SUMMONS (Family Law) CITACIÓN (Derecho familiar) · SUMMONS (Family Law) NOTICE TO RESPONDENT (Name): FOR COURT USE ONLY (SÓLO PARA USO DE LA CORTE) ... dirección y número de

American LegalNet, Inc.

FL-110

SUMMONS (Family Law)

NOTICE TO RESPONDENT (Name):FOR COURT USE ONLY

(SÓLO PARA USO DE LA CORTE)

You are being sued. Lo están demandando.

Petitioner's name is:

CASE NUMBER (NÚMERO DE CASO):

You have 30 calendar days after this Summons andPetition are served on you to file a Response (formFL-120 or FL-123) at the court and have a copyserved on the petitioner. A letter or phone call will notprotect you.

If you do not file your Response on time, the courtmay make orders affecting your marriage or domesticpartnership, your property, and custody of yourchildren. You may be ordered to pay support andattorney fees and costs. If you cannot pay the filingfee, ask the clerk for a fee waiver form.

If you want legal advice, contact a lawyer immediately.You can get information about finding lawyers at theCalifornia Courts Online Self-Help Center(www.courtinfo.ca.gov/selfhelp), at the California LegalServices Web site (www.lawhelpcalifornia.org), or bycontacting your local county bar association.

NOTICE: The restraining orders on page 2 are effective against both spouses or domestic partners until the petition is dismissed, ajudgment is entered, or the court makes further orders. These orders are enforceable anywhere in California by any lawenforcement officer who has received or seen a copy of them.

1. The name and address of the court are (El nombre y dirección de la corte son):

2. The name, address, and telephone number of the petitioner’s attorney, or the petitioner without an attorney, are:(El nombre, dirección y número de teléfono del abogado del demandante, o del demandante si no tiene abogado, son):

Date (Fecha): , Deputy (Asistente)

[SEAL] NOTICE TO THE PERSON SERVED: You are served

a. as an individual. (a usted como individuo.)on behalf of respondent who is a (en nombre de un demandado que es):b.

minor (menor de edad)

other (specify) (otro –especifique):ward or conservatee (dependiente de la corte o pupilo)

(Read the reverse for important information.) (Lea importante información al dorso.)

Form Adopted for Mandatory UseJudicial Council of CaliforniaFL-110 [Rev. July 1, 2009]

SUMMONS Family Code §§ 232, 233, 2040,7700;Code of Civil Procedure, §§ 412.20, 416.60–416.90

Government Code, § 68637(Family Law)www.courtinfo.ca.gov

(1)(2)(3)

Page 1 of 2

Clerk, by (Secretario, por)

CITACIÓN (Derecho familiar)

AVISO AL DEMANDADO (Nombre):

Nombre del demandante:

Tiene 30 días corridos después de haber recibido la entrega legalde esta Citación y Petición para presentar una Respuesta(formulario FL-120 ó FL-123) ante la corte y efectuar la entregalegal de una copia al demandante. Una carta o llamada telefónicano basta para protegerlo.

Si no presenta su Respuesta a tiempo, la corte puede dar órdenesque afecten su matrimonio o pareja de hecho, sus bienes y lacustodia de sus hijos. La corte también le puede ordenar que paguemanutención, y honorarios y costos legales. Si no puede pagar lacuota de presentación, pida al secretario un formulario de exenciónde cuotas.

Si desea obtener asesoramiento legal, póngase en contacto deinmediato con un abogado. Puede obtener información paraencontrar a un abogado en el Centro de Ayuda de las Cortes deCalifornia (www.sucorte.ca.gov), en el sitio Web de los ServiciosLegales de California (www.lawhelpcalifornia.org) o poniéndose encontacto con el colegio de abogados de su condado.

AVISO: Las órdenes de restricción que figuran en la página 2 valen para ambos cónyuges o pareja de hecho hasta que se despidala petición, se emita un fallo o la corte dé otras órdenes. Cualquier autoridad de la ley que haya recibido o visto una copia de estasórdenes puede hacerlas acatar en cualquier lugar de California.

AVISO A LA PERSONA QUE RECIBIÓ LA ENTREGA: Esta entrega se realiza

NOTE: If a judgment or support order is entered, the court may order you to pay all or part of the fees and costs that the court waivedfor yourself or for the other party. If this happens, the party ordered to pay fees shall be given notice and an opportunity to request ahearing to set aside the order to pay waived court fees.AVISO: Si se emite un fallo u orden de manutención, la corte puede ordenar que usted pague parte de, o todas las cuotas y costos dela corte previamente exentas a petición de usted o de la otra parte. Si esto ocurre, la parte ordenada a pagar estas cuotas debe recibiraviso y la oportunidad de solicitar una audiencia para anular la orden de pagar las cuotas exentas.

Jane Doe

John Doe

123 Main Street, Aliso Viejo, CA 92656(323) 962-8600

Superior Court of California, County of OrangeLamoreaux Justice Center341 The City Drive South, Orange, CA 92868

John Doe

X

SAMPLE

WARNING—IMPORTANT INFORMATIONWARNING: California law provides that, for purposes of division of property upon dissolution of a marriage or domesticpartnership or upon legal separation, property acquired by the parties during marriage or domestic partnership in jointform is presumed to be community property. If either party to this action should die before the jointly held communityproperty is divided, the language in the deed that characterizes how title is held (i.e., joint tenancy, tenants in common,or community property) will be controlling, and not the community property presumption. You should consult yourattorney if you want the community property presumption to be written into the recorded title to the property.

STANDARD FAMILY LAW RESTRAINING ORDERS

Starting immediately, you and your spouse or domestic partner are restrained from

1. Removing the minor child or children of the parties, if any, from the state without the prior written consent of the other party oran order of the court;

2. Cashing, borrowing against, canceling, transferring, disposing of, or changing the beneficiaries of any insurance or othercoverage, including life, health, automobile, and disability, held for the benefit of the parties and their minor child or children;

3. Transferring, encumbering, hypothecating, concealing, or in any way disposing of any property, real or personal, whethercommunity, quasi-community, or separate, without the written consent of the other party or an order of the court, except in theusual course of business or for the necessities of life; and

4. Creating a nonprobate transfer or modifying a nonprobate transfer in a manner that affects the disposition of property subject tothe transfer, without the written consent of the other party or an order of the court. Before revocation of a nonprobate transfer cantake effect or a right of survivorship to property can be eliminated, notice of the change must be filed and served on the otherparty.

You must notify each other of any proposed extraordinary expenditures at least five business days prior to incurring theseextraordinary expenditures and account to the court for all extraordinary expenditures made after these restraining orders areeffective. However, you may use community property, quasi-community property, or your own separate property to pay an attorneyto help you or to pay court costs.

SUMMONS(Family Law)

FL-110 [Rev. July 1, 2009] Page 2 of 2

ADVERTENCIA –INFORMACIÓN IMPORTANTEADVERTENCIA: De acuerdo a la ley de California, las propiedades adquiridas por las partes durante su matrimonioo pareja de hecho en forma conjunta se consideran propiedad comunitaria para los fines de la división de bienesque ocurre cuando se produce una disolución o separación legal del matrimonio o pareja de hecho. Si cualquiera delas partes de este caso llega a fallecer antes de que se divida la propiedad comunitaria de tenencia conjunta, eldestino de la misma quedará determinado por las cláusulas de la escritura correspondiente que describen sutenencia (por ej., tenencia conjunta, tenencia en común o propiedad comunitaria) y no por la presunción depropiedad comunitaria. Si quiere que la presunción comunitaria quede registrada en la escritura de la propiedad,debería consultar con un abogado.

