Domestic Partnership - Superior Court, Riverside - State of California

Riverside Superior Court(Domestic Partnership)Response to Dissolution, Legal Separation, or NullityCover SheetYour InformationName (First, Middle, Last):Street Address:City, State, Zip Code:Telephone Number (home or cellular):Your’s InformationName (First, Middle, Last):Type of CaseDivorce Legal Separation Nullity of Date-Reg. of D.P. (00/00/0000):Case No.:Minor Children of Partnership? Yes NoName (First, Middle, Last):Date of Birth (00/00/0000):Place of Birth (City/State):Age:Sex (Male/Female):Name (First, Middle, Last):Date of Birth (00/00/0000):Place of Birth (City/State):Age:Sex (Male/Female):Were any children born prior to Partnership?YesNoWhat Courthouse will you file at? (choose location closest to yourresidence):4175 Main Street, Riverside, CA 92501880 N. State St., Hemet, CA 9254346-200 Oasis St., Indio, CA 92201265 N. Broadway, Blythe, CA 922

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):FOR COURT USE ONLYFL-123TELEPHONE NO.:E-MAIL ADDRESS (Optional):ATTORNEY FOR (Name):SUPERIOR COURT OF CALIFORNIA, COUNTY OFSTREET ADDRESS:MAILING ADDRESS:CITY AND ZIP CODE:BRANCH NAME:DOMESTIC PARTNERSHIP OFPETITIONER:RESPONDENT:RESPONSEDissolution ofLegal Separation ofNullity ofFAX NO. (Optional):and REQUEST FORDomestic PartnershipDomestic PartnershipDomestic PartnershipMARRIAGE OFAMENDEDMarriageMarriageMarriageCASE NUMBER:NOTICE: Use this form to respond to Petition—Domestic Partnership/Marriage (form FL-103).1.2.3.STATISTICAL FACTSa. (1) Registration date of domestic partnership with the California Secretary of State or other state equivalent:(2) Date of separation:(3) Time from date of registration of domestic partnership to date of separation (specify): Years Monthsb. (1) Date of marriage:(2) Date of separation:(3) Time from date of marriage to date of separation (specify): Years MonthsRESIDENCE (check all that apply)a. Our domestic partnership was established in California. Neither of us has to be a resident or have a domicile in Californiato dissolve our partnership here.b. Our domestic partnership was established in a place other than California. Petitioner Respondent hasbeen a resident of the state of California for at least six months and of this county for at least three months immediatelypreceding the filing of this Petition.c. We are the same sex and are married. We are the opposite sex and are married. We are also domestic partners.Petitioner Respondent has been a resident of the state of California for at least six months and of thiscounty for at least three months immediately preceding the filing of this Petition.d. We are the same sex and were married in California but are not residents of California. Neither of us lives in a state ornation that will dissolve the marriage. This case is filed in the county in which we married.Petitioner's residence (state or nation):Respondent's residence (state or nation):DECLARATION REGARDING MINOR CHILDREN (include children of this relationship born or adopted prior to or during thisdomestic partnership or marriage)a. There are no minor children.b. The minor children areChild's nameBirthdateAgeSexc.Continued on Attachment 3b.If there are minor children of the petitioner and the respondent, a completed Declaration Under Uniform Child CustodyJurisdiction and Enforcement Act (UCCJEA) (form FL-105) must be attached.NOTICE: You may redact (black out) social security numbers from any written material filed with the court in this caseother than a form used to collect child or partner support.Form Adopted for Mandatory UseJudicial Council of CaliforniaFL-123 [Rev. January 1, 2013]RESPONSE—DOMESTIC PARTNERSHIP/MARRIAGE(Family Law)Page 1 of 2Family Code, §§ 299, 308, 2020www.courts.ca.gov

