Or. Rev. Stat. § 131.567
(2) Unless otherwise prescribed by law, a seizing agency recording a notice of intent to forfeit shall use substantially the following form:
NOTICE OF INTENT
TO FORFEIT
Pursuant to ORS 131.567, the undersigned states:
That I, _______________ do declare that it is my intent to initiate criminal forfeiture proceedings on the following described real property:
1. The description of the real property to be affected is:
2. The common address of the property, if any, is:
Dated this ___ day of ________, ___.
This notice of intent to file forfeiture will expire on the ___ day of ________, ___, absent future filings.
Name of agency seeking forfeiture
Name of Forfeiture Counsel
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 ________.
[2005 c.830 §7]