Fill and Sign the Petitioners Affidavit in Support of Motion for Order of Default Oregon 497323966 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 AFFIDAVIT IN SUPPORT OF MOTION FOR and ) ORDER OF DEFAULT ) , ) Respondent. ) STATE OF _ ) ) ss. County of ) I, ____________________________________, being first duly sworn, say: I am the petitioner in this proceeding. ____ The respondent is not now, and was not at the time of service of the Summons and Petition, in the active military service of the United States, an unemancipated minor, or incapacitated. Petitioner’s Affidavit in Support of Motion for Order of Default 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 ____ The respondent is now, or was at the time of service of the Summons and Petition, in the active military service of the United State, but the respondent has waived his or her rights under the Soldiers and Sailors Civil Relief Act, as shown by the attached affidavit, labeled as Exhibit 1. The respondent is not now and was not at the time of service of the Summons and Petition, an unemancipated minor or incapacitated. Dated this ________ day of ____________________, ______. ______________________________________ Signature ______________________________________ Print name ______________________________________ Address ______________________________________ City, State, Zip Code ______________________________________ Telephone SUBSCRIBED AND SWORN to before me this ___________ day of ______________, _____, by ________________________________________________. ___________________________________ Notary Public for ____________/Court Clerk Petitioner’s Affidavit in Support of Motion for Order of Default 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 My Commission Expires: ______________ 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 Petitioner’s Affidavit in Support of Motion for Order of Default 3