____________________________________, being first duly sworn, say: I am the respondent in this matter and on ________________________ I received a true copy of the Petition and Summons , notice of continuation of health coverage, a copy of ORS 107.089, and parent training packet in the County of _____________________, State of ____________________. Cer tificate of Document Pr epar ation. 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. _____________________________________________________________________________________________________ Signature of Respondent Print Name _____________________________________________________________________________________________________ Contact Address City, State, Zip Contact Telephone SIGNED AND SWORN to before me this _________ day of __________________, 20_____. . ___________________________________ Notary Public for ____________/Court Clerk My Commission Expires: ______________ Page 1 of 1 - ACCEPTANCE OF SERVICE Linn County Form Disso-1BC: Form 9 Acceptance of Service.wpd (8/09) American LegalNet, Inc. www.FormsWorkFlow.com
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