Respondent S Certificate Of Mailing - Oregon State Courts

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IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR THE COUNTY OF LINN
In the Matter of the Marriage of:
)
)
___________________________________,
)
Case No. ______________________
Petitioner,
)
RESPONDENT’S CERTIFICATE
and
)
)
OF MAILING
___________________________________,
)
Respondent.
)
I certify that on ____________________, 20______, I placed a true copy of the Response and (Must list all documents)
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
Petitioner’s home address (ONLY IF NO
in the above case in the United States mail to
Petitioner Attorney's address /
ATTORNEY):
__________________________________________________________________________________________________________
Address
City State Zip
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:
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.
DATED this _____ day of _______________________, 20_____.
Submitted by:
________________________________________
Signature of Respondent
________________________________________
Print name
________________________________________
Contact Address
________________________________________
City, State, Zip Code
Page 1 of 1, RESPONDENT’S CERTIFICATE OF MAILING
Linn County Respondent Certificate of Mailing.doc(8/09)

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