Fill and Sign the Certificate of Mailing Judgment Regarding Custody Visitation and Support Order Regarding Jurisdiction Oregon Form

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF _______________ In the Matter of: ) ________________________________, ) Case No. ______________________ Petitioner, ) PETITIONER’S RESPONDENT’S and ) CERTIFICATE OF MAILING OF JUDGMENT REGARDING ________________________________, ) CUSTODY, VISITATION AND SUPPORT ORDER RE: JURISDICTION Respondent. ) I certify that on _____________________________, ______, I mailed a true copy of the Judgment Regarding Custody, Visitation and ___ Support or ___ Order re: Jurisdiction filed in this case: ____ to the other party directly, at the following address, because s/he has no attorney _________________________________________________________________ ________________________________________________________________________ ____ to the other party’s attorney ___________________________________ at (Name of other party’s attorney) the following address: ______________________________________________________________________ __ ______________________________________________________________________________ ___ _. Petitioner’s / Respondent’s Certificate of Mailing of Judgment Regarding Custody; Visitation; Support Order re: Jurisdiction1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 DATED this ______ day of ______________________, ______. __________________________________________ ___ Petitioner ___ Respondent, Pro Se, Signature __________________________________________ Print Name __________________________________________ Address ___________________________________________ City, State, Zip Code ___________________________________________ Telephone 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. ____ I was provided this document by an attorney. ____ I completed this document without paid assistance. ____ I paid or will pay money to _____________________________ for assistance in preparing this document. ____________________________________________ Signature Petitioner’s / Respondent’s Certificate of Mailing of Judgment Regarding Custody; Visitation; Support Order re: Jurisdiction2