ÓRDENES DE RESTRICCIÓN NORMALES DE DERECHO FAMILIAR

En forma inmediata, usted y su cónyuge o pareja de hecho tienen prohibido:

1. Llevarse del estado de California a los hijos menores de las partes, si los hubiera, sin el consentimiento previo por escrito dela otra parte o una orden de la corte;

2. Cobrar, pedir prestado, cancelar, transferir, deshacerse o cambiar el nombre de los beneficiarios de cualquier seguro u otrotipo de cobertura, tal como de vida, salud, vehículo y discapacidad, que tenga como beneficiario(s) a las partes y su(s)hijo(s) menor(es);

3. Transferir, gravar, hipotecar, ocultar o deshacerse de cualquier manera de cualquier propiedad, inmueble o personal, ya seacomunitaria, cuasicomunitaria o separada, sin el consentimiento escrito de la otra parte o una orden de la corte, con excepciónlas operaciones realizadas en el curso normal de actividades o para satisfacer las necesidades de la vida; y

4. Crear o modificar una transferencia no testamentaria de manera que afecte el destino de una propiedad sujeta a transferencia,sin el consentimiento por escrito de la otra parte o una orden de la corte. Antes de que se pueda eliminar la revocación de unatransferencia no testamentaria, se debe presentar ante la corte un aviso del cambio y hacer una entrega legal de dicho aviso ala otra parte.

Cada parte tiene que notificar a la otra sobre cualquier gasto extraordinario propuesto, por lo menos cinco días laborales antes derealizarlo, y rendir cuenta a la corte de todos los gastos extraordinarios realizados después de que estas órdenes de restricciónhayan entrado en vigencia. No obstante, puede usar propiedad comunitaria, cuasicomunitaria o suya separada para pagar a unabogado o para ayudarle a pagar los costos de la corte.

SAMPLE

John Doe123 Main StreetAliso Viejo, CA 92656

341 The City Drive South

Orange, 92868Lamoreaux Justice Center

John Doe

Jane Doe

X

X X

X

September 30, 2006March 23, 2013 56

X

(323) [email protected]

ORANGE

In Pro Per

The Auto Lease PetitionerThe Auto Loan account Petitioner

SAMPLE

XX

John Doe

X

X

X

Doe, John and Doe, Jane

The Household Furniture and AppliancesThe 2006 Harley Davidson Sportster Motorcycle

SAMPLE

Page 1 of 1 Approved for Optional Use Form # L-1120 Rev. May 5, 2010

FAMILY LAW NOTICE RE RELATED CASE Superior Court of Orange County Local Rule 701.5

www.occourts.org

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name & Address): TELEPHONE NO.: FAX NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): BAR NO.:

FOR COURT USE ONLY

SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE JUSTICE CENTER:

Central - 700 Civic Center Dr. West, Santa Ana, CA 92701-4045 Lamoreaux - 341 The City Drive, Orange, CA 92868-3205

PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT:

FAMILY LAW NOTICE RE RELATED CASE CASE NUMBER:

The parties must file this form with the Superior Court of Orange County, when a family law case is filed with the Court and when a party discovers that there is a related case. A related case means one or both parties and/or minor children of the parties are involved in other cases. Examples of related cases include another family law case, a domestic violence case, a child support collection case, a criminal case, and a juvenile case involving a minor child of one or both of the parties. Fill in the requested information: 1. I also used the name(s):

2. The other party’s name is: ;

He/She has also used the name(s):

3. Other court cases involving either party or a child of either party: (If known, please include the case numbers) Court Location/ Case Number Case Name Justice Center Person Involved

a.

b.

c.

d.

4. There are no other court cases involving either party or a child of either party.

Date:

(TYPE OR PRINT NAME OF PARTY OR ATTORNEY) (SIGNATURE OF PARTY OR ATTORNEY)

X

John Doe

Jane Doe

John Doe


(323) 962-8600

Jane Doe

Jane Eod

[email protected]

X

SAMPLE

Expedited Attachment (No Children) L-1302 (rev. 07/10) Page 1

EXPEDITED PROCESSING ATTACHMENT TO DISSOLUTION OR SEPARATION JUDGMENT (No Children)

CASE NUMBER:

I. DISCLOSURE (Family Code 2104, 2105)

The parties have fully complied with the Disclosure requirements of FC 2102, 2104 and 2105 Preliminary Declaration of Disclosures (FC 2104) Petitioner filed the Declaration of Service (FL-141) on: or

Submitted with Judgment Respondent filed the Declaration of Service (FL-141) on: ____________ or

Submitted with Judgment

Final Declaration of Disclosures (FC 2105) Petitioner filed the Declaration of Service (FL-141) on: or

Submitted with Judgment Respondent filed the Declaration of Service (FL-141) on: ____________ or

Submitted with Judgment Mutually Waived by:

use of Stipulation and Waiver of Final Declaration of Disclosure Form (FL-144) Filed on: ________________ Submitted with Judgment

use of the statutory language in a separate stipulation signed under penalty of perjury Stipulation submitted with Judgment See page _________ of Judgment II. SPOUSAL SUPPORT (FC 4336)

The parties had a marriage of 10 years or more, from the date of marriage to the date of separation, and spousal support has been addressed in the Marital Settlement Agreement/Stipulated Judgment.

The parties agree to terminate the court’s jurisdiction (ability) to award spousal support.

III. MISCELLANEOUS PROVISIONS

The Marital Settlement Agreement/Stipulated Judgment contains further orders.

All provisions are deemed incorporated into the Judgment. As to the provisions that contain a checkbox ( ), only those provisions that are checked become part of the Judgment.

WARNING: The Expedited Processing Attachment is only intended to include the minimum statutory requirements at the time of entry of judgment. It is not intended to replace the stipulated judgment or other required documents.

X

X

XX

X

X SAMPLE

Expedited Attachment (No Children) L-1302 (rev. 07/10) Page 2

If there is any express conflict between the Marital Settlement Agreement/Stipulated Judgment and this Expedited Processing Attachment, the Expedited Processing Attachment shall prevail. However, this Expedited Processing Attachment is not intended to be all inclusive. The fact that this Expedited Processing Attachment is less detailed is not a conflict. The Expedited Processing Attachment is only intended to include the minimum statutory requirements at the time of entry of judgment. It is not intended to replace the stipulated judgment or other required documents.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and agreed to by: ________________________________________ __________________________________________ Petitioner Date Respondent Date Approved as to form and content: ________________________________________ __________________________________________ Attorney for Petitioner Date Attorney for Respondent Date

SAMPLE

SAMPLE

SAMPLE

FL-130FOR COURT USE ONLY

CASE NUMBER:

APPEARANCE, STIPULATIONS, AND WAIVERS

1. Appearance by respondent (you must choose one):

a. By filing this form, I make a general appearance.

I have previously made a general appearance.b.

Page 1 of 1

APPEARANCE, STIPULATIONS, AND WAIVERS(Family Law—Uniform Parentage—Custody and Support)

Form Approved for Optional UseJudicial Council of California

FL-130 [Rev. January 1, 2011]www.courtinfo.ca.gov

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

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PETITIONER:

RESPONDENT:

2. Agreements, stipulations, and waivers (choose all that apply):

a.

The parties waive their rights to notice of trial, a statement of decision, a motion for new trial, and the right to appeal.b.

c. This matter may be decided by a commissioner sitting as a temporary judge.

None of these agreements or waivers will apply unless the court approves the stipulation for judgment or incorporatesthe written settlement agreement into the judgment.

e.

