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FORFEITURE NOTICE
Pursuant to ORS 131A.155, the undersigned states:
That _________ (forfeiting agency) intends to initiate a forfeiture action against the following described real property:
__________________
__________________
__________________
__________________
__________________
__________________
__________________
__________________
Dated this _____ day of ______, _____.
This forfeiture notice expires on _____ day of _________, _____, absent future filings.
Name of agency seeking forfeiture
__________________
Name of attorney
__________________
Address
__________________
__________________
__________________
Telephone number
__________________
State of Oregon | ) |
) | ss. |
County of _____ | ) |
The foregoing instrument was acknowledged before me this _____ day of _________, _____.
__________________
Notary public for Oregon
My commission expires _________.
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ORS 131A.155