Superior Court of California, County of Sacramento Family Law Facilitator’s Office

Page 1 of 2 2/29/2016

How to Serve and File a Response to a Parentage, Dissolution, Legal Separation or Nullity Petition.

Purpose of this Packet This packet is designed to provide assistance only in serving and filing a Response to a Parentage, Dissolution, Legal Separation, or Nullity Petition. If you need to respond to any other type of legal pleadings, please visit the Self Help Center or contact a private attorney for further assistance.

If you were served with a Parentage, Dissolution, Legal Separation, or Nullity Petition, you must file a Response within 30 days or risk the other party taking your default. If the other party takes your default, you may not be allowed to file documents or attend hearings in your case.

There is a fee for filing a Response. Fee information can be found on the court’s website at www.saccourt.ca.gov. If you are unable to pay the filing fee, you may request that your fees be waived by filing a Request to Waive Court Fees. Forms and instructions for completing the Request to Waive Court Fees are also available or on the Court’s website.

Documents Needed to File a Response

Ø Response, Form FL-120 (if responding to a Petition for Dissolution, Legal Separation or Nullity), or

Ø Response to Petition to Establish Parental Relationship, FL-220 (if responding to a Petition to Establish Parental Relationship), and

Ø Proof of Service by Mail, Form FL-335

If applicable, you will also need the following forms:

Ø Declaration Under UCCJEA, FL-105 (If there are minor children) Ø Fee waiver packet with the following forms: “Request to Waive Court Fees, FW-001”

and “Order on Court Fee Waiver (Superior Court), FW-003”(If applying for a Fee Waiver)

Ø Family Law Case Participant Enrollment Form, local form FL/E-LP-660

Steps you must take

Step 1: Complete the necessary documents

Superior Court of California, County of Sacramento Family Law Facilitator’s Office

Page 2 of 2 2/29/2016

• Complete the Response for the type of case that was filed by the Petitioner and, if necessary, the Declaration Under UCCJEA and Fee Waiver forms.

Step 2: Photo copy your documents • Make 2 copies of the "Response." • Make 2 copies of the "Declaration Under UCCJEA" (if used). • Make 1 copy of the “Request to Waive Court Fees” and “Order on Court Fee Waiver

(Superior Court).”

Step 3: Serve copies on the other party • Have someone over the age of 18, other than yourself (a friend or relative) who is not a

party to the case, mail one of the copies of the “Response” and “Declaration Under UCCJEA” if used to the other party (the Petitioner).

• Have this person complete the "Proof of Service by Mail" and make a copy of it.

Step 4: File your "Response"

File the original "Response," "Declaration Under UCCJEA," "Proof of Service by Mail," and Fee Waiver forms and the copies, at the Filing Counter in Room 100.

Finally, merely filing a "Response" will not finish your Family Law Case. In order to obtain more information about requesting court orders or about finishing your case, please contact the Self Help Center through our e-Correspondence system or consult a private attorney for further assistance.

Family Law Case Participant Enrollment Form, local form FL/E-LP-660

In Sacramento County, family law documents prepared by the Court are published to a secure web site where only parties to the case who have created an online account can view and download them. The Family Law Case Participant Enrollment Form is used to register an email address that will be used to access the online account. Within twenty-four (24) hours of filing your forms, you should receive an email advising you that an account has been created for you to access any documents posted in your new case. Follow the link in the email to confirm your account and create your unique password. This account will be used for the life of your case. If your email address changes, you will be required to file a new Family Law Case Participant Enrollment Form in order to continue to have access to documents posted by the Court.

If Your Mailing Address of Other Contact Information Changes

The mailing address that you list on your Response will be used by the Court and all other parties to the case to send legal notices and copies of documents filed with the Court. If you would like to change the address where forms and notices are sent, you must file a Notice of Change of Address or Other Contact Information, form MC-040.