This is a parentage case, and both parties have signed an Advisement and Waiver of Rights Re: Establishment of ParentalRelationship (form FL-235) or its equivalent.

f.

TELEPHONE NO.: FAX NO. (Optional):

E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

The parties agree that this cause may be decided as an uncontested matter.

d. The parties have a written agreement that will be submitted to the court, or a stipulation for judgment will be submitted tothe court and attached to Judgment (Family Law) (form FL-180).

c. I am a member of the military services of the United States of America. I have completed and attached to this formDeclaration and Conditional Waiver of Rights Under the Servicemembers Civil Relief Act of 2003 (form FL-130(A)).

Government Code, § 70673

Date:

(SIGNATURE OF PETITIONER)(TYPE OR PRINT NAME)

Date:

(SIGNATURE OF RESPONDENT)(TYPE OR PRINT NAME)

Date:

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

Date:

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

3. Other (specify):


(323) 962-8600


Orange, 92868

ORANGE

John Doe

Jane Doe

Lamoreaux Justice Center

John Doe

Jane Doe

In Pro [email protected]

X

X

X

X

X

X

SAMPLE

X

X

X

John Doe



Orange, 92868

John Doe

Jane Doe

John Doe

Aliso Viejo, CA 92656123 Main Street

ORANGE

(323) 962-8600

X

In Pro Per

SAMPLE

X

Jane Doe

X



Orange, 92868

John Doe

Jane Doe

Jane Doe

Mission Viejo, CA 92691123 Main Street

ORANGE

(323) 962-8600

In Pro Per

SAMPLE


SUPERIOR COURT OF CALIFORNIA, COUNTY OFSTREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PETITIONER:

RESPONDENT:

DECLARATION REGARDING SERVICE OF DECLARATION CASE NUMBER:

OF DISCLOSURE AND INCOME AND EXPENSE DECLARATIONPetitioner’s PreliminaryRespondent’s Final

petitioner1. I am the attorney for respondent in this matter.

Petitioner’s2. respondent’s Preliminary Declaration of Disclosure (form FL-140) and current* Income and Expense

mailthe other party

by: personal service other (specify):on (date):

4.

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)

NOTE: File this document with the court.

Do not file a copy of the Preliminary or Final Declaration of Disclosure or anyattachments to either declaration of disclosure with this document.

Page 1 of 1

DECLARATION REGARDING SERVICE OF DECLARATION OFDISCLOSURE AND INCOME AND EXPENSE DECLARATION

(Family Law)

Family Code, §§ 2104, 2105, 2106,

2107 211


a. The parties agreed to waive final declaration of disclosure requirements under Family Code section 2105(d). The

Petitioner’s3. respondent’s Final Declaration of Disclosure (form FL-140) and current Income and ExpenseDeclaration (form FL-150) were served on attorney for the other party

other (specify):on (date):

petitioner's respondent's preliminary final declaration of disclosure





Service of

* "Current" is defined as completed within the past three months providing no facts have changed. (Cal. Rules of Court, rule 5.128.)

current income and expense declaration has been waived as follows:

The party has failed to comply with disclosure requirements and the court granted the request for voluntary waiverb.of receipt under Family Code section 2107 on (date):

waiver was filed on (date):

c. This is a default proceeding. Petitioner waives the final declaration disclosure requirements under Family Codesection 2110.

mailby: personal service

www.courts.ca.gov2107, 2112

Declaration (form FL-150) were served on attorney for



Orange, 92868

John Doe

Jane Doe

John Doe


ORANGE

(323) 962-8600

X

X

X

John Doe

X

X

X

In Pro Per

X X

X

[email protected]

SAMPLE



MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PETITIONER:

RESPONDENT:

DECLARATION REGARDING SERVICE OF DECLARATION CASE NUMBER:

OF DISCLOSURE AND INCOME AND EXPENSE DECLARATIONPetitioner’s PreliminaryRespondent’s Final

petitioner1. I am the attorney for respondent in this matter.

Petitioner’s2. respondent’s Preliminary Declaration of Disclosure (form FL-140) and current* Income and Expense

mailthe other party

by: personal service other (specify):on (date):

4.

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


NOTE: File this document with the court.

Do not file a copy of the Preliminary or Final Declaration of Disclosure or anyattachments to either declaration of disclosure with this document.

Page 1 of 1

DECLARATION REGARDING SERVICE OF DECLARATION OFDISCLOSURE AND INCOME AND EXPENSE DECLARATION

(Family Law)

Family Code, §§ 2104, 2105, 2106,

2107 211


a. The parties agreed to waive final declaration of disclosure requirements under Family Code section 2105(d). The

Petitioner’s3. respondent’s Final Declaration of Disclosure (form FL-140) and current Income and ExpenseDeclaration (form FL-150) were served on attorney for the other party

other (specify):on (date):

petitioner's respondent's preliminary final declaration of disclosure





Service of

* "Current" is defined as completed within the past three months providing no facts have changed. (Cal. Rules of Court, rule 5.128.)

current income and expense declaration has been waived as follows:

The party has failed to comply with disclosure requirements and the court granted the request for voluntary waiverb.of receipt under Family Code section 2107 on (date):

waiver was filed on (date):

c. This is a default proceeding. Petitioner waives the final declaration disclosure requirements under Family Codesection 2110.

mailby: personal service

www.courts.ca.gov2107, 2112

Declaration (form FL-150) were served on attorney for



Orange, 92868

John Doe

Jane Doe

Jane Doe


ORANGE

(323) 962-8600

X

Jane Doe

XX

X

X

X

In Pro Per

X X

X

SAMPLE

Jane Doe

John Doe

X


(323) 962-8600

ORANGE

In Pro Per

The Household Furniture and Appliances 3,500.00 0.00SAMPLE

The 2006 Harley Davidson Sportster Motorcycle 05/05/2006 4,500.00 0.00

SAMPLE

SAMPLE

John Doe

The Auto Lease P 17,385.00 10/15/2012The Auto Loan account P 18,349.48 03/06/2013

SAMPLE

Jane Doe

John Doe

X

Jane Doe123 Main StreetMission Viejo, CA 92691

(323) 962-8600

ORANGE

In Pro Per

The Household Furniture and Appliances 3,500.00 0.00SAMPLE

The 2006 Harley Davidson Sportster Motorcycle 05/05/2006 4,500.00 0.00

SAMPLE

SAMPLE

Jane Doe

The Auto Lease P 17,385.00 10/15/2012The Auto Loan account P 18,349.48 03/06/2013

SAMPLE

FOR COURT USE ONLY

CASE NUMBER:

b.

Date:

Form Approved for Optional UseJudicial Council of California

FL-144 [Rev. January 1, 2007]

FL-144ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):



E–MAIL ADDRESS (Optional):

Page 1 of 1

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PLAINTIFF/ PETITIONER:

DEFENDANT/ RESPONDENT:


STIPULATION AND WAIVER OF FINAL DECLARATION OF DISCLOSURE

STIPULATION AND WAIVER OF FINALDECLARATION OF DISCLOSURE

Under Family Code section 2105(d), the parties agree to waive the requirements of Family Code section 2105(a) concerning thefinal declaration of disclosure.

a. We have complied with Family Code section 2104, and the preliminary declarations of disclosure have been completed andexchanged.

We have completed and exchanged a current Income and Expense Declaration (form FL-150) that includes all material facts andinformation on each party's earnings, accumulations, and expenses.

c. We have fully complied with Family Law section 2102 and have fully augmented the preliminary declarations of disclosure,including disclosure of all material facts and information on

(1) the characterization of all assets and liabilities,

(2) the valuation of all assets that are community property or in which the community has an interest, and

(3) the amounts of all community debts and obligations.

d. Each of the parties enters into this waiver knowingly, intelligently, and voluntarily.

e. Each party understands that this waiver does not limit the legal disclosure obligations of the parties but rather is astatement under penalty of perjury that those obligations have been fulfilled.

f. The parties also understand that if they do not comply with these obligations, the court will set aside the judgment.

