Fill and Sign the Supplemental Affidavit 497324019 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. ) AFFIDAVIT OF NON-MILITARY , ) SERVICE AND CAPACITY Defendant. ) STATE OF OREGON ) ) ss. County of Marion ) I, __________________________, do hereby depose and say that I am the Plaintiff in the above-entitled cause, that the above-named Defendant, and if more than one, each of them, was duly and regularly served with a copy of the summons and complaint in said cause; I reasonably believe that on the date of each such service as shown by said records and files, the said defendant was not and, if more than one, none of them was, a person in the military service as defined in Article I of the “Soldiers’ and Sailors’ Civil Relief Act of 1940" as amended, nor an unrepresented minor or incapacitated person as defined by ORS 126.003(4). __________________________________________ Signature Affidavit of Non-Military Service and Capacity 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 SUBSCRIBED and SWORN to before me this ______ day of ________________, _____. __________________________________________ COURT CLERK/ NOTARY PUBLIC FOR OREGON My Commission Expires: ______________ Affidavit of Non-Military Service and Capacity 2