Fill and Sign the Small Claims Judgment 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 MARION SMALL CLAIMS , ) Plaintiff, ) Case No. ) v. ) J UDGMENT _ , ) Defendant. ) [ ] JUDGMENT OF DISMISSAL is hereby entered: [ ] On motion of Plaintiff; [ ] For want of prosecution; [ ] Plaintiff having failed to appear for hearing on ________________________; such Judgment of Dismissal to be: [ ] With prejudice [ ] Without prejudice. [ ] IT IS HEREBY ORDERED that Judgment be granted in the above-entitled case: [ ] Defendant having failed to respond and Plaintiff requesting Judgment; Signature of Plaintiff: ______________________________________ 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: _______________________ [ ] Upon hearing by the Court MONEY JUDGMENT [ ] Judgment is hereby entered in favor of the: [ ] Plaintiff [ ] Defendant _________________________ (specify if less than all) And against the: [ ] Defendant _________________________ (specify if less than all) [ ] Plaintiff In the sum of $__________, and for costs in the amount of $__________, plus a prevailing fee of w $60.00 (non-trial); or w $85.00 (trial). [ ] Judgment is hereby entered in favor of the State against the: [ ] Plaintiff [ ] Defendant ________________________ (specify if less than all) In the sum of $_______ for fees previously deferred in this case. Dated in Salem, Oregon this ________ day of ____________________, ________. ______________________________________