Fill and Sign the Oregon Response Motion 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 the Marriage of: ) ) , ) Case No. Petitioner, ) ) RESPONSE TO MOTION AND AFFIDAVIT FOR WAIVER ) OF MEDIATION and ) ) , ) Respondent. ) ) 1. (Check one box)  Petitioner  Respondent objects to the other party’s request for waiver of mediation and requests that the court require mediation for the following reasons: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ (Attach an additional page labeled “Paragraph 1, continued” if necessary) Response to Motion and Affidavit for Waiver of Mediation 1 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 NOTICE This form must be signed before a notary public or court clerk and then filed with the court. You are required to serve the other party with a copy of this form by mailing a copy to the other party’s attorney, or the other party if he or she isn’t represented, and completing the Certificate of Mailing below. Certificate of Mailing I certify that I mailed a true copy of this Response to Motion and Affidavit for Waiver of Mediation to the other party by placing a copy in a stamped envelope in the US Mail on _________________(insert date of mailing) addressed to:_______________________ _____________________________________________. (Insert name and address of other party). Dated this ______day of ________________, _____ ______________________________________ (Signature) ______________________________________ Print Name ______________________________________ Address Response to Motion and Affidavit for Waiver of Mediation 2 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 ______________________________________ City, State, Zip Code ______________________________________ Telephone SUBSCRIBED AND SWORN to before me this _______day of ________________,_____. _____________________________________ Notary Public for __________/Court Clerk My Commission expires: ________________ Response to Motion and Affidavit for Waiver of Mediation 3