Oregon Small Claims Affidavit Of Mailing (polk County)

Document Sample
Oregon Small Claims Affidavit Of Mailing (polk County) Powered By Docstoc
					                  IN THE CIRCUIT COURT OF THE STATE OF OREGON

                                FOR THE COUNTY OF POLK

                              SMALL CLAIMS DEPARTMENT


______________________________________,     )
                                            )
______________________________________,     )              Affidavit of Mailing
                              Plaintiff(s), )
                  vs.                       )
                                            )              Case No. _______________
______________________________________,     )
                                            )
______________________________________,     )
                              Defendant(s) )

STATE OF OREGON,             )
                             )ss.
County of Polk               )

        I, __________________________________, do hereby certify that on the ______ day of
___________________, 20_____, I deposited in the post office at _______________, Oregon, a
sealed envelope which contained a true copy of the Notice of Claim in the above entitled matter,
addressed to the defendant(s) at the address as set forth in the Notice of Claim; the postage on
which was duly prepaid.

       A copy of the Notice is attached as required..

       Dated at ____________, Oregon, this ______ day of ___________________, 20_____.


                                             ________________________________________
                                             Signature of Plaintiff