The petitioner and respondent declare under penalty of perjury under the laws of the State of California that the foregoing is true andcorrect.

(TYPE OR PRINT NAME) (SIGNATURE OF RESPONDENT)

Family Code, §§ 2102, 2104, 2105(d)www.courtinfo.ca.gov

OTHER:

(TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER)

1.

The parties agree as follows:2.

American LegalNet, Inc.www.FormsWorkflow.com


(323) [email protected] Pro Per



Jane DoeJohn Doe

ORANGE

John Doe

Jane Doe

SAMPLE


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


STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:

CASE NUMBER:INCOME AND EXPENSE DECLARATION

Date:

(SIGNATURE OF DECLARANT)

Page 1 of 4

INCOME AND EXPENSE DECLARATIONForm Adopted for Mandatory UseJudicial Council of California


FL-150

Family Code, §§ 2030–2032,2100–2113, 3552, 3620–3634,

4050–4076, 4300–4339www.courtinfo.ca.gov

Employment1.Employer:Employer's address:

Occupation:Employer's phone number:

Number of years of college completed (specify):I have completed high school or the equivalent:

Date job started:If unemployed, date job ended:

I get paid $ gross (before taxes)I work about hours per week.

(If you have more than one job, attach an 8½-by-11-inch sheet of paper and list the same information as above for your otherjobs. Write "Question 1—Other Jobs" at the top.)

Number of years of graduate school completed (specify):

Degree(s) obtained (specify):

3. Tax informationI last filed taxes for tax year (specify year):

single head of household married, filing separatelymarried, filing jointly with (specify name):

I file state tax returns in

I claim the following number of exemptions (including myself) on my taxes (specify):

This estimate is based on (explain):

I declare under penalty of perjury under the laws of the State of California that the information contained on all pages of this form andany attachments is true and correct.

OTHER PARENT/CLAIMANT:

per month per week

California

4. Other party's income. I estimate the gross monthly income (before taxes) of the other party in this case at (specify): $

(Give information on your current job or, if you're unemployed, your most recent job.)

Age and education2.

I have:

a.

c.

d.

My tax filing status is

other (specify state):

(If you need more space to answer any questions on this form, attach an 8½-by-11-inch sheet of paper and write thequestion number before your answer.)

b.

Yes Nob.c.

d.e.


My age is (specify):a.

professional/occupational license(s) (specify):vocational training (specify):

If no, highest grade completed (specify):

a.

b.

c.d.e.f.

g.h.

Attach copiesof your paystubs for lasttwo months(black outsocialsecuritynumbers).

per hour.

Number of pages attached:

(TYPE OR PRINT NAME)

TELEPHONE NO.:



John Doe


(323) 962-8600

341 The City Drive SouthORANGE


John DoeJane Doe

[email protected] Pro Per

X

ABC LLC456 Circle Ave, Aliso Viejo, CA 92656

(323) 962-8600General Contractor

August 20, 2003

3,504.5840

34X

1,628.91

X

X

2012

Jane Doe

2

X

John Doe

SAMPLE

Disability: Social security (not SSI) State disability (SDI) Private insurance .

All other property,

CASE NUMBER:PETITIONER/PLAINTIFF:



Income (For average monthly, add up all the income you received in each category in the last 12 monthsand divide the total by 12.)

Page 2 of 4INCOME AND EXPENSE DECLARATIONFL-150 [Rev. January 1, 2007]

Salary or wages (gross, before taxes). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Attach copies of your pay stubs for the last two months and proof of any other income. Take a copy of your latest federaltax return to the court hearing. (Black out your social security number on the pay stub and tax return.)

5.

a.

c.

Last month

$

$Commissions or bonuses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

My financial situation has changed significantly over the last 12 months because (specify):9.

Assets11.

a.

b.

Total$

$

$

Cash and checking accounts, savings, credit union, money market, and other deposit accounts . . . . . . . . . . . . . . . .

c.

Stocks, bonds, and other assets I could easily sell . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Averagemonthly

Change in income.

Investment income (Attach a schedule showing gross receipts less cash expenses for each piece of property.)

I received one-time money (lottery winnings, inheritance, etc.) in the last 12 months (specify source and

6.

7.

Rental property income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Other (specify): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Dividends/interest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$$

8.

$Trust income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

Additional income.

Pension/retirement fund payments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Social security retirement (not SSI) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Workers' compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Other (military BAQ, royalty payments, etc.) (specify): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g.

h.

i.

j.

k.

l.

d.

e.

$

$

Public assistance (for example: TANF, SSI, GA/GR) currently receiving . . . . . . . . . . . . . . . . .

Spousal support from this marriage from a different marriage . . . . . . . . . . . . . . . . . .

$

$

$

$

$$

$b. Overtime (gross, before taxes) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

a.

c.d.

b.

I am the owner/sole proprietor business partner other (specify):Number of years in this business (specify):

Attach a profit and loss statement for the last two years or a Schedule C from your last federal tax return. Black out yoursocial security number. If you have more than one business, provide the information above for each of your businesses.

Name of business (specify):

Type of business (specify):

Income from self-employment, after business expenses for all businesses. . . . . . . . . . . . . . . . . . . . . $

Deductions10.a.

Last month

$

$

$$

$

Required union dues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b. Required retirement payments (not social security, FICA, 401(k), or IRA). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Medical, hospital, dental, and other health insurance premiums (total monthly amount). . . . . . . . . . . . . . . . . . . . . . . .

d. Child support that I pay for children from other relationships. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e. Spousal support that I pay by court order from a different marriage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g. $Necessary job-related expenses not reimbursed by my employer (attach explanation labeled "Question 10g") . . . . .

Partner support from this domestic partnership from a different domestic partnershipf. $

$f. Partner support that I pay by court order from a different domestic partnership . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

amount):

c.

real and personal (estimate fair market value minus the debts you owe) . . . .

FL-150John DoeJane Doe

SAMPLE

CASE NUMBER:

Name AgeHow the person isrelated to me? (ex: son)

That person's grossmonthly income

Pays some of thehousehold expenses?

The following people live with me:

Average monthly expenses

Groceries and household supplies. . . . . . .

Rent or mortgage. . . $(1)

Eating out. . . . . . . . . . . . . . . . . . . . . . . . . .

If mortgage:

average principal:

Utilities (gas, electric, water, trash) . . . . . .

$

Telephone, cell phone, and e-mail . . . . . . .

average interest:

$

$

Laundry and cleaning . . . . . . . . . . . . . . . . . $

Clothes . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

Education . . . . . . . . . . . . . . . . . . . . . . . . . .

Real property taxes . . . . . . . . . . . . . . $

Entertainment, gifts, and vacation. . . . . . . . $

Homeowner's or renter's insurance(if not included above) . . . . . . . . . . . .

Auto expenses and transportation

$

$

Monthly payments listed in item 14(itemize below in 14 and insert total here). .

Maintenance and repair . . . . . . . . . . .

$

$Savings and investments. . . . . . . . . . . . . . . $

$

Other (specify): . . . . . . . . . . . . . . . . . . . . . . $Child care . . . . . . . .. . . . . . . . . . . . . . . . . . $

TOTAL EXPENSES (a–q) (do not add in$the amounts in a(1)(a) and (b))


$

$

$

$

Yes No

Yes No

Yes No

Yes No

a.

b.c.

d.

