My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
Admin Order 21-03-07-F
COE
>
City of Eugene
>
Administrative Orders
>
2003
>
Admin Order 21-03-07-F
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/10/2010 10:44:56 AM
Creation date
7/30/2004 5:32:17 PM
Metadata
Fields
Template:
City Recorder
CMO_Document_Type
Admin Orders
Document_Date
8/5/2003
Document_Number
21-03-07-F
CMO_Effective_Date
8/5/2003
Author
Dennis M. Taylor
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
6
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
EXHIBIT C <br /> <br /> City of Eugene <br /> Termination of Domestic Partnership <br /> <br /> I/We declare under penalty of perjury under the laws of the State of Oregon that the statements <br /> below are true and correct; I/we also understand that [/we cannot file a new Domestic Partnership <br /> Registration until six months following the filing of this Statement of Termination. <br /> <br /> The partnership between: <br /> <br /> First Party: <br /> <br /> First M.I. Last <br /> <br /> Address City, State and Zip Code <br /> <br /> Second Party: <br /> <br /> First M.I. Last <br /> <br /> Address City, State and Zip Code <br /> <br /> which was registered on ,20__, in Eugene, Oregon, <br /> terminated on .20 (Domestic Partnership Registration <br /> No. .) <br /> <br /> First Party: Dale: <br /> Signature <br /> <br /> Second Party: Date: <br /> Signature <br /> <br /> Note: If only one partner signs, that partner must provide evidence <br /> (certified mail receipt) that the signing partner attempted to notify <br /> the other partner of the termination of the partnership. <br /> <br /> TO BE COMPLETED BY CITY PERSONNEL: ~ Certified marl receipt prowded (if applicable) <br /> Date Filed: City Representative: <br /> <br /> Rev 01/2003 <br /> <br /> <br />
The URL can be used to link to this page
Your browser does not support the video tag.