COURT
COUNTY
OF
......................................................
:
Index No.
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
:
:
Plaintiff(s)
TELEPHONE NO.:
FAX NO. (Optional):
-against-
E-MAIL ADDRESS (Optional):
:
Self Represented Litigant
SUPERIOR COURT OF CALIFORNIA, COUNTY OF San Bernardino
ATTORNEY FOR (Name):
STREET ADDRESS:
MAILING ADDRESS:
FL-120
FOR COURT USE ONLY
Calendar To
No.keep other people from
seeing what you entered on
your form,
please press the
JUDICIAL
SUBPOENA
Clear This Form button at the
end of the form when finished.
:
Same
:
CITY AND ZIP CODE:
BRANCH NAME:
MARRIAGE
. . . . . OF
...
Defendant(s)
:
..............................................
PETITIONER:
RESPONDENT:
RESPONSE
THE PEOPLE OF and
THEREQUEST
STATE OFFOR
NEW YORK
TO
Dissolution of Marriage
Legal Separation
Nullity of Marriage
1. RESIDENCE (Dissolution only)
CASE NUMBER:
AMENDED
Petitioner
Respondent
has been a resident of this state for at least six months and
of this county for at least three months immediately preceding the filing of the Petition for Dissolution of Marriage.
GREETINGS:
2. STATISTICAL FACTS
WE COMMAND
a. Date of marriage:
the
Honorable
b. Date of separation:
YOU, that all business
being
laid aside,
youofand
each of(specify):
you attend before
c. and
Timeexcuses
from date
of marriage
to date
separation
,
at
the
Court
Years:
Months:
located at
County of
in room
, on the
day of
, 20 of, this
at relationship
o'clock
inprior
the to or during
noon, the
andmarriage
at any recessed
3. DECLARATION
REGARDING
MINOR CHILDREN
(include children
born
or
or adjourned
to testify and give evidence as a witness in this action on the part of the
adopted
during thedate,
marriage):
a.
b.
✔
There are no minor children.
The minor children are:
Child's name
Birthdate
Age
Sex
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
, one of the Justices of the
Continued on Attachment 3b.
day
20
c. IfCourt
there in
are minor childrenCounty,
of the Petitioner
andofRespondent, a ,completed
Declaration Under Uniform Child Custody Jurisdiction
and Enforcement Act (UCCJEA) (form FL-105) must be attached.
d.
A completed voluntary declaration of paternity regarding minor children born to the Petitioner and Respondent prior
to the marriage is attached.
(Attorney must sign above and type name below)
4. SEPARATE PROPERTY
Respondent requests that the assets and debts listed
below
be confirmed as separate property.
Item
in Property Declaration (form FL-160)
in Attachment 4
Attorney(s)
for to
Confirm
Office and P.O. Address
NOTICE: You may redact (black out) social security numbers from any written material filed with the court in this case
other than a form used to collect child or spousal support.
Telephone No.:
Form Adopted for Mandatory Use
Judicial Council of California
FL-120 [Rev. January 1, 2005]
Facsimile No.:
E-Mail Address:
RESPONSE—MARRIAGE
Mobile Tel. No.:
(Family Law)
Page l of 2
Family Code, § 2020
www.courtinfo.ca.gov.
American LegalNet, Inc.
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MARRIAGE OF (last name, first name of parties):
CASE NUMBER:
5. DECLARATION REGARDING COMMUNITY AND QUASI-COMMUNITY ASSETS AND DEBTS AS CURRENTLY KNOWN
a.
There are no such assets or debts subject to disposition by the court in this proceeding.
All such assets and debts are listed
in Property Declaration (form FL-160)
in Attachment 5b.
b.
below (specify):
6.
Respondent contends that the parties were never legally married.
7.
Respondent denies the grounds set forth in item 6 of the petition.
8. Respondent requests
a. ✔ dissolution of the marriage based on
d.
✔
(1)
irreconcilable differences. (Fam. Code, § 2310(a).)
(2)
incurable insanity. (Fam. Code, § 2310(b).)
legal separation of the parties based on
b.
(1)
irreconcilable differences. (Fam. Code, § 2310(a).)
(2)
incurable insanity. (Fam. Code, § 2310(b).)
nullity of void marriage based on
c.
(1)
incestuous marriage. (Fam. Code, § 2200.)
(2)
bigamous marriage. (Fam. Code, § 2201.)
nullity of voidable marriage based on
respondent's age at time of marriage.
(1)
(Fam. Code, § 2210(a).)
(2)
prior existing marriage.
(Fam. Code, § 2210(b).)
(3)
unsound mind. (Fam. Code, § 2210(c).)
fraud. (Fam. Code, § 2210(d).)
(4)
(5)
force. (Fam. Code, § 2210(e).)
physical incapacity. (Fam. Code, § 2210(f).)
(6)
9. Respondent requests that the court grant the above relief and make injunctive (including restraining) and other orders as follows:
Petitioner Respondent Joint Other
a. Legal custody of children to .........................................................................................
b. Physical custody of children to ......................................................................................
c. Child visitation be granted to .........................................................................................
As requested in form: ✔ FL-311
FL-312
FL-341(C)
FL-341(D)
FL-341(E)
Attachment 9c.
d.
Determination of parentage of any children born to the Petitioner and Respondent prior to the marriage.
e. Attorney fees and costs payable by ...............................................................................
f. Spousal support payable to (wage assignment will be issued) .......................................
Terminate the court's jurisdiction (ability) to award spousal support to Petitioner.
g.
h.
i.
j.
Property rights be determined.
Respondent's former name be restored to (specify):
Other (specify):
Continued on Attachment 9j.
10. Child support– If there are minor children born to or adopted by the Petitioner and Respondent before or during this marriage, the
court will make orders for the support of the children upon request and submission of financial forms by the requesting party. An
earnings assignment may be issued without further notice. Any party required to pay support must pay interest on overdue
amounts at the "legal" rate, which is currently 10 percent.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(SIGNATURE OF RESPONDENT)
(TYPE OR PRINT NAME)
Date:
(SIGNATURE OF ATTORNEY FOR RESPONDENT)
(TYPE OR PRINT NAME)
The original response must be filed in the court with proof of service of a copy on Petitioner.
FL-120 [Rev. January 1, 2005]
RESPONSE—MARRIAGE
Page 2 of 2
(Family Law)
Print This Form
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This Form button after you have printed the form.
Clear This Form
COURT
To keep other people from seeing
what you entered on your form, please press the Clear This Form button at the end of the form when finished.
.COUNTY
. . . . . . . . .OF
............................................
:
PETITIONER/PLAINTIFF:
:
RESPONDENT/DEFENDANT:
FL-311
CASE NUMBER:
Index No.
Calendar No.
CHILD CUSTODY AND VISITATION APPLICATION ATTACHMENT
TO
:
JUDICIAL
Petition, Response, ApplicationPlaintiff(s)
for Order or Responsive Declaration
✔
To be ordered
now and effective until the hearing
-against-
1.