ITEMNO.ASSETS DESCRIPTIONSEP.PROPDATEACQUIREDCURRENT GROSSFAIR MARKETVALUEAMOUNT OF MONEYOWED ORENCUMBRANCE4. VEHICLES, BOATS, TRAILERS (Describe and attach copy oftitle document.)$ $5. SAVINGS ACCOUNTS (Account name, account number,bank, and branch. Attach copy of latest statement.)6. CHECKING ACCOUNTS (Account name and number, bank,and branch. Attach copy of latest statement.)7. CREDIT UNION, OTHER DEPOSIT ACCOUNTS (Accountname and number, bank, and branch. Attach copy of lateststatement.)8. CASH (Give location.)9. TAX REFUND10. LIFE INSURANCE WITH CASH SURRENDER OR LOANVALUE (Attach copy of declaration page for each policy.)FL-142 [Rev. January 1, 2005]SCHEDULE OF ASSETS AND DEBTS(Family Law)Page 2 of 4

ITEMNO.ASSETS DESCRIPTIONSEP.PROPDATEACQUIREDCURRENT GROSSFAIR MARKETVALUEAMOUNT OF MONEYOWED ORENCUMBRANCE11. STOCKS, BONDS, SECURED NOTES, MUTUAL FUNDS(Give certificate number and attach copy of the certificate orcopy of latest statement.)$ $12. RETIREMENT AND PENSIONS (Attach copy of latestsummary plan documents and latest benefit statement.)13. PROFIT - SHARING, ANNUITIES, IRAS, DEFERREDCOMPENSATION (Attach copy of latest statement.)14. ACCOUNTS RECEIVABLE AND UNSECUREDNOTES (Attach copy of each.)15. PARTNERSHIPS AND OTHER BUSINESS INTERESTS(Attach copy of most current K-1 form and Schedule C.)16. OTHER ASSETS17. TOTAL ASSETS FROM CONTINUATION SHEET18. TOTAL ASSETS$ $FL-142 [Rev. January 1, 2005]SCHEDULE OF ASSETS AND DEBTSPage 3 of 4(Family Law)

ITEMNO.DEBTS—SHOW TO WHOM OWEDSEP.PROP.TOTALOWINGDATEINCURRED19. STUDENT LOANS (Give details.)$20. TAXES (Give details.)21. SUPPORT ARREARAGES (Attach copies of orders and statements.)22. LOANS—UNSECURED (Give bank name and loan number and attach copy of lateststatement.)23. CREDIT CARDS (Give creditor's name and address and the account number. Attachcopy of latest statement.)24. OTHER DEBTS (Specify.):25. TOTAL DEBTS FROM CONTINUATION SHEET26. TOTAL DEBTS$27.(Specify number):pages are attached as continuation sheets.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)FL-142 [Rev. January 1, 2005]SCHEDULE OF ASSETS AND DEBTS(Family Law)Page 4 of 4

SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDEBLYTHE 265 N. Broadway, Blythe, CA 92225 INDIO 46-200 Oasis St., Indio, CA 92201HEMET 880 N. State St., Hemet, CA 92543 RIVERSIDE 4175 Main St., Riverside, CA 92501RI-FL011ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address)FOR COURT USE ONLYTELEPHONE NO.:FAX NO. (Optional):E-MAIL ADDRESS (Optional):ATTORNEY FOR (Name):PETITIONER:RESPONDENT:CASE NUMBER:CONFIDENTIALCONFIDENTIAL CONTACT INFORMATIONIf you would like to receive electronic self-help information about family law services from the court pleasecomplete the following:I agree to receive self-help information from the court via email. The email address I wantinformation sent to is:The court values your privacy. At no time will the court make your email address available to any third party.If you would like to stop receiving electronic self-help information from the court please complete the following:I no longer wish to receive self-help information from the court.Please Note: As a party to this action, if you appear without an attorney, you are required to inform the court of anychanges in your mailing address and phone number for so long as your case remains active in the court. If you arerepresented by an attorney, your attorney has an obligation to inform the court of any changes in his or her address andphone number for so long as he or she represents you in this case.I declare under penalty of perjury under the laws of the State of California that the information above is true and correct.Date:►(TYPE OR PRINT NAME OF ATTORNEY PARTY MAKING DECLARATION) (SIGNATURE)Approved for Optional UseRiverside Superior CourtForm RI-FL011 [Rev. 1/1/13]CONFIDENTIAL CONTACT INFORMATIONriverside.courts.ca.gov/localfrms/localfrms.shtml

