Free Form 6 Affidavit of Service - Oregon


File Size: 61.0 kB
Pages: 3
Date: January 13, 2006
File Format: PDF
State: Oregon
Category: Court Forms - Local
Word Count: 899 Words, 5,913 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.ojd.state.or.us/LIN/home.nsf/Files/p3f6.pdf/$File/p3f6.pdf

Download Form 6 Affidavit of Service ( 61.0 kB)


Preview Form 6 Affidavit of Service
Form 6
IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINN

IN THE MATTER OF THE MARRIAGE OF SEPARATION OF CUSTODY OF ________________________________, Petitioner, and ________________________________, Respondent.

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Case No. ______________________ AFFIDAVIT OF SERVICE Personal Service (ORCP 7D(2)(a) Substitute Service (ORCP 7D(2)(b) Office Service (ORCP 7D(2)(c) Service by Mail, Return Receipt Requested (ORCP 7D(2)(d)



I, I am a resident of the County of

, being first duly sworn, state as follows: , State of . I am a

competent person 18 years of age or older and not a party to or attorney in this proceeding. (Check one of the following): 1. Personal Service. On the _______day of _____________________, 20____, at __________ a.m./p.m., I served true copies of the original Petition and Summons (with the attached Notice of Statutory Restraining Order Preventing Dissipation of Assets in Domestic Relations Actions, notices on mediation and other information provided by the court clerk) by delivering them to

Petitioner Respondent

(name) in person at the following address within the County of _______________________, State of .

2. Substitute Service. On the

day of

, 20____, at

a.m./p.m., I served true copies

of the original Petition and Summons (with the attached Notice of Statutory Restraining Order Preventing Dissipation of Assets in Domestic Relations Actions, notices on mediation and other information provided by the court clerk) by delivering them to (name), who is a person age 14 or older and a member of the household of the party to be served, at the following address , State of ________________. within the County of

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Linn County: Form 6 Multi Affidavit Service.wpd (1/06)

(If Substitute Service was used, you must complete the followup mailing section below as required by ORCP 7D(2)(b). If someone other than yourself completed the follow up mailing, s/he must use a separate Affidavit of Service).

On the

day of

, 20

, I personally deposited a true copy of the originals listed

above with the United States Postal Service, via first class mail, in a sealed envelope, postage prepaid, addressed to the party to be served: Petitioner Respondent (name), at the party's home address listed above, together

with a statement of the date, time and place that the documents were hand-delivered to the party's dwelling (residence).

3. Office Service. On the

day of

, 20____, at

a.m./p.m., I served true copies

of the original Petition and Summons (with the attached Notice of Statutory Restraining Order Preventing Dissipation of Assets in Domestic Relations Actions, notices on mediation and other information provided by the court clerk) by delivering them, in person, to the office of the party to be served, located at: during normal working hours for that office, where I left the documents with who is a person apparently in charge and who has a business duty to provide the documents to the party to be served. (If Office Service was used, you must complete the followup mailing section below as required by ORCP 7D(2)(c). If someone other than yourself completed the follow up mailing, s/he must use a separate Affidavit of Service.) (address), (name),

On the

day of

, 20

, I personally deposited a true copy of the originals listed

above with the United States Postal Service, via first class mail, in a sealed envelope, postage prepaid, addressed to the party to be served: Petitioner Respondent (name), at the party's: home address located at: (address), OR business address, listed above, together with a statement of the date, time and place that the documents were hand-delivered to the party's office.

4. Service by Mail, Return Receipt Requested. On the

day of

, 20

, I personally

deposited a two true copies of the Petition and Summons (with the attached Notice of Statutory Restraining Order Preventing Dissipation of Assets in Domestic Relations Actions, notices on mediation and other information provided by the court clerk) with the United States Postal Service, one via first class mail, and the other by certified or registered, return receipt requested, or express mail, with postage on both copies fully paid, addressed to the party to be served: Petitioner Respondent (name), at the party's: home address located at (address).

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Linn County: Form 6 Multi Affidavit Service.wpd (1/06)

The party served signed a receipt for the certified, registered or express mailing, and the return receipt is attached to this Affidavit. (NOTE: The return receipt MUST be attached to this Affidavit of Service.) Case #_______________________

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Attach return receipt here

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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. 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. Dated this _______ day of ______________________, 20 _____.

Signature of Server

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:____________

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Linn County: Form 6 Multi Affidavit Service.wpd (1/06)