✔
SUBPOENA
Other (specify):
:
:
Custody. Custody of the minor children of the parties is requested as follows:
Child's Name
Legal Custody to
:
(person who makes decisions about
health, education, etc.)
Defendant(s)
Date of Birth
Physical Custody to
(person with whom the child lives)
:
......................................................
2.
Visitation.
THE
PEOPLE OF THE STATE OF NEW YORK
a.
TOb.
c.
d.
e.
Reasonable right of visitation to the party without physical custody (not appropriate in cases involving domestic
violence)
See the attached ________-page document dated (specify date):
The parties will go to mediation at (specify location):
No visitation
Visitation for the
petitioner
respondent
will be as follows:
GREETINGS:
(1)
Weekends starting (date):
(The first weekend of the month is the first weekend with a Saturday.)
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
5th weekend of the month
3rd
4th
1st
2nd
,
the Honorable
at the
Court
from _____________________
at ___________
a.m.
p.m.
located at
County of
(time)
(day of week)
in room
, on the
day
of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
to _____________________ at ____________
(time)
(day of week)
(a)
a.m.
The parents will alternate the fifth weekends, with the
p.m.
petitioner
respondent
the subpoena
initial fifth weekend,
which as
starts
(date): of court and will make you liable to
Your failure to comply having
with this
is punishable
a contempt
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
odd
even
months.
result of your failure to(b)comply. The petitioner will have fifth weekends in
(2)
Alternate weekends starting (date):
Witness, Honorable
The
Court in
County,
petitioner
day of
respondent
, 20
, one of the Justices of the
will have the children with him or her during the period
from _____________________ at ____________
(time)
(day of week)
a.m.
p.m.
(Attorney must
sign above and
to _____________________ at ____________
a.m.
p.m.type name below)
(time)
(day of week)
(3)
Weekdays starting (date):
The
petitioner
respondent
Attorney(s)
will have the for
children with him or her during the period
from _____________________ at ____________
(time)
(day of week)
Office
to _____________________ at ____________
(time)
(day of week)
(4)
Form Approved for Optional Use
Judicial Council of California
FL-311 [Rev. July 1, 2005]
a.m.
p.m.
anda.m.
P.O. Address
p.m.
Other (specify days and times as well as any additional restrictions):
Telephone No.:
Facsimile No.:
E-Mail Address:
CHILD CUSTODY AND VISITATION APPLICATION
ATTACHMENT
Mobile Tel.
No.:
See Attachment 2e(4).
Page 1 of 2
Family Code, § 6200 et seq.
www.courtinfo.ca.gov
American LegalNet, Inc.
www.USCourtForms.com
CASE NUMBER:
PETITIONER:
RESPONDENT:
3.
Supervised visitation.
I request that (name):
have supervised visitation with the minor children according to the
schedule set out on page 1 and that the visits be supervised by (name):
supervisor. The supervisor's phone number is (specify):
who is a
professional
nonprofessional
I request that the costs of supervision be paid as follows: petitioner:
percent; respondent:
percent.
If item 3 is checked, you must attach a declaration that shows why unsupervised visitation would be bad for your
children. The judge is required to consider supervised visitation if one parent is alleging domestic violence and is
protected by a restraining order.
4.
Transportation for visitation and place of exchange.
a.
Transportation to the visits will be provided by (name):
b.
c.
Transportation from the visits will be provided by (name):
Drop-off of the children will be at (address):
d.
Pick-up of the children will be at (address):
e.
The children will be driven only by a licensed and insured driver. The car or truck must have legal child restraint
devices.
During the exchanges, the parent driving the children will wait in the car and the other parent will wait in his or her
home while the children go between the car and the home.
Other (specify):
f.
g.
5.
Travel with children. The
petitioner
respondent
other (name):
must have written permission from the other parent or a court order to take the children out of
a.
the state of California.
b.
the following counties (specify):
c.
other places (specify):
6.
Child abduction prevention. There is a risk that one of the parents will take the children out of California without the other
parent's permission. I request the orders set out on attached form FL-312.
7.
Children's holiday schedule. I request the holiday and visitation schedule set out on the attached
other (specify):
8.
Additional custody provisions. I request the additional orders regarding custody set out on the attached
other (specify):
form FL-341(D)
9.
Joint legal custody provisions. I request joint legal custody and want the additional orders set out on the attached
form FL-341(E)
other (specify):
10.
form FL-341(C)
Other. I request the following additional orders (specify):
FL-311 [Rev. July 1, 2005]
Print This Form
CHILD CUSTODY AND VISITATION APPLICATION ATTACHMENT
For your protection and privacy, please press the Clear
This Form button after you have printed the form.
Page 2 of 2
FL-105/GC-120
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
TELEPHONE NO.:
FOR COURT USE ONLY
To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
end of the form when finished.
FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
Self Represented Litigant
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
San Bernardino
STREET ADDRESS:
MAILING ADDRESS:
Same
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER:
(This section applies only to family law cases.)
RESPONDENT:
OTHER PARTY:
CASE NUMBER:
(This section apples only to guardianship cases.)
GUARDIANSHIP OF (Name):
Minor
DECLARATION UNDER UNIFORM CHILD CUSTODY
JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
1. I am a party to this proceeding to determine custody of a child.
2.
My present address and the present address of each child residing with me is confidential under Family Code section 3429 as
I have indicated in item 3.
3. There are (specify number):
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
Period of residence
Sex
Person child lived with (name and complete current address)
Address
Confidential
to present
Date of birth
Relationship
Confidential
Child's residence (City, State)
Person child lived with (name and complete current address)
Child's residence (City, State)
Person child lived with (name and complete current address)
Child's residence (City, State)
Person child lived with (name and complete current address)
to
to
to
b. Child’s name
Place of birth
Date of birth
Sex
Residence information is the same as given above for child a.
(If NOT the same, provide the information below.)
Period of residence
to present
Person child lived with (name and complete current address) Relationship
Address
Confidential
Confidential
Child's residence (City, State)
Person child lived with (name and complete current address)
Child's residence (City, State)
Person child lived with (name and complete current address)
Child's residence (City, State)
Person child lived with (name and complete current address)
to
to
to
c.
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.)
Page 1 of 2
Form Adopted for Mandatory Use
Judicial Council of California
FL-105/GC-120 [Rev. January 1, 2009]
DECLARATION UNDER UNIFORM CHILD CUSTODY
JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
Family Code, § 3400 et seq.;
Probate Code, §§ 1510(f), 1512
www.courtinfo.ca.gov
American LegalNet, Inc.
www.FormsWorkflow.com
FL-105/GC-120
SHORT TITLE:
CASE NUMBER:
4. Do you have information about, or have you participated as a party or as a witness or in some other capacity in, another court case
or custody or visitation proceeding, in California or elsewhere, concerning a child subject to this proceeding?