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):FOR COURT USE ONLYFL-105/GC-120TELEPHONE 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:PETITIONER:RESPONDENT:OTHER PARTY:GUARDIANSHIP OF (Name):(This section applies only to family law cases.)(This section apples only to guardianship cases.)MinorCASE NUMBER:DECLARATION UNDER UNIFORM CHILD CUSTODYJURISDICTION 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 asI have indicated in item 3.3. There are (specify number):minor children who are subject to this proceeding, as follows:(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 SexPeriod of residence Address Person child lived with (name and complete current address) Relationshipto presentConfidentialChild's residence (City, State)ConfidentialPerson child lived with (name and complete current address)toChild's residence (City, State)Person child lived with (name and complete current address)toChild's residence (City, State)Person child lived with (name and complete current address)tob. Child’s name Place of birth Date of birth SexResidence information is the same as given above for child a.(If NOT the same, provide the information below.)Period of residence Address Person child lived with (name and complete current address) Relationshipto presentConfidentialChild's residence (City, State)ConfidentialPerson child lived with (name and complete current address)toChild's residence (City, State)Person child lived with (name and complete current address)toChild's residence (City, State)Person child lived with (name and complete current address)toc.d.Additional residence information for a child listed in item a or b is continued on attachment 3c.Additional children are listed on form FL-105(A)/GC-120(A). (Provide all requested information for additional children.)Form Adopted for Mandatory UseJudicial Council of CaliforniaFL-105/GC-120 [Rev. January 1, 2009]DECLARATION UNDER UNIFORM CHILD CUSTODYJURISDICTION AND ENFORCEMENT ACT (UCCJEA)Page 1 of 2Family Code, § 3400 et seq.;Probate Code, §§ 1510(f), 1512www.courtinfo.ca.govAmerican LegalNet, Inc.www.FormsWorkflow.com

SHORT TITLE:CASE NUMBER:FL-105/GC-1204.Do you have information about, or have you participated as a party or as a witness or in some other capacity in, another court caseor custody or visitation proceeding, in California or elsewhere, concerning a child subject to this proceeding?Yes No (If yes, attach a copy of the orders (if you have one) and provide the following information):ProceedingCase numberCourt(name, state, location)Court orderor judgment(date)Name of each childYourconnection tothe caseCase statusa. Familyb. Guardianshipc. OtherProceedingCase NumberCourt (name, state, location)d.Juvenile Delinquency/Juvenile Dependencye. Adoption5. One or more domestic violence restraining/protective orders are now in effect. (Attach a copy of the orders if you have oneand provide the following information):Court CountyState Case number (if known)Orders expire (date)a. Criminalb. Familyc.d. OtherJuvenile Delinquency/Juvenile Dependency6. Do you know of any person who is not a party to this proceeding who has physical custody or claims to have custody of orvisitation rights with any child in this case? Yes No (If yes, provide the following information):a. Name and address of person b. Name and address of person c. Name and address of personHas physical custodyHas physical custodyHas physical custodyClaims custody rightsClaims custody rightsClaims custody rightsClaims visitation rights Claims visitation rights Claims visitation rightsName of each child Name of each child Name of each childI 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 custodyproceeding in a California court or any other court concerning a child subject to this proceeding.FL-105/GC-120 [Rev. January 1, 2009] DECLARATION UNDER UNIFORM CHILD CUSTODYPage 2 of 2JURISDICTION AND ENFORCEMENT ACT (UCCJEA)