Estimated expenses Actual expenses Proposed needs

Installment payments and debts not listed above

(insurance, gas, repairs, bus, etc.) . . . . . . .

Charitable contributions. . . . . . . . . . . . . . . . $

Date of last paymentAmountForPaid to

$

$

$

$

Home:

Balance

The source of this money was (specify):I still owe the following fees and costs to my attorney (specify total owed): $

I confirm this fee arrangement.

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

Attorney fees (This is required if either party is requesting attorney fees.):

To date, I have paid my attorney this amount for fees and costs (specify): $

Insurance (life, accident, etc.; do notinclude auto, home, or health insurance). . . $

My attorney's hourly rate is (specify): $

12.

13.

14.

15.

a.

b.

c.

(2)

(3)

(4)

d.

e.

f.

g.

h.

i.

j.

k.

l.

m.

n.o.

p.

q.

r.

e. Yes No

$

$

$

$

Amount of expenses paid by others $s.

a.b.c.d.

Date:

Health-care costs not paid by insurance. . .

(a)(b)




FL-150

$ $

$ $

John DoeJane Doe

SAMPLE




CHILD SUPPORT INFORMATION

I do not have health insurance available to me for the children through my job.Children's health-care expenses

I doa.

The monthly cost for the children's health insurance is or would be (specify): $

Additional expenses for the children in this case

Children's health care not covered by insurance . . . . . . . . . . . . . . . . . . . .

Travel expenses for visitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Children's educational or other special needs (specify below): . . . . . . . .


Child care so I can work or get job training. . . . . . . . . . . . . . . . . . . . . . . . .

Name of insurance company:Address of insurance company:

I have (specify number): children under the age of 18 with the other parent in this case.The children spend percent of their time with me and percent of their time with the other parent.

(Do not include the amount your employer pays.)

Amount per month

$

Special hardships. I ask the court to consider the following special financial circumstances

Major losses not covered by insurance (examples: fire, theft, otherinsured loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Expenses for my minor children who are from other relationships andare living with me . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Extraordinary health expenses not included in 18b. . . . . . . . . . . . . . . . . .(attach documentation of any item listed here, including court orders):

$

$

$

$

$

$

Amount per month For how many months?

(NOTE: Fill out this page only if your case involves child support.)

(If you're not sure about percentage or it has not been agreed on, please describe your parenting schedule here.)

b.

a.

c.

d.

16.

17.

18.

19.

a.b.

b.c.

d.

a.

b.

c.

Names and ages of those children (specify):

The expenses listed in a, b, and c create an extreme financial hardship because (explain):

Other information I want the court to know concerning support in my case (specify):20.

Number of children

Child support I receive for those children. . . . . . . . . . . . . . . . . . . . . . . $

(1)

(3)

(2)


SAMPLE


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


STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:



CASE NUMBER:INCOME AND EXPENSE DECLARATION

Date:

(SIGNATURE OF DECLARANT)

Page 1 of 4

INCOME AND EXPENSE DECLARATIONForm Adopted for Mandatory UseJudicial Council of California


FL-150

Family Code, §§ 2030–2032,2100–2113, 3552, 3620–3634,

4050–4076, 4300–4339www.courtinfo.ca.gov

Employment1.Employer:Employer's address:

Occupation:Employer's phone number:

Number of years of college completed (specify):I have completed high school or the equivalent:

Date job started:If unemployed, date job ended:

I get paid $ gross (before taxes)I work about hours per week.

(If you have more than one job, attach an 8½-by-11-inch sheet of paper and list the same information as above for your otherjobs. Write "Question 1—Other Jobs" at the top.)

Number of years of graduate school completed (specify):


3. Tax informationI last filed taxes for tax year (specify year):

single head of household married, filing separatelymarried, filing jointly with (specify name):

I file state tax returns in

I claim the following number of exemptions (including myself) on my taxes (specify):

This estimate is based on (explain):

I declare under penalty of perjury under the laws of the State of California that the information contained on all pages of this form andany attachments is true and correct.


per month per week

California

4. Other party's income. I estimate the gross monthly income (before taxes) of the other party in this case at (specify): $

(Give information on your current job or, if you're unemployed, your most recent job.)

Age and education2.

I have:

a.

c.

d.

My tax filing status is

other (specify state):

(If you need more space to answer any questions on this form, attach an 8½-by-11-inch sheet of paper and write thequestion number before your answer.)

b.

Yes Nob.c.

d.e.


My age is (specify):a.

professional/occupational license(s) (specify):vocational training (specify):

If no, highest grade completed (specify):

a.

b.

c.d.e.f.

g.h.

Attach copiesof your paystubs for lasttwo months(black outsocialsecuritynumbers).

per hour.

Number of pages attached:

(TYPE OR PRINT NAME)

TELEPHONE NO.:



Jane Doe


(323) 962-8600

341 The City Drive SouthORANGE


John DoeJane Doe

In Pro Per

X

XYZ , LLC.321 Elm Street, Irvine, CA 92618

(323) 962-8600Kindergarten Teacher

January 8, 2007

1,628.9140

33X

3,504.58

X

X

2012

John Doe

0

X

Jane Doe

SAMPLE

Disability: Social security (not SSI) State disability (SDI) Private insurance .

All other property,




Income (For average monthly, add up all the income you received in each category in the last 12 monthsand divide the total by 12.)


Salary or wages (gross, before taxes). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Attach copies of your pay stubs for the last two months and proof of any other income. Take a copy of your latest federaltax return to the court hearing. (Black out your social security number on the pay stub and tax return.)

5.

a.

c.

Last month

$

$Commissions or bonuses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

My financial situation has changed significantly over the last 12 months because (specify):9.

Assets11.

a.

b.

Total$

$

$

Cash and checking accounts, savings, credit union, money market, and other deposit accounts . . . . . . . . . . . . . . . .

c.

Stocks, bonds, and other assets I could easily sell . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Averagemonthly

Change in income.

Investment income (Attach a schedule showing gross receipts less cash expenses for each piece of property.)

I received one-time money (lottery winnings, inheritance, etc.) in the last 12 months (specify source and

6.

7.

Rental property income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Other (specify): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Dividends/interest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$$

8.

$Trust income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

Additional income.

Pension/retirement fund payments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Social security retirement (not SSI) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Workers' compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Other (military BAQ, royalty payments, etc.) (specify): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g.

h.

i.

j.

k.

l.

d.

e.

$

$

Public assistance (for example: TANF, SSI, GA/GR) currently receiving . . . . . . . . . . . . . . . . .

Spousal support from this marriage from a different marriage . . . . . . . . . . . . . . . . . .

$

$

$

$

$$

$b. Overtime (gross, before taxes) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

a.

c.d.

b.

I am the owner/sole proprietor business partner other (specify):Number of years in this business (specify):

Attach a profit and loss statement for the last two years or a Schedule C from your last federal tax return. Black out yoursocial security number. If you have more than one business, provide the information above for each of your businesses.

Name of business (specify):

Type of business (specify):

Income from self-employment, after business expenses for all businesses. . . . . . . . . . . . . . . . . . . . . $

Deductions10.a.

Last month

$

$

$$

$

Required union dues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b. Required retirement payments (not social security, FICA, 401(k), or IRA). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Medical, hospital, dental, and other health insurance premiums (total monthly amount). . . . . . . . . . . . . . . . . . . . . . . .

d. Child support that I pay for children from other relationships. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e. Spousal support that I pay by court order from a different marriage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g. $Necessary job-related expenses not reimbursed by my employer (attach explanation labeled "Question 10g") . . . . .

