IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE THIRD JUDICIAL DISTRICT In the Matter of the Adoption of: ) ) ) ) ) Case No. ____________________ PETITION TO OPEN SEALED FILE; AND ORDER
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_____________________________________ ("Petitioner") petitions the Court to search for the file described above and, if it exists in Marion County, to open the file. The reason for the request is: ____________________________________________________________________________________ ______________________________________________________________. See attached document. Relationship of Petitioner to adopted person: Self Biological Parent Adoptive Parent Other (explain): ____________________________________________________________________ Date of birth of adopted person: ________________ Year of Adoption: _______________________ Was this a step-parent adoption? Yes No Petitioner is requesting: Copy of judgment or decree Certified copy of judgment or decree Copy of another document: _____________________________ Certified copy Only the following information: _______________________________________________________ Other: ____________________________________________________________________________
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: ________________, 20______. ____________________________________________ Signature of Petitioner ____________________________________________ Name of Petitioner (please print) Address: ____________________________________ ____________________________________________ Phone: ______________________________________
For Court Use Only Photo ID checked? Initials: _________ Date: ___________ Amt. Paid: $_____
ORDER The petition is allowed. The petition is denied. Dated: ________________, 20______. ______________________________________ Circuit Court Judge ______________________________________ Print, Type or Stamp Name of Judge FC (1/1/08)
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