Oregon Revised Statutes Chapter 18 § 18.170 — Form

Form for lien record abstract; rules. (1) Unless otherwise prescribed by law, a person recording a lien record abstract shall use substantially the following form: ______________________________________________________________________________ LIEN RECORD ABSTRACT The undersigned states: A. Creditor/Prevailing Party Information : __  1.         The creditor/prevailing party is: _____________________ and the address of the creditor is: _____________________ _____________________ under judgment, order or petition entered on _____ (date) in the _____ Court for _____ (County) of _____ (State) under Case No. _____. __  2.         The creditor’s attorney’s name is _____________________ Attorney’s Address is: _____________________ Attorney’s Phone No. is: ______ B. Debtor/Losing Party Information : __  1.         The debtor/losing party is: _____________________ __  2.         Debtor’s address (if known): _____________________ _____________________ __  3.         The final four digits of the debtor’s Taxpayer Identification No., or the final four digits of the debtor’s Social Security No. (if known): _____________________ __  4.         The final four digits of the debtor’s driver license no. and state of issuance for the license (if known): _____________________ __  5.         Name of debtor’s attorney (if known): _____________________ C. Judgment Information : __  1.         The amount of the judgment is: _____________________ __  2.         The amount of the costs is: _____________________ __  3.         The amount of attorney fees, if any is: _____________________ D. The Real or Personal Property to Be Affected (Check appropriate box): __  All real property of the debtor/losing party, now or hereafter acquired, in ________ County as provided under ORS 18.152 __  The following described real or personal property of debtor (legal description as set forth or on attached Exhibit): _____________________ _____________________ _____________________ _____________________ IN WITNESS WHEREOF, the undersigned person or persons have executed this         abstract this ___ day of ______, 2___. ____________            ____________ ____________            ____________ State of Oregon           ) )           ss. County of _____         ) The foregoing instrument was acknowledged before me this ___ day of ___, 2___, by ____________. __________________ Notary Public for Oregon My commission expires: _________ State of Oregon           ) )           ss. County of _____         ) The foregoing instrument was acknowledged before me this ___ day of ___, 2___, by ____________ and by ____________ of ____________, a corporation on behalf of the corporation. __________________ Notary Public for Oregon My commission expires: _________ ______________________________________________________________________________ (2) A lien record abstract that is the result of a judgment for unpaid child or spousal support entered in another state shall be on the form prescribed by rules adopted by the Department of Justice in lieu of the form required by subsection (1) of this section. [Formerly 18.325; 2009 c.230 §2; 2015 c.197 §3] EXPIRATION AND EXTENSION OF JUDGMENT REMEDIES