Free Declaration of Proof of Service - Oregon

IN THE CIRCUIT COURT OF THE STATE OF OREGON COUNTY OF ) ) ) ) ) ) ) ) ) ) ) )

Case No.

Petitioner (your full name), Guardian Ad Litem v.

DECLARATION OF PROOF OF SERVICE

________________________________ Respondent (full name of person order is against).
I, (name)

, declare that I am a resident of the County of , State of . I am a competent person 18 years of age or older, and not an attorney for, or a party to, this proceeding. I certify that the person served is the identical one named in this action. On the day of (month), 20 (year), I served the following: TEMPORARY STALKING PROTECTIVE ORDER FINAL STALKING PROTECTIVE ORDER PETITION FOR STALKING PROTECTIVE ORDER NOTICE TO RESPONDENT/ORDER TO APPEAR FOR HEARING TO SHOW CAUSE, in this case personally upon the above-named Respondent in at the following address: by delivering to the Respondent a copy of those papers, all of which were certified to be true copies of the original. I hereby declare that the above statement is true to the best of my knowledge and belief, and that I understand it is made for use as evidence in court and is subject to penalty for perjury. Signature of Process Server Print Name Print Date Signed County, State of

City
all blanks that apply):

State

Zip

Telephone Number(s)

Certificate of Document Preparation: (You are required to truthfully complete this certificate. Check all boxes and complete I chose this document for myself and I completed it without paying for help. I paid or will pay money to for helping me prepare this form. Dated this day of , 20 . Print Name

Signature of Process Server
StalkingProtective: StalkDeclServ-Ver01 (01/09)

DECLARATION OF PROOF OF SERVICE - PAGE 1 OF 1