Yes
No (If yes, attach a copy of the orders (if you have one) and provide the following information):
Proceeding
Case number
a.
Family
b.
Guardianship
c.
Other
Court
(name, state, location)
Court order
or judgment
(date)
Name of each child
Case Number
Proceeding
Your
connection to
the case
Case status
Court (name, state, location)
d.
Juvenile Delinquency/
Juvenile Dependency
e.
Adoption
5.
One or more domestic violence restraining/protective orders are now in effect. (Attach a copy of the orders if you have one
and provide the following information):
Court
County
a.
Criminal
b.
Family
c.
Juvenile Delinquency/
Juvenile Dependency
d.
Other
State
Case number (if known)
Orders expire (date)
6. Do you know of any person who is not a party to this proceeding who has physical custody or claims to have custody of or
Yes
No (If yes, provide the following information):
visitation rights with any child in this case?
b. Name and address of person
a. Name and address of person
Has physical custody
Claims custody rights
Claims visitation rights
c. Name and address of person
Has physical custody
Claims custody rights
Claims visitation rights
Has physical custody
Claims custody rights
Claims visitation rights
Name of each child
Name of each child
Name of each child
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME)
7.
(SIGNATURE OF DECLARANT)
Number of pages attached:
NOTICE TO DECLARANT: You have a continuing duty to inform this court if you obtain any information about a custody
proceeding in a California court or any other court concerning a child subject to this proceeding.
FL-105/GC-120 [Rev. January 1, 2009]
Print This Form
DECLARATION UNDER UNIFORM CHILD CUSTODY
JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
For your protection and privacy, please press the Clear This Form
button after you have printed the form.
Page 2 of 2
To keep other people from seeing what you entered on your form, please press the Clear This Form button at the end of the form when
finished.
FL-105(A)/GC-120(A)
CASE NUMBER:
CASE NAME:
ATTACHMENT TO
DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
c.
Place of birth
Child’s name
Date of birth
Sex
Residence information is the same as given on form
FL-105/GC-120 for child a. (If NOT the same, provide the
information below.)
Period of residence
Present address
Person child lived with (name and complete current address) Relationship
Confidential
Confidential
to present
Child's residence (City, State)
Person child lived with (name and complete current address)
Child's residence (City, State)
Person child lived with (name and complete current address)
Child's residence (City, State)
Person child lived with (name and complete current address)
to
to
to
d.
Place of birth
Child’s name
Date of birth
Sex
Residence information is the same as given on form
FL-105/GC-120 for child a. (If NOT the same, provide the
information below.)
Period of residence
Person child lived with (name and complete current address) Relationship
Address
Confidential
Confidential
to present
Child's residence (City, State)
Person child lived with (name and complete current address)
Child's residence (City, State)
Person child lived with (name and complete current address)
Child's residence (City, State)
Person child lived with (name and complete current address)
to
to
to
e.
Place of birth
Child’s name
Date of birth
Sex
Residence information is the same as given on form
FL-105/GC-120 for child a. (If NOT the same, provide the
information below.)
Period of residence
Person child lived with (name and complete current address) Relationship
Address
Confidential
to present
Confidential
Child's residence (City, State)
Person child lived with (name and complete current address)
Child's residence (City, State)
Person child lived with (name and complete current address)
Child's residence (City, State)
Person child lived with (name and complete current address)
to
to
to
11
23
Page____ of ____
Form Adopted for Mandatory Use
Judicial Council of California
FL-105(A)/GC-120(A)
[New January 1, 2009]
Print This Form
ATTACHMENT TO
DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION
AND ENFORCEMENT ACT (UCCJEA)
For your protection and privacy, please press the Clear This Form
button after you have printed the form.
Family Code, § 3400 et seq.;
Probate Code, §§ 1510(f), 1512
www.courtinfo.ca.gov
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Clear This Form
CONFIDENTIAL
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO
REFERRAL FOR CII/DVROS/ICMS REPORT
Case Number
Date Referred
Department Referring
Date Report Due
Report to Department
Petitioner Name:
Respondent Name:
Petitioner: (Please mark one)
Male _________ Female _________
Respondent: (please mark one)
Male _________ Female ____________
Petitioner AKAs, if any:
Respondent AKAs, if any:
Petitioner Date of Birth:
Respondent Date of Birth:
Petitioner SSN:
Respondent SSN:
COURT ORDER:
■
This matter is referred to Family Law Processing for a DVROS (CLETS) history
report and a Criminal History Inquiry (CII) pursuant to Family Code 6306 and/or
California Rule of Court 5.450.
■
This matter is referred to Family Law Processing for a search of the Superior
Court of California, County of San Bernardino Integrated Case Management
System for a history report regarding existing custody and visitation orders
pursuant to CRC 5.450.
Notes: ___________________________________________________________________________________________
_________________________________________________________________________________________________
‫ ڤ‬Special Order: __________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
Form A
This form is required with any filing where Child Custody and Visitation Orders are at issue and in all Domestic Violence
Restraining Order Request.
CONFIDENTIAL
YOUR PROPERTY RIGHTS
We recommend that you seek legal advice regarding the division of your property, especially retirement accounts. To find a lawyer, contact the Lawyer Referral Services from the San Bernardino County Bar Association www.sbcba.org or Western San Bernardino County Bar Association www.wsbcba.org Here are some general rules about property. However, there could be
exceptions based upon agreements between spouses, the conduct of spouses,
and the types of debt acquired (like student loans and necessaries of life)
Before Marriage → It is your separate property.
During Marriage → It is community property. This includes retirement
accounts and pensions. (exception for gifts or inheritance)
After You Separate → It is your separate property, unless the money to
purchase came from your earnings during marriage. (You might be responsible
for spouse’s debts for the necessaries of life, too.)
Unless the parties agree otherwise, community property is to be
split evenly.
Failure to disclose your assets could result in a loss of valuable
property rights. If you hide an asset, the judge can award 100% of
it to your spouse, even if it is community property.
☆☆MANDATORY FINANCIAL DISCLOSURES OF PROPERTY/DEBT☆☆
Step #1: Disclosure to Spouse Even if you have no property, you must still fill out
the forms and serve on your spouse. Family Code Section 2104 requires that this
disclosure include the identity of all property owned by the party plus all debts,
regardless of whether the property/debts would be labeled community property or
separate property. This packet contains the forms needed to comply with this law.
Step #2: File Papers With Court (with Petition or no later than 60 days)




Declaration of Disclosure (FL-140) – NEVER filed with the clerk.
Property Declaration (FL-160) – ONLY FILED WHEN you use the form to list
out your property rather than write it on the Petition Question #5.
Income & Expense Declaration (FL-150) – ALWAYS filed with the clerk.
Declaration Regarding Service of Declaration of Disclosure and Income &
Expense Declaration (FL-141) - ALWAYS filed with the clerk.
