Form 12
IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINN IN THE MATTER OF THE MARRIAGE OF SEPARATION OF CUSTODY PROCEEDING _____________________________, Petitioner, and ) ) ) ) ) ) ) ) ) ) ) ) MOTION Based on ORS 107.095(4) the Order of Default on record (or) Respondent appeared, but has waived the right to further appearance (or) the parties have stipulated to the entry of a judgment, Petitioner requests that this Court grant an Order allowing entry of judgment based on the attached Affidavit in lieu of a hearing. Statement of Points and Authorities In a suit for dissolution of marriage where the respondent is found by the Court to be in default, or the respondent appeared but waived further appearance, ORS 107.095(4) authorizes the Court to enter a judgment of dissolution upon the affidavit of petitioner without a hearing. 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. Date: ________________________ Petitioner Signature:___________________________________________________ Date: ________________________ Co-Petitioner/Respondent's Signature: ____________________________________ ORDER
Case No. ______________________
PETITIONER'S RESPONDENT'S CO-PETITIONER'S MOTION FOR ORDER
ALLOWING ENTRY OF JUDGMENT ON AFFIDAVIT IN LIEU OF HEARING; and ORDER
_____________________________, Respondent.
Allowed.
Denied.
DATED this _______ day of ____________________, 20_______.
_______________________________
Circuit Court Judge
_______________________________
Print Name
Submitted by:
________________________________________________________________________________________________
Petitioner (Print Name) City, State, Zip Address or Contact Address Telephone or Contact Telephone
________________________________________________________________________________________________________
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Linn County Form Disso- 1BC: Form 12 Motion for Order Allowing Entry of Judgment on Affidavit in Lieu of Hearing.wpd (3/04)