Fill and Sign the Petitioners Affidavit Supporting Judgment Oregon 497323975 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 SUPPORTING JUDGMENT and ) ) ________________________________, ) Respondent. ) ) STATE OF ________________________ ) ) ss. County of _________________________ ) I, ____________________________________, being first duly sworn, say: I am the petitioner in this proceeding. Respondent and I are the parents of the following minor children: __________________ _____________________________________________ (name(s) and date(s) of birth) Petitioner’s Affidavit Supporting Judgment 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 ________________________________________________________________________ ____ Respondent has not appeared in this matter and an Order of Default has been entered. ____ Respondent has appeared in this matter but has waived further hearing by stipulating to the terms of the Judgment. This case is now ready for hearing on the merits. I make this affidavit in support of my motion of entry of Judgment without a hearing. The allegations in my Petition are true and it is just and reasonable that I be granted the relief I request. ____ Child custody or child support is involved in this case and at the time of filing: ____ The child/ren had continuously resided in Oregon for six months. ____ The child/ren had lived in Oregon continuously for six months sometime during the twelve months prior to filing, and the child/ren are not now in Oregon but one parent lives in this state. ____ The child/ren had lived in another state continuously for six months but a court in that state declined to exercise jurisdiction on the ground that this state is the more appropriate forum, and ____ The child/ren and _______________________ have significant connections to (name of parent or caretaker) Oregon and substantial evidence about them is available here. ____ The child/ren were physically present in Oregon at the time of filing and: ____ The child/ren have been abandoned, or ____ An emergency exists because the child, or a sibling or parent of the child, is subject to or threatened with mistreatment or abuse. That emergency is: ______________________________________________________________________________ ______________________________________________________________________________ ____________________________________________________________________________. Petitioner’s Affidavit Supporting Judgment 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 The current residence of the minor child/ren is: Name of Child Resides with For how long ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ____________________________________________________________________________. ____ Parenting time should not be ordered because my child/ren(s) health or safety would be endangered because: _____________________________________________________ ______________________________________________________________________________ _________________________________________________________________. ____ I have good reason for the court to allow me to move more than 60 miles distant from the other parent without giving advance written notice to the other parent. My good cause is: ___________________________________________________________________________ ______________________________________________________________________________ _________________________________________________________________. ____ Child support is involved: I believe that respondent’s gross monthly income is approximately $___________. My gross monthly income is approximately $__________. The child support amount I have requested ____ does not deviate from the amount presumed correct under Oregon Administrative Rules or ____ does deviate from the presumed amount of $__________ because: ___________________________________________________________ ______________________________________________________________________________ _______________________________________________________________________. ____ There is an existing child support order, a certified copy of which is on file in this case. As of today’s date, the back child support owed is ___________________________. The next (Total amount not paid to date) Petitioner’s Affidavit Supporting Judgment 3 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 payment of _______________ is due on _____________________. (Monthly payment) (Date due) ____________________________________ Signature ____________________________________ Print name ____________________________________ Address ____________________________________ City, State, Zip Code ____________________________________ Telephone SUBSCRIBED AND SWORN to before me this ___________ day of ______________, _____, by ________________________________________________. _______________________________________ Notary Public for ____________/Court Clerk My Commission Expires: ______________ Petitioner’s Affidavit Supporting Judgment 4 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 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 Supporting Judgment 5