Small Claims Department Form printable pdf download

IN THE CIRCUIT COURT OF THE STATE OF OREGON

FOR LINN COUNTY

SMALL CLAIMS DEPARTMENT

_________________________________

PROOF OF SERVICE/

Plaintiff(s)

AFFIDAVIT OF MAILING

Case No. _________________________

_________________________________

Defendant(s)

PERSONAL SERVICE

I hereby certify that I am a competent person over the age of 18 years, a resident of the State of Oregon, and not a party to nor

an attorney in the entitled action. I further certify that I served the defendant(s)

________________________________________ in the entitled action, by personally delivering to the within named defendant(s) a

copy of the CLAIM & NOTICE OF CLAIM on the _______ day of _____________________, 20______

at_________am/pm at ___________________________________________________________________________________

street address

city

state

zip

Server:_________________________________(signature)

Print Name:______________________________________

Address:_________________________________________

City, State, Zip:___________________________________

SUBSTITUTE/OFFICE SERVICE

(If you complete this section you must complete the affidavit of mailing area below)

I hereby certify that I am a competent person over the age of 18 years, a resident of the State of Oregon, and not a

party nor an attorney in the entitled action. I further certify that I served defendant(s)____________________________

a copy of the CLAIM & NOTICE OF CLAIM on the _____ day of ____________, 20____ by serving____________________,

a member of defendant’s household/person in charge of the office, over 14 years of age at _____am/pm, at the usual

place of abode/office of defendant(s) at _________________________________________________________________________

street address

city

state

zip

Server:_________________________________(signature)

Print Name:______________________________________

Address:_________________________________________

City, State, Zip:___________________________________

AFFIDAVIT OF MAILING

State of Oregon

County of ______________

I do hereby swear that on the _____ day of ________________, 20_____ I deposited in the post office at ______________

________________, Oregon, a sealed envelope, the postage on which was duly paid, which contained a true copy of the

CLAIM & NOTICE OF CLAIM and Notice of Substitute Service in the above entitled matter addressed to the above

named defendant(s) address:_______________________________________________________________________________

street address

city

state

zip

Plaintiff/Agent for Plaintiff_________________________________

Subscribed and sworn to before me this _______ day of ___________________________, 20________.

_________________________________________

Notary Public for Oregon/ Clerk

My commission expires____________________

PROOF OF SERVICE/AFFIDAVIT OF MAILING

Linn County Form (2/14)

Small Claims Department Form

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