Free Form 9 Affidavit in Support of Motion for Order of Default - Oregon

Form 9 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. STATE OF ________________________ County of _________________________ )ss. ) ) ) ) ) ) ) ) ) ) ) )

Case No. ______________________

PETITIONER'S RESPONDENT'S AFFIDAVIT IN SUPPORT OF MOTION FOR ORDER OF DEFAULT

I, _______________________________, being first duly sworn, say: I am the petitioner respondent in this proceeding.

To my best knowledge and belief, the petitioner respondent is not now, and was not at the time of the service of
the Summons and Petition for Dissolution, in the active military service of the United States, a minor, "incapacitated", "a financially incapable" person, a "protected person", nor a "respondent in a fiduciary protective proceeding, as defined by Oregon law.

The petitioner respondent is now, or was at the time of the service of the Summons and Petition for Dissolution,
in the active military service of the United States, but the petitioner respondent has waived his or her rights under the Soldiers and Sailors Civil Relief Act, as shown by the attached affidavit, labeled as Exhibit _____. 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 document. DATED this _______ day of ____________________, 20_____.

_______________________________________________________________________________________________ Petitioner Respondent, Signature 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 - AFFIDAVIT IN SUPPORT OF MOTION FOR ORDER OF DEFAULT
Linn County Form Disso-1BC: Form 9 Affidavit in Support of Motion for Order of Default.wpd (8/24/04)