Notice Of Change Of Address (Page 4 of 4) in pdf

Notice Of Change Of Address Page 4

IN THE CIRCUIT COURT OF THE STATE OF OREGON

FOR THE COUNTY OF __________________

In the Matter of G the Marriage of:

)

___________________________________,

)

Case No.___________________

Petitioner,

)

G PETITIONER’S

and

)

G RESPONDENT’S

)

___________________________________,

)

CERTIFICATE OF MAILING

Respondent.

)

I certify that on ____________________, 20______, I placed a true copy of the NOTICE OF CHANGE

OF ADDRESS PURSUANT TO ORS 107.159 in the United States mail addressed to G Petitioner

G Respondent at

(address)

in a sealed envelope with postage paid.

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:

G I selected this document for myself and I completed it without paid assistance.

G I paid or will pay money to

for assistance in preparing this form.

DATED this _____ day of _______________________, 20_____.

Signature of G Petitioner G Respondent

Print name

Address or Contact Address

City, State, Zip Code

Telephone or Contact Telephone

Page 1 of 1, G PETITIONER’S G RESPONDENT’S CERTIFICATE OF MAILING

6D-ZMiscForms: 6E-PACKET.doc (09/06)

Notice Of Change Of Address Page 4