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):FOR COURT USE ONLYFL-150TELEPHONE NO.:E-MAIL ADDRESS (Optional):ATTORNEY FOR (Name):SUPERIOR COURT OF CALIFORNIA, COUNTY OFSTREET ADDRESS:MAILING ADDRESS:CITY AND ZIP CODE:BRANCH NAME:PETITIONER/PLAINTIFF:RESPONDENT/DEFENDANT:OTHER PARENT/CLAIMANT:INCOME AND EXPENSE DECLARATIONCASE NUMBER:1.EmploymentAttach copiesof your paystubs for lasttwo months(black outsocialsecuritynumbers).(Give information on your current job or, if you're unemployed, your most recent job.)a.b.c.d.e.f.g.h.Employer:Employer's address:Employer's phone number:Occupation:Date job started:If unemployed, date job ended:I work about hours per week.I get paid $gross (before taxes)per monthper weekper hour.(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.)2.Age and educationa.b.c.d.e.My age is (specify):I have completed high school or the equivalent: YesNumber of years of college completed (specify):Number of years of graduate school completed (specify):I have: professional/occupational license(s) (specify):vocational training (specify):No If no, highest grade completed (specify):Degree(s) obtained (specify):Degree(s) obtained (specify):3. Tax informationa. I last filed taxes for tax year (specify year):b. My tax filing status is single head of household married, filing separatelymarried, filing jointly with (specify name):c. I file state tax returns in California other (specify state):d. I claim the following number of exemptions (including myself) on my taxes (specify):4. Other party's income. I estimate the gross monthly income (before taxes) of the other party in this case at (specify): $This estimate is based on (explain):(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.) Number of pages attached: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.Date:Form Adopted for Mandatory UseJudicial Council of CaliforniaFL-150 [Rev. January 1, 2007](TYPE OR PRINT NAME)INCOME AND EXPENSE DECLARATION(SIGNATURE OF DECLARANT)Page 1 of 4Family Code, §§ 2030–2032,2100–2113, 3552, 3620–3634,4050–4076, 4300–4339www.courtinfo.ca.govAmerican LegalNet, Inc.www.FormsWorkflow.com

PETITIONER/PLAINTIFF:RESPONDENT/DEFENDANT:OTHER PARENT/CLAIMANT:CASE NUMBER:FL-150Attach 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.)5.6.7.Income (For average monthly, add up all the income you received in each category in the last 12 monthsand divide the total by 12.)Last montha. Salary or wages (gross, before taxes). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $b. Overtime (gross, before taxes) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $c. Commissions or bonuses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $d. Public assistance (for example: TANF, SSI, GA/GR) currently receiving . . . . . . . . . . . . . . . . . $e. Spousal support from this marriage from a different marriage . . . . . . . . . . . . . . . . . . $f. Partner support from this domestic partnership from a different domestic partnership $g. Pension/retirement fund payments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $h. Social security retirement (not SSI) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $i. Disability: Social security (not SSI) State disability (SDI) Private insurance . $j. Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $k. Workers' compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $l. Other (military BAQ, royalty payments, etc.) (specify): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $Investment income (Attach a schedule showing gross receipts less cash expenses for each piece of property.)a. Dividends/interest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $b. Rental property income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $c. Trust income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $d. Other (specify): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $Income from self-employment, after business expenses for all businesses. . . . . . . . . . . . . . . . . . . . . $I am the owner/sole proprietor business partner other (specify):Number of years in this business (specify):Name of business (specify):Type of business (specify):AveragemonthlyAttach 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.8.9.10.Additional income. I received one-time money (lottery winnings, inheritance, etc.) in the last 12 months (specify source andamount):Change in income. My financial situation has changed significantly over the last 12 months because (specify):DeductionsLast montha. Required union dues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $b. Required retirement payments (not social security, FICA, 401(k), or IRA). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $c. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $f. Partner support that I pay by court order from a different domestic partnership . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $g. Necessary job-related expenses not reimbursed by my employer (attach explanation labeled "Question 10g") . . . . . $11. AssetsTotala. Cash and checking accounts, savings, credit union, money market, and other deposit accounts . . . . . . . . . . . . . . . . $b. Stocks, bonds, and other assets I could easily sell . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $c. All other property, real and personal (estimate fair market value minus the debts you owe) . . . . $FL-150 [Rev. January 1, 2007]INCOME AND EXPENSE DECLARATIONPage 2 of 4