FL-160
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
TELEPHONE NO.:
FAX NO. :
E-MAIL ADDRESS:
Self Represented Litigant
SUPERIOR COURT OF CALIFORNIA, COUNTY OF San Bernardino
ATTORNEY FOR (Name):
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
✔
PETITIONER'S
✔
✔
CASE NUMBER:
RESPONDENT'S
COMMUNITY AND QUASI-COMMUNITY PROPERTY DECLARATION
SEPARATE PROPERTY DECLARATION
See Instructions on page 4 for information about completing this form. For additional space, use Continuation of Property Declaration
(form FL-161).
A
ITEM
NO.
BRIEF DESCRIPTION
1. REAL ESTATE
B
C
DATE
ACQUIRED
-
D
GROSS FAIR
AMOUNT
MARKET
OF DEBT
VALUE
$
$
=
$
E
F
NET FAIR
MARKET
VALUE
PROPOSAL FOR DIVISION
Award or Confirm to:
PETITIONER RESPONDENT
$
$
2. HOUSEHOLD FURNITURE,
FURNISHINGS, APPLIANCES
3. JEWELRY, ANTIQUES, ART,
COIN COLLECTIONS, etc.
4. VEHICLES, BOATS, TRAILERS
5. SAVINGS ACCOUNTS
6. CHECKING ACCOUNTS
Page 1 of 4
Form Approved for Mandatory Use
Judicial Council of California
FL-160 [Rev. July 1, 2013]
PROPERTY DECLARATION
(Family Law)
Family Code, §§ 115, 2104, 2500-2660
www.courts.ca.gov
FL-160
A
ITEM
NO.
BRIEF DESCRIPTION
7. CREDIT UNION, OTHER
DEPOSITORY ACCOUNTS
B
C
DATE
ACQUIRED
-
GROSS FAIR
MARKET
VALUE
$
D
=
NET FAIR
MARKET
VALUE
AMOUNT
OF DEBT
$
$
F
E
PROPOSAL FOR DIVISION
Award or Confirm to:
PETITIONER RESPONDENT
$
$
8. CASH
9. TAX REFUND
10. LIFE INSURANCE WITH CASH
SURRENDER OR LOAN VALUE
11. STOCKS, BONDS, SECURED
NOTES, MUTUAL FUNDS
12. RETIREMENT AND PENSIONS
13. PROFIT-SHARING, IRAS,
DEFERRED COMPENSATION,
ANNUITIES
14. ACCOUNTS RECEIVABLE,
UNSECURED NOTES
15. PARTNERSHIP, OTHER
BUSINESS INTERESTS
16. OTHER ASSETS
17. ASSETS FROM CONTINUATION
SHEET
18. TOTAL ASSETS
FL-160 [Rev. July 1, 2013]
PROPERTY DECLARATION
(Family Law)
Page 2 of 4
FL-160
ITEM
NO.
A
B
C
DEBTS—
SHOW TO WHOM OWED
DATE INCURRED
TOTAL OWING
19. STUDENT LOANS
$
D
$
PROPOSAL FOR DIVISION
Award or Confirm to:
PETITIONER
RESPONDENT
$
20. TAXES
21. SUPPORT ARREARAGES
22. LOANS—UNSECURED
23. CREDIT CARDS
24. OTHER DEBTS
25. OTHER DEBTS FROM
CONTINUATION SHEET
26. TOTAL DEBTS
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 is a true
and correct listing of assets and obligations and the amounts shown are correct.
Date:
X
(TYPE OR PRINT NAME)
FL-160 [Rev. July 1, 2013]
PROPERTY DECLARATION
(Family Law)
SIGNATURE
Page 3 of 4
FL-160
INFORMATION AND INSTRUCTIONS FOR COMPLETING FORM FL-160
Property Declaration (form FL-160) is a multipurpose form, which may be filed with the court as an attachment to a
Petition or Response or served on the other party to comply with disclosure requirements in place of a Schedule of
Assets and Debts (form FL-142). Courts may also require a party to file a Property Declaration as an attachment to a
Request to Enter Default (form FL-165) or Judgment (form FL-180).
When filing a Property Declaration with the court, do not include private financial documents listed below.
Identify the type of declaration completed
1. Check "Community and Quasi-Community Property Declaration" on page 1 to use Property Declaration (form FL-160)
to provide a combined list of community and quasi-community property assets and debts. Quasi-community property is
property you own outside of California that would be community property if it were located in California.
2. Do not combine a separate property declaration with a community and quasi-community property declaration. Check
"Separate Property Declaration" on page 1 when using Property Declaration to provide a list of separate property
assets and debts.
Description of the Property Declaration chart
Pages 1 and 2
1. Column A is used to provide a brief description of each item of separate or community or quasi-community property.
2. Column B is used to list the date the item was acquired.
3. Column C is used to list the item's gross fair market value (an estimate of the amount of money you could get if you
sold the item to another person through an advertisement).
4. Column D is used to list the amount owed on the item.
5. Column E is used to indicate the net fair market value of each item. The net fair market value is calculated by
subtracting the dollar amount in column D from the amount in column C ("C minus D").
6. Column F is used to show a proposal on how to divide (or confirm) the item described in column A.
Page 3
1. Column A is used to provide a brief description of each separate or community or quasi-community property debt.
2. Column B is used to list the date the debt was acquired.
3. Column C is used to list the total amount of money owed on the debt.
4. Column D is used to show a proposal on how to divide (or confirm) the item of debt described in column A.
When using this form only as an attachment to a Petition or Response
1. Attach a Separate Property Declaration to respond to item 4. Only columns A and F on pages 1 and 2, and columns A
D on page 3 are required.
2. Attach a Community or Quasi-Community Declaration to respond to item 5, and complete column A on all pages.
When serving this form on the other party as an attachment to Declaration of Disclosure (form FL-140)
1. Complete columns A through E on pages 1 and 2, and columns A through C on page 3.
2. Copies of the following documents must be attached and served on the other party:
(a) For real estate (item 1): deeds with legal descriptions and the latest lender's statement.
(b) For vehicles, boats, trailers (item 4): the title documents.
(c) For all bank accounts (item 5, 6, 7): the latest statement.
(d) For life insurance policies with cash surrender or loan value (item 10): the latest declaration page.
(e) For stocks, bonds, secured notes, mutual funds (item 11): the certificate or latest statement.
(f) For retirement and pensions (item 12): the latest summary plan document and latest benefit statement.
(g) For profit-sharing, IRAs, deferred compensation, and annuities (item 13): the latest statement.
(h) For each account receivable and unsecured note (item 14): documentation of the account receivable or note.
(i) For partnerships and other business interests (item 15): the most current K-1 and Schedule C.
(j) For other assets (item 16): the most current statement, title document, or declaration.
(k) For support arrearages (item 21): orders and statements.
(l) For credit cards and other debts (items 23 and 24): the latest statement.