Partner support from this domestic partnership from a different domestic partnershipf. $

$f. Partner support that I pay by court order from a different domestic partnership . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

amount):

c.

real and personal (estimate fair market value minus the debts you owe) . . . .


SAMPLE

CASE NUMBER:

Name AgeHow the person isrelated to me? (ex: son)

That person's grossmonthly income

Pays some of thehousehold expenses?

The following people live with me:

Average monthly expenses

Groceries and household supplies. . . . . . .

Rent or mortgage. . . $(1)

Eating out. . . . . . . . . . . . . . . . . . . . . . . . . .

If mortgage:

average principal:

Utilities (gas, electric, water, trash) . . . . . .

$

Telephone, cell phone, and e-mail . . . . . . .

average interest:

$

$

Laundry and cleaning . . . . . . . . . . . . . . . . . $

Clothes . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

Education . . . . . . . . . . . . . . . . . . . . . . . . . .

Real property taxes . . . . . . . . . . . . . . $

Entertainment, gifts, and vacation. . . . . . . . $

Homeowner's or renter's insurance(if not included above) . . . . . . . . . . . .

Auto expenses and transportation

$

$

Monthly payments listed in item 14(itemize below in 14 and insert total here). .

Maintenance and repair . . . . . . . . . . .

$

$Savings and investments. . . . . . . . . . . . . . . $

$

Other (specify): . . . . . . . . . . . . . . . . . . . . . . $Child care . . . . . . . .. . . . . . . . . . . . . . . . . . $

TOTAL EXPENSES (a–q) (do not add in$the amounts in a(1)(a) and (b))


$

$

$

$

Yes No

Yes No

Yes No

Yes No

a.

b.c.

d.

Estimated expenses Actual expenses Proposed needs

Installment payments and debts not listed above

(insurance, gas, repairs, bus, etc.) . . . . . . .

Charitable contributions. . . . . . . . . . . . . . . . $

Date of last paymentAmountForPaid to

$

$

$

$

Home:

Balance

The source of this money was (specify):I still owe the following fees and costs to my attorney (specify total owed): $

I confirm this fee arrangement.

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

Attorney fees (This is required if either party is requesting attorney fees.):

To date, I have paid my attorney this amount for fees and costs (specify): $

Insurance (life, accident, etc.; do notinclude auto, home, or health insurance). . . $

My attorney's hourly rate is (specify): $

12.

13.

14.

15.

a.

b.

c.

(2)

(3)

(4)

d.

e.

f.

g.

h.

i.

j.

k.

l.

m.

n.o.

p.

q.

r.

e. Yes No

$

$

$

$

Amount of expenses paid by others $s.

a.b.c.d.

Date:

Health-care costs not paid by insurance. . .

(a)(b)




FL-150

$ $

$ $

John DoeJane Doe

SAMPLE




CHILD SUPPORT INFORMATION

I do not have health insurance available to me for the children through my job.Children's health-care expenses

I doa.

The monthly cost for the children's health insurance is or would be (specify): $

Additional expenses for the children in this case

Children's health care not covered by insurance . . . . . . . . . . . . . . . . . . . .

Travel expenses for visitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Children's educational or other special needs (specify below): . . . . . . . .


Child care so I can work or get job training. . . . . . . . . . . . . . . . . . . . . . . . .

Name of insurance company:Address of insurance company:

I have (specify number): children under the age of 18 with the other parent in this case.The children spend percent of their time with me and percent of their time with the other parent.

(Do not include the amount your employer pays.)

Amount per month

$

Special hardships. I ask the court to consider the following special financial circumstances

Major losses not covered by insurance (examples: fire, theft, otherinsured loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Expenses for my minor children who are from other relationships andare living with me . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Extraordinary health expenses not included in 18b. . . . . . . . . . . . . . . . . .(attach documentation of any item listed here, including court orders):

$

$

$

$

$

$

Amount per month For how many months?

(NOTE: Fill out this page only if your case involves child support.)

(If you're not sure about percentage or it has not been agreed on, please describe your parenting schedule here.)

b.

a.

c.

d.

16.

17.

18.

19.

a.b.

b.c.

d.

a.

b.

c.

Names and ages of those children (specify):

The expenses listed in a, b, and c create an extreme financial hardship because (explain):

Other information I want the court to know concerning support in my case (specify):20.

Number of children

Child support I receive for those children. . . . . . . . . . . . . . . . . . . . . . . $

(1)

(3)

(2)


SAMPLE


FL-160FOR COURT USE ONLYATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):


MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PETITIONER:

RESPONDENT:

PETITIONER'S RESPONDENT'S CASE NUMBER:

COMMUNITY AND QUASI-COMMUNITY PROPERTY DECLARATIONSEPARATE PROPERTY DECLARATION

INSTRUCTIONS

When this form is attached to the Petition or Response, values and your proposal regarding division need not be completed. Do not listcommunity, including quasi-community, property with separate property on the same form. Quasi-community property must be soidentified. For additional space, use Continuation of Property Declaration (form FL-161).

GROSS FAIRMARKETVALUE

AMOUNT OFDEBT

NET FAIRMARKETVALUE

PROPOSAL FOR DIVISIONITEMNO. BRIEF DESCRIPTION Award to:

PETITIONER RESPONDENT

$ $ $ $ $1. REAL ESTATE

2. HOUSEHOLD FURNITURE,FURNISHINGS, APPLIANCES

3. JEWELRY, ANTIQUES, ART,COIN COLLECTIONS, etc.

4. VEHICLES, BOATS,TRAILERS

Page 1 of 2Family Code, §§ 115, 2500–2660

www.courtinfo.ca.govForm Adopted for Mandatory Use

Judicial Council of CaliforniaFL-160 [Rev. January 1, 2007]

PROPERTY DECLARATION(Family Law)

TELEPHONE NO.:


FAX NO. (Optional):


Orange, 92868

John Doe


Jane Doe




ORANGEIn Pro Per

XX

The 2006 Harley Davidson Sportster Motorcycle 4,500.00 0.00 4,500.00 4,500.00 0.00

The Household Furniture and Appliances 3,500.00 0.00 3,500.00 0.00 3,500.00

SAMPLE

15. A Continuation of Property Declaration (form FL-161) is attached and incorporated by reference.

I declare under penalty of perjury under the laws of the State of California that, to the best of my knowledge, the foregoing isa true and correct listing of assets and obligations and the amounts shown are correct.

Date:


FL-160 [Rev. January 1, 2007] Page 2 of 2PROPERTY DECLARATION(Family Law)

$ $ $ $ $

6. LIFE INSURANCE (CASHVALUE)

7. EQUIPMENT, MACHINERY,LIVESTOCK

8. STOCKS, BONDS, SECUREDNOTES

9. RETIREMENT, PENSION,PROFIT-SHARING,ANNUITIES

10. ACCOUNTS RECEIVABLE,UNSECURED NOTES,TAX REFUNDS

11. PARTNERSHIPS, OTHERBUSINESS INTERESTS

12. OTHER ASSETS AND DEBTS

13. TOTAL FROMCONTINUATION SHEET

14. TOTALS

5. SAVINGS, CHECKING,CREDIT UNION,CASH


AMOUNT OFDEBT

NET FAIRMARKETVALUE



FL-160

John Doe

SAMPLE


FL-160FOR COURT USE ONLYATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):


MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PETITIONER:

RESPONDENT:

PETITIONER'S RESPONDENT'S CASE NUMBER:

COMMUNITY AND QUASI-COMMUNITY PROPERTY DECLARATIONSEPARATE PROPERTY DECLARATION

INSTRUCTIONS

When this form is attached to the Petition or Response, values and your proposal regarding division need not be completed. Do not listcommunity, including quasi-community, property with separate property on the same form. Quasi-community property must be soidentified. For additional space, use Continuation of Property Declaration (form FL-161).


