Affidavit Of Service Form
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1IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR THE COUNTY OF_____________________
In the Matter of the Marriage of:
)
)
________________________________,
)
Case No. ______________________
Petitioner,
)
and
)
AFFIDAVIT OF SERVICE
)
Personal Service (ORCP 7D(2)(a)
________________________________,
)
Respondent.
)
I,
, declare I am a resident of the County of
, State of
. I am a competent person 18 years of
age or older and not a party to or attorney in this proceeding. I certify that the person, firm, or corporation
served is the identical one named in this action.
1. Personal Service. On the _______day of _____________________, 20____, at __________
a.m./p.m., I served a true copy of the Ex Parte Motion for Order to Show Cause Re: Contempt, Affidavit
Supporting Ex Parte Motion for Order to Show Cause Re: Contempt, and the Order to Show Cause Re:
Contempt by delivering them to Petitioner Respondent
in
(name)
person at the following address
within the
County of _______________________, State of
.
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.
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 this _______ day of _______________________, 20_____.
Signature of Server
Print Name
Address or Contact Address
City, State, Zip
Telephone or Contact Telephone
AFFIDAVIT OF SERVICE - Page 1of 1
Contempt-19: AffServ-PersonalServ19-Ver01.doc (3/08)
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