PETITIONER/PLAINTIFF:RESPONDENT/DEFENDANT:OTHER PARENT/CLAIMANT:CASE NUMBER:FL-15012.The following people live with me:NameAgeHow the person isrelated to me? (ex: son)That person's grossmonthly incomePays some of thehousehold expenses?a.Yes Nob.Yes Noc.Yes Nod.Yes Noe. Yes No13.14.15.Average monthly expensesEstimated expenses Actual expenses Proposed needsa. Home:h. Laundry and cleaning . . . . . . . . . . . . . . . . . $(1) Rent or mortgage. . . $i. Clothes . . . . . . . . . . . . . . . . . . . . . . . . . . . . $If mortgage:j. Education . . . . . . . . . . . . . . . . . . . . . . . . . . $(a) average principal: $k. Entertainment, gifts, and vacation. . . . . . . . $(b) average interest: $l. Auto expenses and transportation(2) Real property taxes . . . . . . . . . . . . . . $(insurance, gas, repairs, bus, etc.) . . . . . . . $(3) Homeowner's or renter's insurancem. Insurance (life, accident, etc.; do not(if not included above) . . . . . . . . . . . . $include auto, home, or health insurance). . . $n. Savings and investments. . . . . . . . . . . . . . .(4)$Maintenance and repair . . . . . . . . . . . $o. Charitable contributions. . . . . . . . . . . . . . . . $b. Health-care costs not paid by insurance. . . $p. Monthly payments listed in item 14c.d.Child care . . . . . . . .. . . . . . . . . . . . . . . . . . $Groceries and household supplies. . . . . . . $q.(itemize below in 14 and insert total here). .Other (specify): . . . . . . . . . . . . . . . . . . . . . .$$e.f.Eating out. . . . . . . . . . . . . . . . . . . . . . . . . . $Utilities (gas, electric, water, trash) . . . . . . $r. TOTAL EXPENSES (a–q) (do not add inthe amounts in a(1)(a) and (b))$g. Telephone, cell phone, and e-mail . . . . . . . $s. Amount of expenses paid by others $Installment payments and debts not listed abovePaid toForAmountAttorney fees (This is required if either party is requesting attorney fees.):a. To date, I have paid my attorney this amount for fees and costs (specify): $b. The source of this money was (specify):c. I still owe the following fees and costs to my attorney (specify total owed): $d. My attorney's hourly rate is (specify): $$$$$Balance$$$$$ $$ $Date of last paymentI confirm this fee arrangement.Date:FL-150 [Rev. January 1, 2007](TYPE OR PRINT NAME OF ATTORNEY)INCOME AND EXPENSE DECLARATION(SIGNATURE OF ATTORNEY)Page 3 of 4

