Vacate Judgment/order Of Dismissal Or Order For Default - Linn County Page 3

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I did not file the appropriate documents by the agreed or ordered deadline because:
Certificate of Document Preparation. Check all that apply:
I chose this form for myself and completed it without paid help
A legal help organization helped me choose or complete this form, but I did not pay money to anyone
I paid(or will pay)
for help choosing, completing, or reviewing this form
Guide & File selected and completed this form and I did not pay anyone to review the completed form
I hereby declare that the above statements are true and complete to the best of my
knowledge and belief. I understand they are made for use in court and I am subject to
penalty for perjury.
Date
Signature
Name (printed)
Contact Address
City / State / ZIP
Contact Phone
Page 2of 2- MOTION FOR ORDER VACATING JUDGMENT OF DISMISSAL/ORDER OF DEFAULT
Linn County Form (3/2017)

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