Form 4-2 Affidavit

IN THE CIRCUIT COURT OF THE STATE OF OREGON

FOR THE COUNTY OF __________

____________________, )
) Case No. _____
Plaintiff, )
) AFFIDAVIT OF
v. ) __________________
)
____________________, )

Defendant.

STATE OF __________ )
) ss.
County of ___________ )

I, _____________, being first duly sworn, say:

1. I am an attorney licensed to practice law in the state of Oregon and am associated
with the firm of __________, attorneys for defendant ________ in this action. I make this
affidavit in support of defendant’s motion to change the place of trial from _________ County to
_________ County.
2. [Set forth evidentiary statements supporting the motion. For example: This action
arises out of the crash of a light airplane in Lake County. Plaintiff alleges that the crash occurred
when the plane struck a transmission line maintained by defendant. No facts or occurrences in
Marion County are alleged by plaintiff. All facts or occurrences alleged by plaintiff occurred in
Lake County. The cause of action arose in Lake County.]
3. This motion is not made for the purpose of delay.

/s/___________________________
[affiant’s name]

SUBSCRIBED AND SWORN TO before me on _________, 20____.

/s/__________________________
Notary Public for Oregon
My commission expires: ________

COMMENT: See § 4.3-4(b). See UTCR 2.010 for the form of documents, including
requirements regarding spacing, paging, and numbering lines.
CAVEAT: This form is illustrative only. Lawyers must depend on their own legal
research, knowledge of the law, and expertise in using or modifying this form.