PETITIONER/PLAINTIFF:RESPONDENT/DEFENDANT:OTHER PARENT/CLAIMANT:CASE NUMBER:FL-15016.CHILD SUPPORT INFORMATION(NOTE: Fill out this page only if your case involves child support.)Number of childrena. I have (specify number): children under the age of 18 with the other parent in this case.b. The children spend percent of their time with me and percent of their time with the other parent.(If you're not sure about percentage or it has not been agreed on, please describe your parenting schedule here.)17.Children's health-care expensesa. I do I do not have health insurance available to me for the children through my job.b.c.Name of insurance company:Address of insurance company:d.The monthly cost for the children's health insurance is or would be (specify): $(Do not include the amount your employer pays.)18.Additional expenses for the children in this casea. Child care so I can work or get job training. . . . . . . . . . . . . . . . . . . . . . . . .b. Children's health care not covered by insurance . . . . . . . . . . . . . . . . . . . .c. Travel expenses for visitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .d. Children's educational or other special needs (specify below): . . . . . . . .Amount per month$$$$19.Special hardships. I ask the court to consider the following special financial circumstances(attach documentation of any item listed here, including court orders):Amount per montha. Extraordinary health expenses not included in 18b. . . . . . . . . . . . . . . . . . $b. Major losses not covered by insurance (examples: fire, theft, otherinsured loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $c. (1) Expenses for my minor children who are from other relationships andare living with me . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $(2) Names and ages of those children (specify):For how many months?(3)Child support I receive for those children. . . . . . . . . . . . . . . . . . . . . . . $The expenses listed in a, b, and c create an extreme financial hardship because (explain):20.Other information I want the court to know concerning support in my case (specify):FL-150 [Rev. January 1, 2007]INCOME AND EXPENSE DECLARATIONPage 4 of 4

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):FL-140TELEPHONE NO.: FAX NO. :E-MAIL ADDRESS:ATTORNEY FOR (Name):SUPERIOR COURT OF CALIFORNIA, COUNTY OFSTREET ADDRESS:MAILING ADDRESS:CITY AND ZIP CODE:BRANCH NAME:PETITIONER:RESPONDENT:OTHER PARENT/PARTY:DECLARATION OF DISCLOSUREPetitioner'sPreliminaryRespondent'sFinalCASE NUMBER:DO NOT FILE DECLARATIONS OF DISCLOSURE OR FINANCIAL ATTACHMENTS WITH THE COURTIn a dissolution, legal separation, or nullity action, both a preliminary and a final declaration of disclosure must be served on the otherparty with certain exceptions. Neither disclosure is filed with the court. Instead, a declaration stating that service of disclosuredocuments was completed or waived must be filed with the court (see form FL-141).• In summary dissolution cases, each spouse or domestic partner must exchange preliminary disclosures as described in SummaryDissolution Information (form FL-810). Final disclosures are not required (see Family Code section 2109).• In a default judgment case that is not a stipulated judgment or a judgment based on a marital settlement agreement, only thepetitioner is required to complete and serve a preliminary declaration of disclosure. A final disclosure is not required of either party(see Family Code section 2110).• Service of preliminary declarations of disclosure may not be waived by an agreement between the parties.•Parties who agree to waive final declarations of disclosure must file their written agreement with the court (see form FL-144).The petitioner must serve a preliminary declaration of disclosure at the same time as the Petition or within 60 days of filing the Petition.The respondent must serve a preliminary declaration of disclosure at the same time as the Response or within 60 days of filing theResponse. The time periods may be extended by written agreement of the parties or by court order (see Family Code section 2104(f)).Attached are the following:1. A completed Schedule of Assets and Debts (form FL-142) or A Property Declaration (form FL-160) for (specify): 2. A completed Income and Expense Declaration (form FL-150).3. All tax returns filed by the party in the two years before the date that the party served the disclosure documents.4.A statement of all material facts and information regarding valuation of all assets that are community property or in which thecommunity has an interest (not a form).5.A statement of all material facts and information regarding obligations for which the community is liable (not a form).6.An accurate and complete written disclosure of any investment opportunity, business opportunity, or other income-producingopportunity presented since the date of separation that results from any investment, significant business, or other incomeproducingopportunity from the date of marriage to the date of separation (not a form).I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.Date:Form Adopted for Mandatory UseJudicial Council of CaliforniaFL-140 [Rev. July 1, 2013](TYPE OR PRINT NAME)DECLARATION OF DISCLOSURE(Family Law)SIGNATUREPage 1 of 1Family Code, §§ 2102, 2104,2105, 2106, 2112www.courts.ca.gov

