Fill and Sign the I Being First Duly Sworn Say I Am a Form

1 2 345 6 789 101112131415161718192021 22 232425 26 2728 Affidavit of Service1 IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF _______________ In the Matter of the Marriage of: ))_ , )Case No. Petitioner, ))AFFIDAVIT OF SERVICEand )) , )Respondent, ))STATE OF ________________________ )) ss.County of _________________________ )I, ____________________________________, being first duly sworn, say: 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. On the _______day of __________________________, _____, at __________ a.m./p.m., I served the following documents _________________________________________ 1 2 345 6 789 101112131415161718192021 22 232425 26 2728 Affidavit of Service2within the County of _______________________, State of _____________________, by delivering to ______________________________ in person true copies of the originals.______________________________________Signature______________________________________Print name______________________________________Address______________________________________City, State, Zip Code______________________________________TelephoneSUBSCRIBED AND SWORN to before me this ___________ day of ______________, _____, by _______________________________________________._____________________________________Notary Public for ____________/Court ClerkMy Commission Expires: ______________ 1 2 345 6 789 101112131415161718192021 22 232425 26 2728 Affidavit of Service3 Certificate of Document Preparation I certify that: (check all 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