Free Form 7 Acceptance of Service - Oregon

Form 7 IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINN In the Matter: ________________________________, Petitioner, and ________________________________, Respondent. STATE OF ________________________ County of _________________________ ) ) ss. ) ) ) ) ) ) ) ) )

Case No. ______________________ ACCEPTANCE OF SERVICE

I, ____________________________________, being first duly sworn, say: I am the petitioner

respondent in this matter and on ________________________ . I received a true copy of the Motion,
Affidavit and Order to Show Cause regarding Modification of Judgment in the County of ___________, State of ____________________. 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.
__________________________________________ Signature of Petitioner Respondent __________________________________________ Address or Contact Address City, State, Zip __________________________________ Print Name __________________________________ Telephone or Contact Telephone

SIGNED AND SWORN to before me this _________ day of __________________, 20_____, by _________________________________________________. ___________________________________ Notary Public for ____________/Court Clerk My Commission Expires: ______________

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Linn County Form Disso-1BC: Form 7 A cceptance of Service.wpd (12/28/01)