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):FOR COURT USE ONLYFL-335TELEPHONE NO.:E-MAIL ADDRESS (Optional):ATTORNEY FOR (Name):FAX NO. (Optional):SUPERIOR COURT OF CALIFORNIA, COUNTY OFSTREET ADDRESS:MAILING ADDRESS:CITY AND ZIP CODE:BRANCH NAME:PETITIONER/PLAINTIFF:RESPONDENT/DEFENDANT:OTHER PARENT/PARTY:PROOF OF SERVICE BY MAILCASE NUMBER:(If applicable, provide):HEARING DATE:HEARING TIME:DEPT.:NOTICE: To serve temporary restraining orders you must use personal service (see form FL-330).1.2.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:3.I served a copy of the following documents (specify):4.by enclosing them in an envelope ANDa. depositing the sealed envelope with the United States Postal Service with the postage fully prepaid.b. placing the envelope for collection and mailing on the date and at the place shown in item 4 following our ordinarybusiness practices. I am readily familiar with this business’s practice for collecting and processing correspondence formailing. On the same day that correspondence is placed for collection and mailing, it is deposited in the ordinary course ofbusiness with the United States Postal Service in a sealed envelope with postage fully prepaid.The envelope was addressed and mailed as follows:a. Name of person served:b. Address:c.d.Date mailed:Place of mailing (city and state):5.6.I served a request to modify a child custody, visitation, or child support judgment or permanent order which included anaddress verification declaration. (Declaration Regarding Address Verification—Postjudgment Request to Modify a ChildCustody, Visitation, or Child Support Order (form FL-334) may be used for this purpose.)I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.Date:Form Approved for Optional UseJudicial Council of CaliforniaFL-335 [Rev. January 1, 2012](TYPE OR PRINT NAME)PROOF OF SERVICE BY MAIL(SIGNATURE OF PERSON COMPLETING THIS FORM)Page 1 of 1Code of Civil Procedure, §§ 1013, 1013awww.courts.ca.gov

FL-335-INFOINFORMATION SHEET FOR PROOF OF SERVICE BY MAILUse 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 beingpersonally served. The person who serves the documents must complete a proof of service form for the documentsbeing 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 respondentand 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:First box, left side: In this box print the name, address, and phone number of the person for whom you are serving thedocuments.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.Use the same address for the court that is on the documents you are serving.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.Second box, right side: Print the case number in this box. This number is also stated on the documents you are serving.Third box, right side: Print the hearing date, time, and department. Use the same information that is on the documentsyou are serving.You cannot serve a temporary restraining order by mail. You must serve those documents by personal service.1.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).2.3.a.b.4. a.b.c.d.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.5. Check this box if you are serving an address verification form (required for service by mail of a postjudgment request tochange a child custody, visitation, or child support order).6. 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.FL-335-INFO [New January 1, 2012]INFORMATION SHEET FOR PROOF OF SERVICE BY MAILPage 1 of 1Code of Civil Procedure, §§ 1013, 1013awww.courts.ca.gov

INSTRUCTIONS FOR FILING(RESPONSE)1. Fill out the Response and all other relatedforms (FL-120, FL-142, FL-140, FL-105 (ifchildren), FL-150)2. Make Copies – You need to make at least(2) copies of each form.3. Serve Copies – Have someone other thanyourself, at least 18 years of age, mail theother party 1 “copy” of all documents youcompleted. The person who mailed thedocuments must complete & sign a Proof ofService by Mail, Form FL-335.4. File – You need to file the “original”(including the Proof of Service) of eachform, along with a copy, by giving it all tothe clerk of the court (first floor). The clerkwill keep the original and give you a copyback for your records stamped, “FILED.”