AMENDEDRESPONSEDissolution (Divorce) of: Marriage Domestic Partnership

Nullity of: Marriage Domestic PartnershipLegal Separation of: Marriage Domestic Partnership

AND REQUEST FOR

FOR COURT USE ONLY

ATTORNEY FOR (name):

E-MAIL ADDRESS:

FAX NO.:TELEPHONE NO.:

ZIP CODE:STATE:CITY:

STREET ADDRESS:

FIRM NAME:

NAME:

PARTY WITHOUT ATTORNEY OR ATTORNEY STATE BAR NUMBER:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

BRANCH NAME:

CITY AND ZIP CODE:

STREET ADDRESS:

MAILING ADDRESS:

PETITIONER:RESPONDENT:

CASE NUMBER:

FL-120

LEGAL RELATIONSHIP (check all that apply):a. We are married.b. We are domestic partners and our domestic partnership was established in California.

We are domestic partners and our domestic partnership was NOT established in California.c.

1.

Page 1 of 3

Form Adopted for Mandatory Use Judicial Council of California FL-120 [Rev. July 1, 2016]

RESPONSE—MARRIAGE/DOMESTIC PARTNERSHIP (Family Law)

Family Code, § 2020 www.courts.ca.gov

MINOR CHILDREN

If there are minor children of Petitioner and Respondent, a completed Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) (form FL-105) must be attached.

d.

4.There are no minor children. a.

The minor children are:b.

continued on Attachment 4b.

Child's name Birthdate SexAge

a child who is not yet born.(2)(1)

attached.Petitioner and Respondent signed a voluntary declaration of paternity. A copy is notis e.

RESIDENCE REQUIREMENTS (check all that apply): has been a resident of this state for at least six months and of this county for at least

three months immediately preceding the filing of this Petition. (For a divorce, at least one person in the legal relationship described in items 1a and 1c must comply with this requirement.)

2. a. Respondent Petitioner

Our domestic partnership was established in California. Neither of us has to be a resident or have a domicile in California to dissolve our partnership here.

b.

STATISTICAL FACTSDate of marriage (specify): Date of separation (specify):a.

b.

3.(1)

(1)

(2)

(2) Date of separation (specify):Registration date of domestic partnership with the California Secretary of State or other state equivalent (specify below):

If any children were born before the marriage or domestic partnership, the court has the authority to determine those children to be children of the marriage or domestic partnership.

c.

c. We are the same sex, were married in California, but currently live in a jurisdiction that does not recognize, and will not dissolve, our marriage. This Petition is filed in the county where we married.Petitioner lives in (specify): Respondent lives in (specify):

Years(3) MonthsTime from date of marriage to date of separation (specify):

(3) Time from date of registration of domestic partnership to date of separation (specify): MonthsYears

Respondent requests that the court make the following orders:

SPOUSAL OR DOMESTIC PARTNER SUPPORT8.

b. Respondent PetitionerTerminate (end) the court's ability to award support to

Petitioner Respondent a. Spousal or domestic partner support payable to

c. Reserve for future determination the issue of support payable to Respondent Petitioner

Other (specify):d.

9. SEPARATE PROPERTY

FL-120 [Rev. July 1, 2016] Page 2 of 3RESPONSE—MARRIAGE/DOMESTIC PARTNERSHIP (Family Law)

CASE NUMBER:

RESPONDENT:

PETITIONER:

Respondent contends that the parties never legally married or registered a domestic partnership.Respondent denies the grounds set forth in item 5 of the petition.Respondent requests

(2) Nullity of void marriage or domestic partnership based on (a) incest. (b) bigamy.

(3) Nullity of voidable marriage or domestic partnership based on (a) respondent’s age at time of registration of

domestic partnership or marriage.(b) prior existing marriage or domestic partnership. (c) unsound mind.

(d) fraud.

(e) force.

(f) physical incapacity.

Legal separation of the marriage or domestic partnership based ondivorce (1)(a) irreconcilable differences. permanent legal incapacity to make decisions.(b)

a.b.

5.

c.

LEGAL GROUNDS (Family Code sections 2200–2210; 2310–2312)

b. Confirm as separate property the assets and debts in Attachment 9b. Property Declaration (form FL-160).the following list. Item Confirm to

a. There are no such assets or debts that I know of to be confirmed by the court.

FL-120

6. CHILD CUSTODY AND VISITATION (PARENTING TIME)

Legal custody of children to .........................................................

....................................................Physical custody of children to

Child visitation (parenting time) be granted to .............................

As requested in form FL-311 form FL-312 form FL-341(C)

form FL-341(D) form FL-341(E) Attachment 6c(1)

Petitioner Respondent Joint Other

b.

c.

a.

