Free Form 7 Acceptance of Service - Oregon

Form 7 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, Summons (with attached notices of statutory restraining order preventing dissipation of assets, continuation of health coverage 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. __________________________________________ Signature of Respondent __________________________________________ Address or Contact Address City, State, Zip __________________________________ Print Name __________________________________ Telephone or Contact Telephone

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

Page 1 of 1 - ACCEPTANCE OF SERVICE
Linn County Form Disso-1BC: Form 7 A cceptance of Service (3/22/02)