Free Form 3 Acknowledgment About Dissolution - Oregon

Form 3
IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINN In the Matter of the Marriage of: ________________________________, Petitioner, and ) ) ) ) ) ) ) ) ) )

Case No. ______________________

PETITIONER RESPONDENT CO-PETITIONER
ACKNOWLEDGMENT ABOUT DISSOLUTION (DIVORCE)

________________________________, Respondent.

I/We, _________________________, _______________________, am filing this dissolution (divorce) without full representation of an attorney. I/We understand that I/We must pay all filing, service or hearing fees which are not deferred or waived by the court. I/We understand the court nor court staff are not permitted to give me legal advise. I/We understand if I/We have legal questions I/We should consult with an attorney. I/We understand that I/We should seek an attorney's help if my case involves any of the following issues: · custody/parenting time of minor children who have not been living in Oregon for the last six months; · pensions, retirement benefits or profit-sharing plans; · a pending personal injury case involving me or my spouse · real estate that my spouse or I/We own along with someone else, or real estate located outside of Oregon; · a family business; · a bankruptcy case filed by me or my spouse; · complex tax issues, or · domestic violence. I/We understand that I/We am responsible for all information that I/We provide on these forms and any changes I/We make to the printed language. I/We understand that it is recommended that I/We consult with an attorney before I/We file these papers. I/We understand that laws and legal procedures change and I/We should not use these forms unless they were recently provided or approved by the court. Submitted by: (If Co-Petitioners, both parties must sign below) _________________________________________ ________
Signature of Petitioner/Co-Petitioner Date

_________________________________________ ________
Signature of Respondent/Co-Petitioner Date

_________________________________________
Print Name

_________________________________________
Print Name

_________________________________________
Address or Contact Address

_________________________________________
Address or Contact Address

_________________________________________
City, State, Zip

_________________________________________
City, State, Zip

_________________________________________
Telephone or Contact Telephone

_________________________________________
Telephone or Contact Telephone

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Linn County Form Disso: Form 3 Acknowledgment About Dissolution.wpd 4/04