Any party required to pay support must pay interest on overdue amounts at the "legal" rate, which is currently 10 percent.

7. CHILD SUPPORTa.

b.c.

Other (specify):d.

If there are minor children born to or adopted by Petitioner and Respondent before or during this marriage or domestic partnership, the court will make orders for the support of the children upon request and submission of financial forms by the requesting party. An earnings assignment may be issued without further notice.

FL-120 [Rev. July 1, 2016] Page 3 of 3RESPONSE—MARRIAGE/DOMESTIC PARTNERSHIP (Family Law)

CASE NUMBER:

RESPONDENT:

PETITIONER:

Date:

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

(TYPE OR PRINT NAME) (SIGNATURE OF RESPONDENT)

Date:

(TYPE OR PRINT NAME) (SIGNATURE OF ATTORNEY FOR RESPONDENT)

a. There are no such assets or debts that I know of to be divided by the court.

in Attachment 10b.in Property Declaration (form FL-160).

as follows (specify):

Determine rights to community and quasi-community assets and debts. All such assets and debts are listed b.

COMMUNITY AND QUASI-COMMUNITY PROPERTY10.

OTHER REQUESTS11.Attorney's fees and costs payable by a.

b Respondent's former name be restored to (specify):

c.

Continued on Attachment 11c.

Other (specify):

NOTICE—CANCELLATION OF RIGHTS: Dissolution or legal separation may automatically cancel the rights of a domestic partner or spouse under the other domestic partner's or spouse's will, trust, retirement plan, power of attorney, pay-on-death bank account, survivorship rights to any property owned in joint tenancy, and any other similar thing. It does not automatically cancel the right of a domestic partner or spouse as beneficiary of the other partner's or spouse's life insurance policy. You should review these matters, as well as any credit cards, other credit accounts, insurance polices, retirement plans, and credit reports, to determine whether they should be changed or whether you should take any other actions. Some changes may require the agreement of your partner or spouse or a court order.

NOTICE: You may redact (black out) social security numbers from any written material filed with the court in this case other than a form used to collect child, spousal or partner support.

The original response must be filed in the court with proof of service of a copy on Petitioner.

FOR MORE INFORMATION: Read Legal Steps for a Divorce or Legal Separation (form FL-107-INFO) and visit "Families Change" at www.familieschange.ca.gov — an online guide for parents and children going through divorce or separation.

FL-120

Respondent Petitioner

FL-220FOR COURT USE ONLY

RESPONSE TO PETITION TO ESTABLISH PARENTAL RELATIONSHIP(Uniform Parentage)

CASE NUMBER:

1. The children are (name each):Date of birth SexAge

A child who is not yet bornb.

3. The respondenta.

was in California when the listed children were conceived.b.c.

4. The childrena.

are children of a parent who is deceased, and proceedings for administration of the estate have been or could be startedin this county.

b.

5. The respondent isa. the father of the children listed in item 1 above.b. the mother of the children listed in item 1 above.

not certain if he or she is the parent of the children listed in item 1 above.c.d.

Page 1 of 2

RESPONSE TO PETITION TO ESTABLISH PARENTAL RELATIONSHIP (Uniform Parentage)

Form Approved for Optional Use Judicial Council of California

FL-220 [Rev. January 1, 2006]

Family Code, § 7600www.courtinfo.ca.gov

a. Child’s name

neither a nor b

lives in the State of California.

live or are in this county.

not the parent of the children listed in item 1 above.

PETITIONER:

RESPONDENT:

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):

TELEPHONE NO.: FAX NO. (Optional):

E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OFSTREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

2. The petitioner isa. the mother of the children listed above.b. the father of the children listed above.

not certain whether he or she is the biological parent of the children listed above.c.d.e. other (specify):

the child or child’s representative (specify court and date of appointment):

d. other (specify):

6. Additional statementsa. Parentage has been established by a Voluntary Declaration of Paternity (attach copy).

c. Public assistance is being provided to the children.

other (specify): e

b. Parentage has been established in another case governmental child support other (specify):

PETITIONER: CASE NUMBER:

RESPONDENT:

The respondent requests that the court make the orders listed below.

Petitioner Respondent a. is the parent of the children listed in item 1.

