Free Affidavit of Service - Oregon

IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE THIRD JUDICIAL DISTRICT

) ________________________________________, ) ) ) vs. ) ) ________________________________________, ) )

AFFIDAVIT OF SERVICE Case No. ______________________

I,___________________________________________, DO HEREBY CERTIFY THAT on the _______ day of _______________________, 20____, I served the within summons and/or petition(s) on the within named individual _________________________________ by delivering a copy
(Name of Person Served)

of said summons and/or petition to him/her personally and in person.

_________________________________ County of Service

_________________________________ Person Serving

SUBSCRIBED AND SWORN to before me on this _______ day of _______________________, 20___. NOTARY PUBLIC FOR OREGON/COURT ADMINISTRATOR

_________________________________________________ My Commission expires: ___________________________

AFFIDAVIT OF SERVICE - Page 1

FC (5/27/09)