Lincoln Supp. L. R. form 16.061

As amended through June 11, 2024
Form 16.061 - TRIAL BY DECLARATION

IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINCOLN

State of Oregon

Case No: ___________

v.

DEFENDANT'S DECLARATION

_______________Defendant

(Trial by Declaration)

I waive my right to appear personally at trial and submit my evidence by this Declaration to the court. I understand that I will be notified by mail of the court's decision.

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[] Additional page attached

Certificate of Document Preparation. Check all that apply:

[] I chose this form for myself and completed it without paid help

[] A legal help organization helped me choose or complete this form, but I did not pay money to anyone

[] I paid (or will pay) _________________ for help choosing, completing, or reviewing this form

I hereby declare that the above statements are true to the best of my knowledge and belief. I understand they are made for use as evidence in court and I am subject to penalty for perjury.

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Date

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(signature)

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Print Name

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Contact Address City, State, Zip Contact Phone

IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINCOLN

State of Oregon

Case No: ___________

Citation No: ___________

v.

REPORTING OFFICER'S DECLARATION

______________Defendant

(Trial by Declaration)

The Defendant has entered a plea of Not Guilty and requested a Trial by Declaration. Please submit your Declaration of the facts to the Court before ___________.

I am the Reporting Officer in this case and I submit the following facts to the court:

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[] Additional page attached

I hereby declare that the above statements are true to the best of my knowledge and belief. I understand they are made for use as evidence in court and I am subject to penalty for perjury.

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Date

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, Officer (signature)

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Contact Address City, State, Zip Contact Phone

Lincoln Supp. L. R. form 16.061

Amended effective 2/1/2024.