8. Child custody and visitation

Petitioner Joint Otherb. Legal custody of the children should go toc. Physical custody of the children should go to

None(1)

(2) Reasonable visitationPetitioner Respondent should have the right to visit the children as follows (specify):(3)

Visitation should occur with the following restrictions (specify):(4)

(5)

9. Reasonable expenses of pregnancy and birthReasonable expenses of pregnancy and birth should be paid by

Both

Petitioner10. Fees and costs of litigation Botha. Attorney fees should be paid byb. Expert fees, guardian ad litem fees, and other costs of the action or pretrial proceedings should be paid by

11. Name change. The children’s names should be changed, according to Family Code section 7638, as follows (specify old

13. Child support. The court may make orders for support of the children and issue an earnings assignment without further notice to either party.

I have read the restraining order on the back of the Summons (form FL-210) and I understand it applies to me.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date:

(TYPE OR PRINT NAME) (SIGNATURE OF RESPONDENT)

NOTICE: If you have a child from this relationship, the court is required to order child support based upon the income of both parents. Support normally continues until the child is 18. You should supply the court with information about yourfinances. Otherwise, the child support order will be based upon information supplied by the other parent. Any party required to pay child support must pay interest on overdue amounts at the “legal” rate, which is currently 10 percent.

FL-220 [Rev. January 1, 2006] Page 2 of 2

7. Parent-child relationship (check all that apply):

d. Visitation of the children should be as follows:

I request mediation to work out a parenting plan.

RespondentPetitioner

Respondent

Respondent

RESPONSE TO PETITION TO ESTABLISH PARENTAL RELATIONSHIP (Uniform Parentage)

b.Other (specify):

Petitioner Respondent is not the parent of the children listed in item 1.Other (specify):

a. If Respondent Petitioner Other is found to be the parent of the children in listed in item 1:

FL-220

12. Other orders requested (specify):

Respondent requests genetic (blood) tests to determine whether the petitioner respondent is the parent of the children listed.

c.

and new names):

Person child lived with (name and complete current address)

Person child lived with (name and complete current address)

Person child lived with (name and complete current address)

Person child lived with (name and complete current address)

Person child lived with (name and complete current address)

Person child lived with (name and complete current address)

Person child lived with (name and complete current address)

Person child lived with (name and complete current address)

Additional children are listed on form FL-105(A)/GC-120(A). (Provide all requested information for additional children.)

FL-105/GC-120FOR COURT USE ONLY

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SacramentoSTREET ADDRESS: 3341 Power Inn Road

MAILING ADDRESS: 3341 Power Inn Road

CITY AND ZIP CODE: Sacramento, CA 95826

BRANCH NAME: William R. Ridgeway Family Relations Courthouse

CASE NUMBER:

DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA)

1. I am a party to this proceeding to determine custody of a child.2. My present address and the present address of each child residing with me is confidential under Family Code section 3429 as

I have indicated in item 3.3. There are (specify number):

(Insert the information requested below. The residence information must be given for the last FIVE years.)a. Child’s name Place of birth Date of birth Sex

Period of residence Address Relationship

Confidentialto present

to

to

tob. Child’s name Place of birth Date of birth Sex

Residence information is the same as given above for child a. (If NOT the same, provide the information below.)

Period of residence Address Relationship

Confidentialto present

to

to

to

Additional residence information for a child listed in item a or b is continued on attachment 3c.c.

Page 1 of 2Family Code, § 3400 et seq.; Form Adopted for Mandatory Use

Judicial Council of California FL-105/GC-120 [Rev. January 1, 2009]

DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA) Probate Code, §§ 1510(f), 1512

minor children who are subject to this proceeding, as follows:

www.courtinfo.ca.gov

TELEPHONE NO.: FAX NO. (Optional):E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):

PETITIONER:RESPONDENT:

GUARDIANSHIP OF (Name): Minor

OTHER PARTY:

Child's residence (City, State)

Child's residence (City, State)

Child's residence (City, State)

d.

Child's residence (City, State)

Child's residence (City, State)

Child's residence (City, State)

(This section applies only to family law cases.)

(This section apples only to guardianship cases.)

