Notice Of Change Of Address Page 3
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4IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR THE COUNTY OF __________________
In the matter of the marriage of
)
)
Case No. ____________________
________________________________,
)
Petitioner,
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NOTICE OF CHANGE OF ADDRESS
and
)
PURSUANT TO ORS 107.159
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________________________________,
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Respondent
)
In compliance with ORS 107.159, I, Petitioner Respondent give notice of my intent to move to a
residence more than 60 miles further distant from the other parent of my child/ren as of
(month/day/year)
FORMER CONTACT ADDRESS:
Street:
City:
State and Zip Code:
Telephone Number:
NEW CONTACT ADDRESS:
Street:
City:
State and Zip Code:
Telephone Number:
ALL NOTICES AND DOCUMENTS REGARDING THIS CASE SHOULD BE SENT TO THE
NEW CONTACT ADDRESS AS OF THE DATE INDICATED ABOVE, UNLESS OTHERWISE
ORDERED BY THE COURT.
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.
Submitted by:
Petitioner Respondent, Signature
Print Name
Address or Contact Address
City, State, Zip
Telephone or Contact Telephone
NOTICE OF CHANGE OF ADDRESS Page 1 of 1
6D-Z.MiscForms: 6E-PACKET.dococ (2/08)
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