3. Do not file copies of the above private financial documents with the court.
When filing this form with the court as a attachment to Request to Enter Default (FL-165) or Judgment (FL-180)
Complete all columns on the form.
For more information about forms required to process and obtain a judgment in dissolution, legal separation, and nullity
cases, see http://www.courts.ca.gov/selfhelp-divorcesteps.htm.
FL-160 [Rev. July 1, 2013]
PROPERTY DECLARATION
(Family Law)
For your protection and privacy, please press the Clear
protection and privacy, please press the Clear This Form
This Form button after you have printedFor
theyour
form.
Print This Form
button after you have printed the form.
Page 4 of 4
FL-140
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
TELEPHONE NO.:
FAX NO. :
E-MAIL ADDRESS:
Self Represented Litigant
SUPERIOR COURT OF CALIFORNIA, COUNTY OF San Bernardino
ATTORNEY FOR (Name):
STREET ADDRESS:
COURT
OF
......................................................
BRANCH NAME:
:
MAILING ADDRESS:
COUNTY
CITY AND ZIP
CODE:
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
:
Plaintiff(s)
DECLARATION
OF DISCLOSURE
-against✔ Preliminary
Petitioner's
✔ Respondent's
Final
:
Index No.
Calendar No.
JUDICIAL SUBPOENA
CASE NUMBER:
:
:
:
DO NOT FILE DECLARATIONS OF DISCLOSURE OR FINANCIAL ATTACHMENTS WITH THE COURT
In a dissolution, legal separation, or nullity action,Defendant(s)
both a preliminary: and a final declaration of disclosure must be served on the other
. . .certain
. . . . . . exceptions.
. . . . . . . . . . .Neither
. . . . . . .disclosure
. . . . . . . . . .is. .filed
. . . .with
. . . .the
. . . court.
. . . . Instead, a declaration stating that service of disclosure
party with
documents was completed or waived must be filed with the court (see form FL-141).
z
In summary dissolution cases, each spouse or domestic partner must exchange preliminary disclosures as described in Summary
Dissolution
Information
(form
FL-810).
FinalYORK
disclosures are not required (see Family Code section 2109).
THE PEOPLE
OF THE
STATE
OF NEW
z
In a default judgment case that is not a stipulated judgment or a judgment based on a marital settlement agreement, only the
petitioner
TO 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).
z
Service of preliminary declarations of disclosure may not be waived by an agreement between the parties.
z
Parties who agree to waive final declarations of disclosure must file their written agreement with the court (see form FL-144).
GREETINGS:
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 the
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
Response. The time periods may be extended by written agreement of the parties or by court order (see Family Code section 2104(f)).
,
the Honorable
at the
Court
Attached
are the
located at
County
of following:
inAroom
, on the of Assets
day of
, 20 FL-142)
, at or o'clock
the
noon,
and at any
recessed
Declaration
(form
FL-160) for (specify):
completed Schedule
and Debts (form
✔ AinProperty
1.
or✔
adjourned
date,
to
testify
and
give
evidence
as
a
witness
in
this
action
on
the
part
of
the
Separate Property.
2. ✔
A completed Income and Expense Declaration (form FL-150).
3. ✔
All tax returns
filed by
the party
in this
the subpoena
two yearsis before
the as
date
that the of
party
themake
disclosure
documents.
Your failure
to comply
with
punishable
a contempt
courtserved
and will
you liable
to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
A statement of all material facts and information regarding valuation of all assets that are community property or in which the
community has an interest (not a form).
Witness, Honorable
, one of the Justices of the
Court in
County,
day of
, 20
4.
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-producing
opportunity presented since the date of separation that results from any investment, significant business, or other incomeproducing opportunity from the date of marriage to the date of separation (not a form).
Attorney(s) for
(Attorney must sign above and type name below)
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
Office and P.O. Address
(TYPE OR PRINT NAME)
Form Adopted for Mandatory Use
Judicial Council of California
FL-140 [Rev. July 1, 2013]
X
SIGNATURE
Page 1 of 1
Telephone No.:
No.:
DECLARATIONFacsimile
OF DISCLOSURE
E-Mail
Address:
(Family
Law)
Mobile Tel. No.:
Family Code, §§ 2102, 2104,
2105, 2106, 2112
www.courts.ca.gov
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY
OF
......................................................
:
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
:
-against-
FL-160
Calendar No.
:
Plaintiff(s)
TELEPHONE NO.:
Index No.
JUDICIAL SUBPOENA
:
FAX NO. :
E-MAIL ADDRESS:
Self Represented Litigant
SUPERIOR COURT OF CALIFORNIA, COUNTY OF San Bernardino
ATTORNEY FOR (Name):
:
STREET ADDRESS:
:
MAILING ADDRESS:
CITY AND ZIP CODE:
Defendant(s)
:
......................................................
BRANCH NAME:
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
THE
PEOPLE OF THE
STATE OF NEW YORK
✔ RESPONDENT'S
PETITIONER'S
CASE NUMBER:
COMMUNITY AND QUASI-COMMUNITY PROPERTY DECLARATION
TO
✔ SEPARATE PROPERTY DECLARATION
See Instructions on page 4 for information about completing this form. For additional space, use Continuation of Property Declaration
(form FL-161).
GREETINGS:
A
B
C
-
GROSS FAIR
ITEM
BRIEF
DESCRIPTION
WE
COMMAND
NO. the Honorable
D
=
E
F
NET FAIR
PROPOSAL FOR DIVISION
AMOUNT
YOU,DATE
that all business
and excuses
being laid aside,
you and each
of you
attendto:
before
MARKET
MARKET
Award
or Confirm
ACQUIRED
OF DEBT Court
at
the
PETITIONER RESPONDENT ,
VALUE
VALUE
located at$
County
of
1. REAL
ESTATE
$
$
$
$
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
2. HOUSEHOLD FURNITURE,
FURNISHINGS, APPLIANCES
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
3. JEWELRY, ANTIQUES,
ART,
Witness, Honorable
COIN
COLLECTIONS,
etc.
Court in
County,
4. VEHICLES, BOATS, TRAILERS
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
5. SAVINGS ACCOUNTS
6. CHECKING ACCOUNTS
Form Approved for Mandatory Use
Judicial Council of California
FL-160 [Rev. July 1, 2013]
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
PROPERTY DECLARATION
(Family Law)
Mobile Tel. No.:
Page 1 of 4
Family Code, §§ 115, 2104, 2500-2660
www.courts.ca.gov
American LegalNet, Inc.
www.USCourtForms.com
FL-160
A
ITEM
NO.
