______________________________________________________________________________
In the Circuit Court for ______ County, Oregon.
____________
Plaintiff,
vs.
____________
Defendant.
Comes now _____, a resident of _____ County, Oregon, and appeals from the decision of the small claims department of the justice court for ______ District, ______ County, Oregon, wherein a judgment for ______ dollars was awarded against the appellant on the ______ day of ______, 2__.
____________, Appellant.
______________________________________________________________________________
ORS 55.120