Free Affidavit of Military Service - Oregon

IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE THIRD JUDICIAL DISTRICT _________________________________ Plaintiff, Petitioner or Moving Party, vs. _________________________________ Defendant, Respondent or Non-Moving Party. ) ) ) ) ) ) )

SUPPLEMENTAL AFFIDAVIT (Servicemembers Civil Relief Act) Case No. _____________________

I, _______________________________, hereby swear or affirm the following information is true to the best of my knowledge: I am the Plaintiff / Petitioner / or Moving Party, in this proceeding.

The Defendant / Respondent / Non-Moving Party is is not in military service. State supporting facts:____________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ I am unable to determine whether Defendant / Respondent / Non-Moving Party is in the military service. I have made the following efforts to make this determination: ________________________________ _________________________________________________________________________________________ The Defendant / Respondent / Non-Moving Party has waived his/her rights under the Servicemembers Civil Relief Act, Pub.L. No. 108-189 (2003), as shown by the attached affidavit, labeled as Exhibit ______.
For Eviction (FED) cases only:

No one in the dwelling from which eviction is sought is dependent on anyone active in the military. State supporting facts: _______________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________
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. (Sign in front of a notary or court clerk) _________________________________________________________________________________________ Dated Plaintiff /Petitioner/Moving Party (Signature) (Print Name) _________________________________________________________________________________________ Address City State Zip Telephone Number SUBSCRIBED AND SWORN to before me this _______ day of _____________, 20____, by ________________________________. ______________________________________________ Deputy Court Administrator/Notary Public for Oregon My Commission expires: _________________________
FC (4/13/05)

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