Affidavit Of Service (Payment of Room And Board) | Pdf Fpdf Doc Docx | Oregon

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Affidavit Of Service (Payment of Room And Board) | Pdf Fpdf Doc Docx | Oregon

Affidavit Of Service (Payment of Room And Board)

This is a Oregon form that can be used for Guardianship within Local County, Marion, Circuit Court, Probate.

Alternate TextLast updated: 9/25/2014

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IN THE CIRCUIT COURT OF THE STATE OF OREGON THIRD JUDICIAL DISTRICT Probate Department In the Matter of the Guardianship of: ) ) ) ) ) ) Case No. AFFIDAVIT OF SERVICE _______________________________________ A Protected Person. STATE OF OREGON County of Marion ) ) ) ss. I, ________________________, guardian in this case, being first duly sworn, say that I served the attached Notice Regarding Time for Filing Objections, Motion to Allow Payment of Room and Board and supporting affidavit upon: _____________________________________ Protected Person _____________________________________ Address _____________________________________ City, State, Zip ___________________________________ Name ___________________________________ Relationship to Protected Person ___________________________________ Address ___________________________________ City, State, Zip ___________________________________ Name ___________________________________ Relationship to Protected Person ___________________________________ Address ___________________________________ City, State, Zip _____________________________________ Name _____________________________________ Relationship to Protected Person _____________________________________ Address _____________________________________ City, State, Zip AFFIDAVIT OF SERVICE - Page 1 of 2 FC(11/3/05) by depositing true copies thereof in the United States mail in ______________, Oregon on __________________(date) enclosed in an envelope with first class postage to the last known address listed for each person above. Dated: ____________________ ___________________________________ Signature of Guardian SUBSCRIBED AND SWORN to before me on this ______ day of _____________, 20___. ___________________________________ Deputy Court Administrator/Notary Public My Commission expires: ______________ Submitted by: ___________________________________ Name Bar. No. (if any) ___________________________________ Address ___________________________________ City, State, Zip ___________________________________ Telephone ___________________________________ E-mail Fax AFFIDAVIT OF SERVICE - Page 2 of 2 FC(11/3/05)

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