Free Form 9 Acceptance of Service - Oregon


File Size: 10.7 kB
Pages: 1
File Format: PDF
State: Oregon
Category: Court Forms - Local
Author: Frank Homar
Word Count: 193 Words, 1,708 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.ojd.state.or.us/LIN/home.nsf/Files/p2f9.pdf/$File/p2f9.pdf

Download Form 9 Acceptance of Service ( 10.7 kB)


Preview Form 9 Acceptance of Service
Form 9

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

Case No. ______________________ ACCEPTANCE OF SERVICE

I, ____________________________________, being first duly sworn, say: I am the respondent in this matter and on ________________________ I received a true copy of the Petition and Summons , notice of continuation of health coverage, a copy of ORS 107.089, and parent training packet 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.
Submitted by: ________________________________________________ __________________________________________ Signature of Respondent Print Name ___________________________________________________________________________________________ Address or Contact Address City, State, Zip Telephone or Contact Telephone

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

Page 1 of 1 - ACCEPTANCE OF SERVICE
Linn County Form Disso-1BC: Form 9 Acceptance of Service.wpd (12/28/01)