BRIEF DESCRIPTION
7. CREDIT UNION, OTHER
DEPOSITORY ACCOUNTS
B
C
DATE
ACQUIRED
-
GROSS FAIR
MARKET
VALUE
$
D
=
NET FAIR
MARKET
VALUE
AMOUNT
OF DEBT
$
$
F
E
PROPOSAL FOR DIVISION
Award or Confirm to:
PETITIONER RESPONDENT
$
$
8. CASH
9. TAX REFUND
10. LIFE INSURANCE WITH CASH
SURRENDER OR LOAN VALUE
11. STOCKS, BONDS, SECURED
NOTES, MUTUAL FUNDS
12. RETIREMENT AND PENSIONS
13. PROFIT-SHARING, IRAS,
DEFERRED COMPENSATION,
ANNUITIES
14. ACCOUNTS RECEIVABLE,
UNSECURED NOTES
15. PARTNERSHIP, OTHER
BUSINESS INTERESTS
16. OTHER ASSETS
17. ASSETS FROM CONTINUATION
SHEET
18. TOTAL ASSETS
FL-160 [Rev. July 1, 2013]
PROPERTY DECLARATION
(Family Law)
Page 2 of 4
FL-160
ITEM
NO.
A
B
C
DEBTS—
SHOW TO WHOM OWED
DATE INCURRED
TOTAL OWING
19. STUDENT LOANS
$
D
$
PROPOSAL FOR DIVISION
Award or Confirm to:
PETITIONER
RESPONDENT
$
20. TAXES
21. SUPPORT ARREARAGES
22. LOANS—UNSECURED
23. CREDIT CARDS
24. OTHER DEBTS
25. OTHER DEBTS FROM
CONTINUATION SHEET
26. TOTAL DEBTS
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 is a true
and correct listing of assets and obligations and the amounts shown are correct.
Date:
X
(TYPE OR PRINT NAME)
FL-160 [Rev. July 1, 2013]
PROPERTY DECLARATION
(Family Law)
SIGNATURE
Page 3 of 4
FL-160
INFORMATION AND INSTRUCTIONS FOR COMPLETING FORM FL-160
Property Declaration (form FL-160) is a multipurpose form, which may be filed with the court as an attachment to a
Petition or Response or served on the other party to comply with disclosure requirements in place of a Schedule of
Assets and Debts (form FL-142). Courts may also require a party to file a Property Declaration as an attachment to a
Request to Enter Default (form FL-165) or Judgment (form FL-180).
When filing a Property Declaration with the court, do not include private financial documents listed below.
Identify the type of declaration completed
1. Check "Community and Quasi-Community Property Declaration" on page 1 to use Property Declaration (form FL-160)
to provide a combined list of community and quasi-community property assets and debts. Quasi-community property is
property you own outside of California that would be community property if it were located in California.
2. Do not combine a separate property declaration with a community and quasi-community property declaration. Check
"Separate Property Declaration" on page 1 when using Property Declaration to provide a list of separate property
assets and debts.
Description of the Property Declaration chart
Pages 1 and 2
1. Column A is used to provide a brief description of each item of separate or community or quasi-community property.
2. Column B is used to list the date the item was acquired.
3. Column C is used to list the item's gross fair market value (an estimate of the amount of money you could get if you
sold the item to another person through an advertisement).
4. Column D is used to list the amount owed on the item.
5. Column E is used to indicate the net fair market value of each item. The net fair market value is calculated by
subtracting the dollar amount in column D from the amount in column C ("C minus D").
6. Column F is used to show a proposal on how to divide (or confirm) the item described in column A.
Page 3
1. Column A is used to provide a brief description of each separate or community or quasi-community property debt.
2. Column B is used to list the date the debt was acquired.
3. Column C is used to list the total amount of money owed on the debt.
4. Column D is used to show a proposal on how to divide (or confirm) the item of debt described in column A.
When using this form only as an attachment to a Petition or Response
1. Attach a Separate Property Declaration to respond to item 4. Only columns A and F on pages 1 and 2, and columns A
D on page 3 are required.
2. Attach a Community or Quasi-Community Declaration to respond to item 5, and complete column A on all pages.
When serving this form on the other party as an attachment to Declaration of Disclosure (form FL-140)
1. Complete columns A through E on pages 1 and 2, and columns A through C on page 3.
2. Copies of the following documents must be attached and served on the other party:
(a) For real estate (item 1): deeds with legal descriptions and the latest lender's statement.
(b) For vehicles, boats, trailers (item 4): the title documents.
(c) For all bank accounts (item 5, 6, 7): the latest statement.
(d) For life insurance policies with cash surrender or loan value (item 10): the latest declaration page.
(e) For stocks, bonds, secured notes, mutual funds (item 11): the certificate or latest statement.
(f) For retirement and pensions (item 12): the latest summary plan document and latest benefit statement.
(g) For profit-sharing, IRAs, deferred compensation, and annuities (item 13): the latest statement.
(h) For each account receivable and unsecured note (item 14): documentation of the account receivable or note.
(i) For partnerships and other business interests (item 15): the most current K-1 and Schedule C.
(j) For other assets (item 16): the most current statement, title document, or declaration.
(k) For support arrearages (item 21): orders and statements.
(l) For credit cards and other debts (items 23 and 24): the latest statement.
3. Do not file copies of the above private financial documents with the court.
When filing this form with the court as a attachment to Request to Enter Default (FL-165) or Judgment (FL-180)
Complete all columns on the form.
For more information about forms required to process and obtain a judgment in dissolution, legal separation, and nullity
cases, see http://www.courts.ca.gov/selfhelp-divorcesteps.htm.
FL-160 [Rev. July 1, 2013]
PROPERTY DECLARATION
Page 4 of 4
(Family Law)
For your protection and privacy, pleaseFor
press
the protection
Clear
your
and privacy, please press the Clear
This Form
button
after
you
have
printed
the
form.
This Form button after you have printed the form.
Print This Form
Clear This Form
FL-150
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
FOR COURT USE ONLY
To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
end of the form when finished.
TELEPHONE NO.:
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
Self Represented Litigant
San Bernardino
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
Same
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT/CLAIMANT:
CASE NUMBER:
INCOME AND EXPENSE DECLARATION
1. Employment (Give information on your current job or, if you're unemployed, your most recent job.)
a. Employer:
Attach copies
b. Employer's address:
of your pay
c. Employer's phone number:
stubs for last
d. Occupation:
two months
(black out
e. Date job started:
social
f. If unemployed, date job ended:
security
hours per week.
g. I work about
numbers).
gross (before taxes)
per month
per week
h. I get paid $
per 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 other
jobs. Write "Question 1—Other Jobs" at the top.)
2. Age and education
a. My age is (specify):
b. I have completed high school or the equivalent:
Yes
c. Number of years of college completed (specify):
d. Number of years of graduate school completed (specify):
professional/occupational license(s) (specify):
e. I have:
vocational training (specify):
If no, highest grade completed (specify):
No
Degree(s) obtained (specify):
Degree(s) obtained (specify):
3. Tax information
a.
I last filed taxes for tax year (specify year):
single
head of household
married, filing separately
b. My tax filing status is
married, 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 the
question 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 and
any attachments is true and correct.