AMOUNT OFDEBT

NET FAIRMARKETVALUE



$ $ $ $ $1. REAL ESTATE

2. HOUSEHOLD FURNITURE,FURNISHINGS, APPLIANCES

3. JEWELRY, ANTIQUES, ART,COIN COLLECTIONS, etc.

4. VEHICLES, BOATS,TRAILERS

Page 1 of 2Family Code, §§ 115, 2500–2660

www.courtinfo.ca.govForm Adopted for Mandatory Use

Judicial Council of CaliforniaFL-160 [Rev. January 1, 2007]

PROPERTY DECLARATION(Family Law)

TELEPHONE NO.:


FAX NO. (Optional):


Orange, 92868

John Doe


Jane Doe


Jane Doe123 Main StreetMission Viejo, CA 92691

(323) 962-8600

ORANGEIn Pro Per

XX

The 2006 Harley Davidson Sportster Motorcycle 4,500.00 0.00 4,500.00 4,500.00 0.00

The Household Furniture and Appliances 3,500.00 0.00 3,500.00 0.00 3,500.00

SAMPLE

15. A Continuation of Property Declaration (form FL-161) is attached and incorporated by reference.

I declare under penalty of perjury under the laws of the State of California that, to the best of my knowledge, the foregoing isa true and correct listing of assets and obligations and the amounts shown are correct.

Date:


FL-160 [Rev. January 1, 2007] Page 2 of 2PROPERTY DECLARATION(Family Law)

$ $ $ $ $

6. LIFE INSURANCE (CASHVALUE)

7. EQUIPMENT, MACHINERY,LIVESTOCK

8. STOCKS, BONDS, SECUREDNOTES

9. RETIREMENT, PENSION,PROFIT-SHARING,ANNUITIES

10. ACCOUNTS RECEIVABLE,UNSECURED NOTES,TAX REFUNDS

11. PARTNERSHIPS, OTHERBUSINESS INTERESTS

12. OTHER ASSETS AND DEBTS

13. TOTAL FROMCONTINUATION SHEET

14. TOTALS

5. SAVINGS, CHECKING,CREDIT UNION,CASH


AMOUNT OFDEBT

NET FAIRMARKETVALUE



FL-160

Jane Doe

SAMPLE

X

X

X

X

X

X


John Doe

Jane Doe

ORANGE



Lamoreaux Justice CenterOrange, 92868

SAMPLE

John Doe

Jane Doe

X

SAMPLE


(323) 962-8600

ORANGE



John Doe

Jane Doe

Jane Doe

[email protected]

Jane Doe

In Pro Per

X

SAMPLE


John Doe

Jane Doe



Jane Doe

(323) 962-8600

In Pro [email protected]

ORANGE

SAMPLE


ORANGE

X

In Pro Per


Lamoreaux Justice CenterOrange, 92868

John Doe

Jane Doe


X

X

X

SAMPLE

John Doe

Jane Doe

X

X

SAMPLE

John Doe

Jane Doe

John Doe

X

SAMPLE





X

John Doe

Jane Doe

X

X

X

X

X Jane Eod

ORANGE

SAMPLE

Doe, John and Doe, Jane

X

X

11

X

X

SAMPLE


(323) 962-8600

ORANGE



John Doe

Jane Doe

X

John Doe123 Main Street

Aliso Viejo, CA 92656

Jane Doe123 Main Street

Mission Viejo, CA 92691

[email protected] Pro Per

SAMPLE

MARRIAGE OF: CASE NUMBER Doe, John and Doe, Jane

Husband Initials: Wife Initials:

MARITAL SETTLEMENT AGREEMENT Page 1 of 7

MARITAL SETTLEMENT AGREEMENT

THIS AGREEMENT is made on ____________________ by John Doe (Petitioner) and Jane Doe (Respondent). This agreement shall become effective on the date it is approved by the court in the pending dissolution proceeding; or on the date final judgment is entered.

Purpose. The purpose of this agreement is to settle the parties' rights and obligations as to child custody, child support, property, debts, and spousal support.

RECITALS

This agreement is made in light of the facts stated below.

1. Marriage. The parties were married to each other on September 30, 2006, and ever since have been, and now are, Husband and Wife.

2. Separation. Irreconcilable differences have arisen between the parties, which have led to the irremediable breakdown of their marriage. The parties agree that no further waiting period, marriage counseling, or conciliation efforts would save the marriage, and the parties have filed for dissolution of their marriage.

3. Legal Proceedings. An action for dissolution of marriage has been filed by Petitioner and is now pending in the Superior Court of the State of California, County of Orange, Case No: ____________________.

4. Children of the Marriage. No children have been born of this marriage. No children have been adopted by these parties, and Respondent is not now pregnant.

5. Employment. Respondent is presently employed by XYZ, LLC., and her gross monthly earnings are $1,628.91. Petitioner is presently employed by ABC LLC, and his gross monthly earnings are $3,504.58.

6. Voluntariness. The parties acknowledge that they enter into this agreement voluntarily, free from duress, fraud, undue influence, coercion, or misrepresentation of any kind.

7. Waiver. The parties waive their rights to notice of trial, findings of fact and conclusions of law, motion for new trial, and the right to appeal.

Petitioner and Respondent each agree that this matter may be granted by declaration under Fam. Code § 2336. Neither desires to be heard in Court.

Petitioner and Respondent further agree that this matter may proceed as an uncontested matter and may be submitted before a Pro Tem Judge.

The parties agree as follows:

SAMPLE




WARRANTIES

8. Warranty of Values of Property. The parties intend the transfers of property in this agreement to be consistent with their agreement. Respondent and Petitioner each agree that they have had sufficient opportunity to investigate the values of the property and that each warrants to the other that each has no knowledge of any fact which would affect the distribution of any property listed in this agreement.

9. Transfers for Adequate Consideration. Each party promises that he or she has not gifted or transferred any community property without the other's knowledge and consent. Each party signs this agreement relying on these representations.

DIVISION OF PROPERTY

10. Petitioner's Share of Community Property. Petitioner is awarded as his sole and separate property, and Respondent shall have no further rights or responsibilities regarding the following property:

A. The 2006 Harley Davidson Sportster Motorcycle, estimated value 4,500.00; B. Any and all personal property, tangible and intangible, in his possession.

11. Confirmation of Petitioner's Separate Property. Respondent hereby confirms that the

following property owned by Petitioner prior to this marriage or received by Petitioner by gift of inheritance during the marriage shall remain the sole and separate property of Petitioner:

A. Various items of personal property and personal effects.

12. Respondent's Share of Community Property. Respondent is awarded as her sole and separate property, and Petitioner shall have no further rights or responsibilities regarding the following property:

A. The Household Furniture and Appliances, estimated value $3,500.00; B. Any and all personal property, tangible and intangible, in her possession.

13. Confirmation of Respondent's Separate Property. Petitioner hereby confirms that the

following property owned by Respondent prior to this marriage or received by Respondent by gift of inheritance during the marriage shall remain the sole and separate property of Respondent:

A. Various items of personal property and personal effects.

The division shall be effected when necessary by a transfer of title. All property is transferred subject to any debt attached to it.

