2011 ORS § 18.170¹
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 Creditors attorneys name is
_____________________
Attorneys Address is:
_____________________
Attorneys Phone No. is: ______
B. Debtor/Losing Party Information:
__ 1. The Debtor/losing party is:
_____________________
__ 2. Debtors address (if known):
_____________________
_____________________
__ 3. The Taxpayer Identification No. of
the Debtor, or the final four digits of
the Debtors Social Security No.
(if known):
_____________________
__ 4. The final four digits of the Debtors
driver license no. and state of
issuance for the license (if known):
_____________________
__ 5. Name of debtors 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 (Establishing judgment liens in other counties)
__ 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]