Confidential

Confidential

Juvenile Delinquency/ Juvenile Dependency

and provide the following information):5. One or more domestic violence restraining/protective orders are now in effect. (Attach a copy of the orders if you have one

a. Criminal

b. Family

d. Other

Court State Case number (if known) County Orders expire (date)

Court (name, state, location)

Court order or judgment

(date)Case status

b. Guardianship

c. Other

Name of each child

a. Family

Case number

Court (name, state, location)

e. Adoption

Juvenile Delinquency/ Juvenile Dependency

Case Number

Your connection to

the case

CASE NUMBER:SHORT TITLE:

Do you have information about, or have you participated as a party or as a witness or in some other capacity in, another court case or custody or visitation proceeding, in California or elsewhere, concerning a child subject to this proceeding?

Yes (If yes, attach a copy of the orders (if you have one) and provide the following information):

Do you know of any person who is not a party to this proceeding who has physical custody or claims to have custody of or visitation rights with any child in this case? (If yes, provide the following information):Yes

a. Name and address of person b. Name and address of person c. Name and address of person

Has physical custody Has physical custodyHas physical custodyClaims custody rightsClaims custody rightsClaims custody rights

Claims visitation rights Claims visitation rights Claims visitation rights

Name of each child Name of each child Name of each child

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.Date:

(TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT)

7. Number of pages attached:NOTICE TO DECLARANT: You have a continuing duty to inform this court if you obtain any information about a custody

FL-105/GC-120 [Rev. January 1, 2009] Page 2 of 2DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA)

4.

6.No

proceeding in a California court or any other court concerning a child subject to this proceeding.

No

FL-105/GC-120

Proceeding

Proceeding

c.

d.

Local Form Adopted for Mandatory Use FAMILY LAW CASE PARTICIPANT ENROLLMENT FORM

CONFIDENTIAL FOR COURT USE ONLY

CASE PARTICIPANT

NAME: STATE BAR NO:

FIRM NAME:

ADDRESS:

CITY: STATE: ZIP CODE:

E-MAIL ADDRESS: (must be legible) TELEPHONE NO.:

ATTORNEY FOR (Name): FAX NO. (Optional):

NAME OF COURT:

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:

CLAIMANT:

FAMILY LAW CASE PARTICIPANT ENROLLMENT FORM CASE NUMBER:

You may access some Findings and Orders After Hearing for law and motion hearings, and mediation reports prepared by Family Court Services on or after January 26, 2015 using the court's online Public Case Access System. Free access is available for 72 hours from the time the order is issued or the report is prepared, or from the time the court creates your case subscription. After 72 hours, you may still access but you will be required to pay for copies of orders and reports.

INSTRUCTIONS

To setup your account you must:

I,

declare that my private email address is (must be legible):

I understand, if I change my email address I must file a new enrollment form with the court.

, request the court create an account and/or subscription to my Family Law case. I

I would like to unsubscribe from my case and have attached a copy of my driver license, state or federal issued photo identification.

I acknowledge that confidential mediation reports contain private information that is not part of the public court file. I understand that without a court order, I must not disclose any contents of the Report to anyone (including any minor children) other than the parties to my case (petitioner/respondent/claimant) and their attorneys and court professionals. I acknowledge that the court may impose a penalty for any unauthorized disclosure of any content of the Family Court Services report.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date:

(TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT)

• File this form with the court and be prepared to show your driver license or a state or federal issued photo identification card.• A separate form must be filed for each of your Family Law cases.• Once the court has created your subscription to your Family Law case, you will receive a confirming email. You must follow the

instructions in that email to complete the process.

www.saccourt.ca.govFL/E-LP-665 (Rev 2/5/18)

(Please use Ø for zero, 1 for one and clearly differentiate i, L, S, 5, 3 and 8's).

PARTY

PARTY

••

Once your subscription is completed, you will receive an email notification each time an order or report is added to your case.You must also complete and file this form, with a copy of your driver license, if you wish to unsubscribe to your Family Law case.

INFORMATION SHEET FOR PROOF OF SERVICE BY MAIL

Use these instructions to complete the Proof of Service by Mail (form FL-335).

A person at least 18 years of age or older must serve the documents. There are two ways to serve documents: (1) personal delivery and (2) by mail. See the Proof of Personal Service (form FL-330) if the documents are being personally served. The person who serves the documents must complete a proof of service form for the documents being served. You cannot serve documents if you are a party to the action.

