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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:
__________________
__________________
__________________
__________________
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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