Date:
(TYPE OR PRINT NAME)
Form Adopted for Mandatory Use
Judicial Council of California
FL-150 [Rev. January 1, 2007]
(SIGNATURE OF DECLARANT)
INCOME AND EXPENSE DECLARATION
Page 1 of 4
Family Code, §§ 2030–2032,
2100–2113, 3552, 3620–3634,
4050–4076, 4300–4339
www.courtinfo.ca.gov
American LegalNet, Inc.
www.FormsWorkflow.com
FL-150
PETITIONER/PLAINTIFF:
CASE NUMBER:
RESPONDENT/DEFENDANT:
OTHER PARENT/CLAIMANT:
Attach copies of your pay stubs for the last two months and proof of any other income. Take a copy of your latest federal
tax return to the court hearing. (Black out your social security number on the pay stub and tax return.)
5.
Income (For average monthly, add up all the income you received in each category in the last 12 months
and divide the total by 12.)
Average
Last month monthly
a. Salary or wages (gross, before taxes). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
b. Overtime (gross, before taxes) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
c. Commissions or bonuses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
d. Public assistance (for example: TANF, SSI, GA/GR)
e. Spousal support
currently receiving . . . . . . . . . . . . . . . . . $
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:
j.
Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Social security (not SSI)
State disability (SDI)
Private insurance . $
k. Workers' compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
l. Other (military BAQ, royalty payments, etc.) (specify): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
6.
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): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
7.
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):
Attach a profit and loss statement for the last two years or a Schedule C from your last federal tax return. Black out your
social security number. If you have more than one business, provide the information above for each of your businesses.
8.
Additional income. I received one-time money (lottery winnings, inheritance, etc.) in the last 12 months (specify source and
amount):
9.
Change in income. My financial situation has changed significantly over the last 12 months because (specify):
10. Deductions
Last month
a. 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. Assets
Total
a. 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,
FL-150 [Rev. January 1, 2007]
real
and
personal
(estimate fair market value minus the debts you owe) . . . .
INCOME AND EXPENSE DECLARATION
$
Page 2 of 4
FL-150
CASE NUMBER:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT/CLAIMANT:
12. The following people live with me:
Name
Age
That person's gross
How the person is
related to me? (ex: son) monthly income
a.
Yes
No
b.
c.
Yes
No
Yes
No
d.
e.
Yes
No
Yes
No
13. Average monthly expenses
a. Home:
(1)
Estimated expenses
Proposed needs
Actual expenses
h.
Laundry and cleaning . . . . . . . . . . . . . . . . . $
i.
Clothes . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
If mortgage:
j.
Education . . . . . . . . . . . . . . . . . . . . . . . . . . $
(a) average principal: $
(b) average interest: $
k.
Entertainment, gifts, and vacation. . . . . . . . $
l.
Auto expenses and transportation
(insurance, gas, repairs, bus, etc.) . . . . . . . $
Rent or
mortgage. . . $
(2) Real property taxes . . . . . . . . . . . . . . $
(3) Homeowner's or renter's insurance
(if not included above) . . . . . . . . . . . . $
m. Insurance (life, accident, etc.; do not
include auto, home, or health insurance). . . $
(4) Maintenance and repair . . . . . . . . . . . $
n.
o.
b. Health-care costs not paid by insurance. . . $
p.
c. Child care . . . . . . . .. . . . . . . . . . . . . . . . . . $
d. Groceries and household supplies. . . . . . . $
e. Eating out. . . . . . . . . . . . . . . . . . . . . . . . . . $
f.
Pays some of the
household expenses?
q.
r.
Utilities (gas, electric, water, trash) . . . . . . $
g. Telephone, cell phone, and e-mail . . . . . . . $
s.
Savings and investments. . . . . . . . . . . . . . . $
Charitable contributions. . . . . . . . . . . . . . . . $
Monthly payments listed in item 14
(itemize below in 14 and insert total here). . $
Other (specify): . . . . . . . . . . . . . . . . . . . . . . $
TOTAL EXPENSES (a–q) (do not add in
the amounts in a(1)(a) and (b))
$
Amount of expenses paid by others
$
14. Installment payments and debts not listed above
Paid to
For
Amount
Balance
$
$
$
$
$
$
$
$
$
$
$
$
Date of last payment
15. Attorney fees (This is required if either party is requesting attorney fees.):
a.
b.
c.
d.
To date, I have paid my attorney this amount for fees and costs (specify): $
The source of this money was (specify):
I still owe the following fees and costs to my attorney (specify total owed): $
My attorney's hourly rate is (specify): $
I confirm this fee arrangement.
Date:
(TYPE OR PRINT NAME OF ATTORNEY)
FL-150 [Rev. January 1, 2007]
(SIGNATURE OF ATTORNEY)
INCOME AND EXPENSE DECLARATION
Page 3 of 4
FL-150
CASE NUMBER:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT/CLAIMANT:
CHILD SUPPORT INFORMATION
(NOTE: Fill out this page only if your case involves child support.)
16. Number of children
a. 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 expenses
I do not
have health insurance available to me for the children through my job.
I do
a.
b. Name of insurance company:
c. 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 case
Amount per month
a. 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): . . . . . . . .
$
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 month
a. Extraordinary health expenses not included in 18b. . . . . . . . . . . . . . . . . .
$
b. Major losses not covered by insurance (examples: fire, theft, other
insured loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. (1) Expenses for my minor children who are from other relationships and
are living with me . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(2) Names and ages of those children (specify):
(3) Child support I receive for those children. . . . . . . . . . . . . . . . . . . . . . .
For how many months?
$
$
$
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]
Print This Form
INCOME AND EXPENSE DECLARATION
For your protection and privacy, please press the Clear This Form
button after you have printed the form.
Page 4 of 4
FL-141
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
TELEPHONE NO.:
FAX NO. :
E-MAIL ADDRESS:
Self Represented Litigant
SUPERIOR COURT OF CALIFORNIA, COUNTY OF San Bernardino
ATTORNEY FOR (Name):
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
DECLARATION REGARDING SERVICE OF DECLARATION OF
DISCLOSURE AND INCOME AND EXPENSE DECLARATION
✔ Preliminary
Petitioner's
✔ Respondent's
1. I am the
2.
attorney for
CASE NUMBER:
Final
petitioner
✔ respondent
in this matter.
Petitioner's
✔ Respondent's Preliminary Declaration of Disclosure (form FL-140), current* Income and Expense
Declaration (form FL-150), completed Schedule of Assets and Debts (form FL-142) or Community and Separate Property
Declarations (form FL-160) with appropriate attachments, all tax returns filed by the party in the two years before service of the
preliminary disclosures, and all other required information under Family Code section 2104 were served on:
the other party
(specify):
the other party's attorney
by
personal service
mail
on (date):
3.
