Butte — FL.020

Source: https://www.butte.courts.ca.gov/system/files/local-rules/fl020-questionnaire-minor-marry-or-establish-domestic-partnership-final-fillable.pdf

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

TELEPHONE: FAX NO. / EMAIL (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE

Butte County Courthouse North Butte County Courthouse
One Court Street, Oroville, CA 1775 Concord Avenue, Chico, CA 95928
95965 (530) 532-7002
(530) 532-7002

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:

OTHER: CASE NUMBER: QUESTIONNAIRE FOR MINOR TO MARRY OR ESTABLISH A DOMESTIC PARTNERSHIP

The following information is provided to the Court for consideration regarding the parties who are requesting permission to marry or establish a domestic partnership. Length of couple’s relationship: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________ __________________________ ___________________________________________________________________________________________________________________ Why do you want to get married or establish a domestic partnership now? (add additional pages if needed)

If the Court does not grant your request, what will you do?

Is there a pregnancy involved in your desire to marry or establish a domestic partnership? Yes No If ‘Yes’, how many months pregnant are you? (please file medical verification of pregnancy with the Court) If pregnancy were not involved, would you still desire to marry or establish a domestic partnership at this time? Yes No

Living Arrangements Currently: By ourselves With Petitioner’s parent(s) With Proposed Spouse/Partner’s parent(s) Other: If granted permission to marry: By ourselves With Petitioner’s parent(s) With Proposed Spouse/Partner’s parent(s) Other:

Transportation Auto Bus Other:

Expenses per month Rent $ Car Payment $ Loan Payments $ Utilities $ Car Insurance $ Credit Card $ Food $ Other Car Expenses $ Other Expenses $ Total: $

(FL.020) Page 1 of 3 E.D. 7-1-25 Mandatory Questionnaire for Minor to Marry or Establish a Domestic Partnership

PETITIONER: PROPOSED SPOUSE/PARTNER: CASE NUMBER:

Parental/Guardian Consent (Petitioner) The approve They object Other:

Parental/Guardian Consent (Proposed Spouse/Partner) The approve They object Other:

Petitioner’s Information Name: DOB: __________

Address: _______________________________________

Phone Number:

Currently attending school: Yes No Highest grade completed: ______________________________ Reason for leaving school: (if applicable) ________________________________________________________________________

I am am not a ward or dependent of the Juvenile Court.

I have never been married. I have been married times.

If applicable, any prior marriages ended by: annulment divorce death

Petitioner’s children:

Name: DOB: Father

Petitioner’s Financials I am not currently employed. My current employer:

Take home wages per week: $ Savings: $ _

Other assets: $ Assistance from family: $ _

Petitioner’s Criminal History Have you ever been convicted of an offence? Yes No If yes, Date of Conviction Charge

Are you currently on probation/parole? Yes No Name of probation/parole officer: ___________________________________________________________________

Petitioner’s Military Services Have you ever been in the Military Service? Yes No What branch? Date of discharge: Type of discharge:

(FL.020) Page 2 of 3 E.D. 7-1-25 Mandatory Questionnaire for Minor to Marry or Establish a Domestic Partnership

PETITIONER: PROPOSED SPOUSE/PARTNER: CASE NUMBER:

Proposed Spouse/Partner’s Information Name: DOB:

Address: ____________________________________________________________________________________

Phone Number:

Currently attending school: Yes No Highest grade completed:

Reason for leaving school: (if applicable)

I am am not a ward or dependent of the Juvenile Court. I have never been married. I have been married times. If applicable, any prior marriages ended by: annulment divorce death

Proposed Spouse/Partner’s children: Name: DOB: Father

Proposed Spouse/Partner’s Financials I am not currently employed. My current employer: Take home wages per week: $ Savings: $ Other assets: $ Assistance from family: $

Proposed Spouse/Partner’s Criminal History Have you ever been convicted of an offence? Yes No If yes, Date of Conviction Charge

Are you currently on probation/parole? Yes No Name of probation/parole officer:

Proposed Spouse/Partner’s Military Services Have you ever been in the Military Service? Yes No What branch? Date of discharge: Type of discharge:

We, , and declare under penalty of perjury and 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.

Petitioner’s Signature Date

Proposed Spouse/Partner’s Signature Date

(FL.020) Page 3 of 3 E.D. 7-1-25 Mandatory Questionnaire for Minor to Marry or Establish a Domestic Partnership