SAMPLE




REAL PROPERTY

14. Community Real Property.

A. The parties agree that they do not jointly own any real property. 15. Separate Real Property.

A. The parties agree that neither owns any separate real property.

OBLIGATIONS TO THIRD PARTIES & DIVISION OF DEBTS

16. The parties agree not to incur any further debts or obligations for which the other may be liable. The parties agree that any debt incurred by either after the effective date of this agreement shall be the sole responsibility of that party, and each agrees to hold the other harmless against any such debt and agrees to indemnify the other against any liability in connection with it, including court costs and attorney's fees. The Court shall retain jurisdiction over this issue.

17. Distribution of Debt to Petitioner. The Petitioner shall be solely responsible for and shall hold the Respondent harmless from the following debts:

A. The Auto Lease , estimated amount owed $17,385.00; B. The Auto Loan account , estimated amount owed $18,349.48; C. Any and all debts held in his name alone.

If a creditor makes an attempt to obtain satisfaction from the Respondent for any obligation

listed above, the Petitioner shall defend and fully indemnify the Respondent with regard to such attempt. 18. Distribution of Debt to Respondent. The Respondent shall be solely responsible for and shall

hold the Petitioner harmless from the following debts:

A. Any and all debts held in her name alone.

If a creditor makes an attempt to obtain satisfaction from the Petitioner for any obligation listed above, the Respondent shall defend and fully indemnify the Petitioner with regard to such attempt.

WAIVER

19. Waiver of Rights and Respective Estates: Respondent and Petitioner agree that each party waives all right, title, claim, lien or interest in the other's separate property, separate property income, and separate property estate, including the following:

1. All community property, quasi-community property, and quasi-marital property rights. 2. The right to probate family allowance.

SAMPLE




3. The right to probate homestead. 4. The right or claims of dower, curtesy, or any statutory substitute now or hereafter

provided under the laws of the State of California. The court shall retain jurisdiction over this issue indefinitely.

5. The right to inherit separate property from the other by intestate succession. 6. The right to receive separate property which would pass from the decedent party by

testamentary disposition in a Will executed before this agreement. 7. The right of election to take against the Will of the other. 8. The right to take the statutory share of an omitted spouse. 9. The right to be appointed as administrator of the deceased party's estate, or as executor of

the deceased party's Will, unless appointed pursuant to a Will executed after the date of this agreement.

10. The right to have exempt property set aside in probate. 11. Any right created under federal law, including without limitation, the Retirement Equity

Act of 1984. 12. Any right, title, claim or interest in or to the separate property, separate income or

separate estate of the other by reason of the parties’ marriage.

20. Confirmation of Personal Belongings. Certain items of personal wearing apparel, jewelry, furniture, furnishings, and other miscellaneous items have previously been divided between the parties, and the parties agree that the distribution was an equitable division of such property and each confirms to the other all such property now in that party's possession.

SPOUSAL SUPPORT

21. Spousal Support. The parties terminate their right to receive spousal support now or at anytime in the future. This termination shall not be modifiable by the parties or the court for any reason whatsoever. By executing this agreement, the parties agree and acknowledge that they understand that by terminating their ability to receive spousal support, they will be forever barred from seeking spousal support at any time in the future regardless of the circumstances.

NAME CHANGE

22. Name Change. The Respondent desires to be restored to her maiden name, Jane Eod.

MISCELLANEOUS

23. Miscellaneous. The parties agree that the Petitioner’s to make the following payments on behalf of the Respondent for a maximum of three (3) years from the date of separation. Rent, Auto Lease Installments, Cell Phone Bill, Car Insurance, and Toll Road Expenses. The both parties’ do not wish to have the courts involvement with debts and or assets as both parties have come to an agreement and will handle this on their own.

SAMPLE




GENERAL PROVISIONS

24. Freedom From Interference. Each party may lawfully continue to live apart from the other as though he or she were unmarried and free from the other's direct and indirect control. Each party may engage in any employment or business of his/her choosing, entirely free of the other party's interference.

25. Freedom From Harassment. Each party agrees not to annoy, harass, embarrass, or interfere with the other in any way and agrees not to interfere with property that the other now owns or will later acquire.

26. Further Acts to Implement Agreement. On the demand of the other party, each party will promptly execute any document or perform any other act reasonably necessary to implement the terms of this agreement. A party who fails to comply with this provision will pay all attorneys’ fees and other expenses resulting from noncompliance.

27. Release of All Claims. Except as provided in this agreement, each party releases the other from all claims, liabilities, debts, obligations, actions, and causes of action that have been or will be asserted or incurred. This release does not apply to any obligation incurred under this agreement, under any document executed pursuant to the agreement, or under any order issued incident to the agreement. The release is binding on each party's heirs, executors, administrators, and assigns.

28. Effect of Reconciliation. Any reconciliation between the parties after they execute this agreement will have no effect on the agreement unless the parties modify or cancel it in writing, signed by both parties.

29. Breach. If any provision of this agreement is breached, the non-breaching party has a right to remedy the breach. If the breach involves an amount of money that is due, the non-breaching party has the right to collect the money as well as legal interest on it. Should an action for breach be brought and proved, the breaching party will pay all reasonable attorneys’ fees and other expenses that the non-breaching party has incurred in bringing the action. Either party's failure to insist upon the strict performance of any provision of this agreement will not be construed as a waiver of the provision, which will continue in full force. No breach or claimed breach will impair any rights or obligations that the parties have under the agreement.

30. Governing Law. This agreement shall be interpreted according to the laws of the State of California.

31. Parties and Persons Bound. This agreement shall bind the parties to the agreement and their respective heirs, assigns, representatives, executors and administrators and any other successors in interest.

32. Costs of Enforcement. If either party were required to bring any action to enforce this agreement or any court order made after merger of any provision of this agreement in the judgment, the prevailing party shall be entitled to recover costs and reasonable attorney fees.

SAMPLE




33. Execution of Instruments. The parties agree that each will execute and deliver to the other

upon request any legal instrument or title document which may be necessary to carry out this agreement including, but not limited to, the division of property or confirmation of property set forth in this agreement.

34. Execution Formalities. The parties agree that upon their signing of this agreement, their signatures shall be acknowledged by a notary public. This agreement, or final judgment of dissolution into which this agreement has been merged, may be recorded at any time by either party in any place.

35. Modification, Revocation or Termination. This agreement may be amended or revoked only by a writing expressly referring to this agreement and signed by both Respondent and Petitioner. Each of the parties waives the right to claim in the future that this agreement was modified, canceled, or superseded by oral agreement or conduct.

36. Invalidity; Severability. If any provision or condition of this agreement is held by a court as invalid, void or unenforceable, the remainder of the provisions shall remain in full force and effect.

37. Entire Agreement. The parties intend this agreement to be a final and complete settlement of all of their rights and obligations arising out of their marriage.

38. Merger of Agreement. If either party obtains a judgment of dissolution of marriage, this agreement shall be incorporated into the judgment and be a part of it, or otherwise filed with court pursuant to local court procedure. The parties shall ask the court to approve the agreement as fair and to order each of them to comply with all of its provisions. Date: __________________________________ John Doe, Petitioner Date: __________________________________ Jane Doe, Respondent SAMPLE




State of California ) County of ) s.s. On ______________________ before me, _________________________________, personally appeared John Doe who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.

Signature __________________________________ (Seal) State of California ) County of ) s.s. On ______________________ before me, _________________________________, personally appeared Jane Doe who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.

Signature _________________________________ (Seal) SAMPLE

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SAMPLE

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SUMMONS (Family Law) CITACIÓN (Derecho familiar) · SUMMONS (Family Law) NOTICE TO RESPONDENT (Name): FOR COURT USE ONLY (SÓLO PARA USO DE LA CORTE) ... dirección y número de