Respondent's Final Declaration of Disclosure (form FL-140), current* Income and Expense Declaration
Petitioner's
(form FL-150), completed Schedule of Assets and Debts (form FL-142) or Community or Separate Property Declarations (form
FL-160) with attachments, and the material facts and information required by Family Code section 2105 were served on:
the other party
other party's attorney
by
mail
personal service
(specify):
on (date):
4.
a.
Petitioner's
Respondent's
preliminary
final
Service of
declaration of disclosure
current income and expense declaration has been waived as follows:
The parties agreed to waive final declaration of disclosure requirements under Family Code section 2105(d.)
(date):
(Form FL-144 may be used for this purpose.) The waiver
is being filed at the same time as this form.
b.
The party has failed to comply with disclosure requirements, and the court has granted the request for voluntary waiver of
receipt under Family Code section 2107 on (date):
c.
This is a default proceeding that does not include a stipulated judgment or settlement agreement. Petitioner waives final
disclosure requirements under Family Code section 2110.
*Current is defined as completed within the past three months providing no facts have changed. (Cal. Rules of Court, rule 5.260.)
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
X
(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
any attachments to either declaration of disclosure with this document.
Page 1 of 1
Form Adopted for Mandatory Use
Judicial Council of California
FL-141 [Rev. July 1, 2013]
DECLARATION REGARDING SERVICE OF DECLARATION OF
DISCLOSURE AND INCOME AND EXPENSE DECLARATION
(Family Law)
For your protection and privacy, please press the Clear This Form
button after you have printed the form.
Save This Form
Print This Form
Family Code, §§ 2102, 2104,
2105, 2106, 2112
www.courts.ca.gov
Clear This Form
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
COURT
COUNTY
OF
......................................................
:
:
FAX NO. (Optional):
TELEPHONE NO.:
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
Self Represented Litigant
SUPERIOR COURT OF CALIFORNIA, -againstCOUNTY OF
FL-335
To keep other people from
seeing what you entered on
your form, please press the
Index No.
Clear This Form button at the
end of the form when finished.
Calendar No.
FOR COURT USE ONLY
Plaintiff(s)
San Bernardino
:
JUDICIAL SUBPOENA
:
STREET ADDRESS:
:
MAILING ADDRESS:
CITY AND ZIP CODE:
:
BRANCH NAME:
Defendant(s)
:
......................................................
CASE NUMBER:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
(If applicable, provide):
HEARING DATE:
OTHER PARENT/PARTY:
HEARING TIME:
THE PEOPLE PROOF
OF THE OF
STATE
OF NEW
SERVICE
BY YORK
MAIL
DEPT.:
TO
NOTICE: To serve temporary restraining orders you must use personal service (see form FL-330).
1. 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 took
place.
GREETINGS:
2. My residence or business address is:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
a copy
(specify):
3. I served in
roomof the following
, ondocuments
the
day
of
, 20
, at
o'clock in the
noon, and at any recessed
or
adjourned
date,
to
testify
and
give
evidence
as
a
witness
in
this
action
on
the
part
of
the
Response to Dissolution of Marriage, Child Custody and Visitation Attachment, Community Property
declaration, Separate Property declaration, Declaration of Disclosure, UCCJEA, and Income and Expense
Declaration.
to AND
comply with this subpoena is punishable as a contempt of court and will make you liable to
by enclosing them Your
in an failure
envelope
the
party onthe
whose
behalf
this subpoena
was issued
a maximum
penalty
of $50fully
andprepaid.
all damages sustained as a
a.
depositing
sealed
envelope
with the United
States for
Postal
Service with
the postage
result
of the
yourenvelope
failure to
b.
placing
forcomply.
collection and mailing on the date and at the place shown in item 4 following our ordinary
business practices. I am readily familiar with this business’s practice for collecting and processing correspondence for
mailing. On
the same
day that correspondence is placed for collection and mailing,
it isofdeposited
in the
course of
Witness,
Honorable
, one
the Justices
of ordinary
the
business with the United States Postal Service in a sealed envelope with postage fully prepaid.
Court in
County,
day of
4. The envelope was addressed and mailed as follows:
a. Name of person served:
b. Address:
c. Date mailed:
d. Place of mailing (city and state):
5.
, 20
(Attorney must sign above and type name below)
Attorney(s) for
I served a request to modify a child custody, visitation, or child support judgment or permanent order which included an
address verification declaration. (Declaration Regarding Address Verification—Postjudgment Request to Modify a Child
Custody, Visitation, or Child Support Order (form FL-334) may be used for this purpose.)
Office
and P.O. is
Address
the foregoing
true and correct.
6. I declare under penalty of perjury under the laws of the State of California that
Date:
(TYPE OR PRINT NAME)
Form Approved for Optional Use
Judicial Council of California
FL-335 [Rev. January 1, 2012]
Telephone No.:
(SIGNATURE OF PERSON COMPLETING THIS FORM)
Facsimile
No.:
Page 1 of 1
E-Mail Address:
Code of Civil Procedure, §§ 1013, 1013a
PROOF OF SERVICE BY MAIL
www.courts.ca.gov
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
Follow these simple steps in order to successfully proceed with your case.



Review
After you have completed your forms, bring them back to the Resource Center to have them
reviewed. It is important to follow this step because our staff has been trained to review these
forms and help you make any necessary changes.
Copy
After you have had your forms reviewed you will need to make (2) copies of your corrected
originals.
Serve
You will need to have the other party served with a copy of your documents before you can file
with the court clerk. The proper way to perform the service is to have another adult (not you)
mail one copy of your documents to your spouse. If you need assistance with this step you can
visit your local Resource Center. The person that served the documents will need to complete
and sign the Proof of Service form. After the other party is served you will be ready to file.

File

Final step. . .
Take the original paperwork, your copy, and the completed proof of service form to the clerk’s
office within the court listed in your paperwork to file. You will also need to bring your request
for fee waiver forms or cash/check/credit card.
Filing your response paperwork does not complete your divorce case. There are two ways to
finalize a divorce case. If both parties can reach an agreement with all of the issues within the
divorce case (for example: property, debts, child custody, support), then you can consider
completing a stipulated judgment. The requirements for a stipulated judgment are that both
parties sign the judgment and agree on all issues. If you are interested in more information on a
stipulated judgment you can visit your local Resource Center for assistance and forms.
The other option to finalize your divorce is to go to trial. In order to set the case for trial you will
need to file an “At Issue Memorandum” with the court. Either party can file an At Issue
Memorandum with the court to continue the process. If you need additional information on the
At Issue Memorandum, you can visit your local Resource Center for assistance and forms or visit
the self-help website for a form kit.
Please remember that in California the minimum time for a divorce to be final is 6 months from
the date that the Respondent is served with the summons and complaint. Even though the
minimum time for a divorce is 6 months, depending on your case the process may take longer.
Ultimately, you are divorced when you receive a divorce judgment signed by a judge and it has
been at least 6 months since the date in which the Respondent was served.