Free Form 11 Affidavit Supporting General Judgment - Oregon

Form 11 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 OREGON County of _________________________ ) ) ) ) ) ) ) ) ) ) ss. )

Case No. ______________________ PETITIONER'S AFFIDAVIT SUPPORTING GENERAL JUDGMENT OF DISSOLUTION

If this box is checked, both parties to this dissolution action have signed this document and
are filing as Co-Petitioners.
I, ______________________________, being first duly sworn, say: I am the petitioner in this proceeding. We _________________________ ___________________________ are Co-Petitioners being first duly sworn, say: We
are Co-Petitioners in this proceeding. The parties were married on (date): _____________________, in the County of _________________, State of ______________. Irreconcilable differences between the spouses have caused the irremediable breakdown of the marriage. Petitioner Respondent was an Oregon resident continuously for at least six months immediately prior to commencement of this suit. No domestic relations suits involving this marriage of Petitioner and Respondent are pending in any other court. There are no unemancipated children under the age of 18 of this marriage, OR no child of this marriage is age 18 to 21 and a "child attending school" as defined in ORS 107.108.

The wife is not now pregnant. The wife is pregnant at this time and the husband is not the father of this child. The wife was not cohabiting with
the husband when this child was conceived. The expected date of the child's birth is____________________.

Respondent has not appeared in this matter and an Order of Default has been entered. Respondent filed a response and later signed and filed a Waiver of Further Appearance and Consent to Entry of
Judgment, (or) has waived further hearing by stipulating to the terms of the General Judgment of Dissolution of Marriage. This case is now ready for a hearing on the merits. I/We make this affidavit in support of a Judgment of Dissolution of Marriage without a hearing. The allegations in my/our Petition are true and it is just and reasonable to grant the relief requested in the proposed General Judgment of Dissolution.

The request for spousal support is supported by the following facts: ____________________________________
____________________________________________________________________________________________________ Page 1 of 2 - PETITIONER'S AFFIDAVIT SUPPORTING JUDGMENT OF DISSOLUTION
Linn County Disso-1B: Form 11 Affidavit Supporting General Judgment 2006.wpd (2/06)

____________________________________________________________________________________________________ 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 form myself, and I completed it without paid assistance. I paid or will pay money to ________________________________ for assistance in preparing this form. Dated: ________________________, 20_____.

__________________________________________________ Petitioner's 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: ______________

CO-PETITIONER / RESPONDENT
I, ___________________________, being duly sworn, say that I am the co-petitioner/respondent in this matter and that the foregoing affidavit is true and correct to the best of my knowledge.

__________________________________________________ ________________________________________________ Respondent's 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 2 of 2 - PETITIONER'S AFFIDAVIT SUPPORTING JUDGMENT OF DISSOLUTION
Linn County Disso-1B: Form 11 Affidavit Supporting General Judgment 2006.wpd (2/06)