Free Affidavit of Proof of Services - Oregon


File Size: 28.1 kB
Pages: 1
Date: December 29, 2004
File Format: PDF
State: Oregon
Category: Court Forms - Local
Word Count: 232 Words, 2,068 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.ojd.state.or.us/LIN/home.nsf/Files/E4.pdf/$File/E4.pdf

Download Affidavit of Proof of Services ( 28.1 kB)


Preview Affidavit of Proof of Services
IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINN ) ) ) ) ) ) ) ) ) CASE NO:__________________________ AFFIDAVIT OF PROOF OF SERVICE [Elderly Persons and Persons with Disabilities Abuse Prevention Act]

_____________________________________
Petitioner (your name) Guardian Petitioner,
vs. _____________________________________ Respondent (person to be restrained)

STATE OF OREGON County of ______________________

) ) ss. )

I, _______________________________________________________, swear/affirm under oath that: I am a resident of the State of Oregon or of the state of service. I am a competent person 18 years of age or older. I am not an attorney for or a party to this case, or an officer, director or employee of any party to this case. On the __________ day of ____________________, 20____, I served the Restraining Order to Prevent Abuse; Petitioner's/Guardian Petitioner's Petition for Restraining Order to Prevent Abuse; and the Notice to Respondent/ Request for Hearing; Notice to Elderly Person or Person with Disabilities/Objections Form/Request for Hearing; and other documents (list):_____________________________________________ in this case personally upon the above-named respondent elderly or disabled person (name): _____________________________________________________________ in ____________________ County, State of ____________________ by delivering to the respondent or elderly or disabled person a copy of those papers, each of which was certified to be a true copy of each original. ________________________________ Signature of Process Server ____________________________________ Address

________________________________ Print or Type Name of Process Server Telephone Number (s):____________________________________ SUBSCRIBED and SWORN to before me this ______ day of __________________, 20__, by ________________________________. __________________________________________ __________________________________________
NOTARY PUBLIC FOR OREGON / COURT CLERK

My Commission Expires: __________________

ELDER - 4