§ 18.170 Form of lien record abstract
18.170. Form of lien record abstract
(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 Taxpayer Identification No. of the Debtor, 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.