INSTRUCTIONS FOR THE PERSON WHO SERVES THE DOCUMENTS (TYPE OR PRINT IN BLACK INK)

You must complete a proof of service for each package of documents you serve. For example, if you serve the respondent and the other parent, you must complete two proofs of service; one for the respondent and one for the other parent.

Complete the top section of the proof of service forms as follows:

documents.Second box, left side: Print the name of the county in which the legal action is filed and the court’s address in this box.

Third box, left side: Print the names of the petitioner/plaintiff, respondent/defendant, and other parent in this box. Usethe same names listed on the documents you are serving.First box, top of form, right side: Leave this box blank for the court’s use.

You cannot serve a temporary restraining order by mail. You must serve those documents by personal service.

You are stating that you are at least 18 years old and that you are not a party to this action. You are also stating thatyou either live in or are employed in the county where the mailing took place.Print your home or business address.List the name of each document that you mailed (the exact names are listed on the bottoms of the forms).

Check this box if you put the documents in the regular U.S. mail.Check this box if you put the documents in the mail at your place of employment.Print the name you put on the envelope containing the documents.Print the address you put on the envelope containing the documents.Print the date that you put the envelope containing the documents in the mail.Print the city and state you were in when you mailed the envelope containing the documents.

You are stating under penalty of perjury that the information you have provided is true and correct.Print your name, fill in the date, and sign the form.

If you need additional assistance with this form, contact the family law facilitator in your county.

INFORMATION SHEET FOR PROOF OF SERVICE BY MAILFL-335-INFO [New January 1, 2012]

Page 1 of 1

First box, left side: In this box print the name, address, and phone number of the person for whom you are serving the

Second box, right side: Print the case number in this box. This number is also stated on the documents you are serving.

2.

1.

3.a.b.

4. a.b.c.d.

6.

Check this box if you are serving an address verification form (required for service by mail of a postjudgment request to change a child custody, visitation, or child support order).

5.

Third box, right side: Print the hearing date, time, and department. Use the same information that is on the documents you are serving.

FL-335-INFO

Code of Civil Procedure, §§ 1013, 1013a www.courts.ca.gov

Use the same address for the court that is on the documents you are serving.

FL-335ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY

CASE NUMBER:

PROOF OF SERVICE BY MAIL

NOTICE: To serve temporary restraining orders you must use personal service (see form FL-330).

I am at least 18 years of age, not a party to this action, and I am a resident of or employed in the county where the mailing tookplace.

My residence or business address is:

I served a copy of the following documents (specify):

by enclosing them in an envelope ANDa. depositing the sealed envelope with the United States Postal Service with the postage fully prepaid. b.

The envelope was addressed and mailed as follows:Name of person served:

Date mailed:Place of mailing (city and state):

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date:

(TYPE OR PRINT NAME) (SIGNATURE OF PERSON COMPLETING THIS FORM)Page 1 of 1

Form Approved for Optional Use Judicial Council of California

FL-335 [Rev. January 1, 2012]PROOF OF SERVICE BY MAIL Code of Civil Procedure, §§ 1013, 1013a

1.

2.

3.

placing the envelope for collection and mailing on the date and at the place shown in item 4 following our ordinary business practices. I am readily familiar with this business’s practice for collecting and processing correspondence for mailing. On the same day that correspondence is placed for collection and mailing, it is deposited in the ordinary course of business with the United States Postal Service in a sealed envelope with postage fully prepaid.

4.

Address:b.a.

c.d.

6.

www.courts.ca.gov

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:

OTHER PARENT/PARTY:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SacramentoSTREET ADDRESS: 3341 Power Inn Road

MAILING ADDRESS: 3341 Power Inn Road

CITY AND ZIP CODE: Sacramento, CA 95826

BRANCH NAME: William R. Ridgeway Family Relations Courthouse

I served a request to modify a child custody, visitation, or child support judgment or permanent order which included an5.address verification declaration. (Declaration Regarding Address Verification—Postjudgment Request to Modify a Child Custody, Visitation, or Child Support Order (form FL-334) may be used for this purpose.)

HEARING DATE:

DEPT.:

HEARING TIME:

FAX NO. (Optional):E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

TELEPHONE NO.:

(If applicable, provide):