Stanislaus — Type or print legibly in blue or black ink. DO NOT USE GEL PENS.

Source: https://www.stanislaus.courts.ca.gov/system/files/judge-attachmnts_2016.pdf

Directions for Full Default Judgment (Cont’d)

ATTACHMENTS TO JUDGMENT

• Type or print legibly in blue or black ink. DO NOT USE GEL PENS.

• Choose only one attachment for each of the Orders you have requested in Item 4(l) thru 4(o) of the JUDGMENT. If there is/are prior court orders, attach a copy of the order instead.

• A legal description must be attached for any REAL PROPERTY that is COMMUNITY.

Case Name:___________________________________________________ Case No._______________________

1 ATTACHMENT 4(j)

2 CHILD CUSTODY AND VISITATION

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4 The Court orders legal

5 Petitioner Respondent shall have sole jointphysical and

6 Petitioner Respondent have sole joint custody of the 7 minor child(ren), namely: 8 Child’s Name(s) Date of Birth

9 ____________________________________________________ _______________10 ____________________________________________________ _______________ ____________________________________________________ _______________11 (Not applicable if you ____________________________________________________ _______________ requested sole physical custody above.)12 Petitioner Respondent be designated primary caretaker. 1314 Petitioner Respondent to have reasonable rights of visitation as the parties can agree. 15

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Attachment to Judgment

Case Name:___________________________________________________ Case No._______________________

1 ATTACHMENT 4(k)

2 CHILD SUPPORT

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4 The Court orders to pay the 5 sum of $_________ perPetitionermonth as andRespondentfor child support, payablePetitioneron the first dayRespondentof each month

6 commencing on the first day of the month following entry of judgment. The computer

7 calculation printout is attached as Exhibit ____.

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9 The obligation to pay child support shall continue until further order of the Court, or until the

10 child(ren) marries, dies, is emancipated, or reaches age 18. The duty of support continues as to

11 an unmarried child(ren) who has attained the age of 18 years, if a full-time high school student,

th12 and resides with a parent, until the time the child completes the 12 grade or attained the age of

13 19 years, whichever first occurs.

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Attachment to Judgment

Case Name:___________________________________________________ Case No._______________________

1 ATTACHMENT 4(k)

2 CHILD SUPPORT

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4 The Court orders that Child Support be reserved at $0 effective forthwith upon entry of

5 Judgment. Petitioner is fully informed of his/her rights concerning child support as calculated in

6 the attached computer calculation printout attached as Exhibit “___”. The request is being made

7 without coercion or duress and in the best interest of the children involved as their needs will be

8 adequately met. The right to support has not been assigned to the County pursuant to Section

9 11477 of the Welfare and Institutions Code and no public assistance application is pending.

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11 The obligation to pay child support shall continue until further order of the Court, or until the

12 child(ren) marries, dies, is emancipated, or reaches age 18. The duty of support continues as to

13 an unmarried child(ren) who has attained the age of 18 years, if a full-time high school student,

th14 and resides with a parent, until the time the child completes the 12 grade or attained the age of

15 19 years, whichever first occurs

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17 DEPENDENT EXEMPTIONS: The Petitioner Respondent shall be allowed to claim

18 ____________________________________ as dependents for tax filing purposes in odd

19 even tax years beginning __________. The Petitioner Respondent shall be allowed

20 to claim ____________________________________ as dependents for tax filing purposes in

21 odd even tax years beginning __________.

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Attachment to Judgment

Case Name:___________________________________________________ Case No._______________________

1 ATTACHMENT 4(k)

2 CHILD SUPPORT

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4 The Court orders a Non-Guideline Child Support Order in the amount of $_________ per month

5 payable by the Petitioner Respondent to the Petitioner Respondent, effective

6 beginning on __________________. The Court finds that the Petitioner Respondent is

7 fully informed of their rights concerning child support per the attached computer calculation

8 printout attached as Exhibit “A”. The request is being made without coercion or duress and in

9 the best interest of the children involved as their needs will be adequately met. The right to

10 support has not been assigned to the County pursuant to Section 11477 of the Welfare and

11 Institutions Code and no public assistance application is pending.

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13 The obligation to pay child support shall continue until further order of the Court, or until the

14 child(ren) marries, dies, is emancipated, or reaches age 18. The duty of support continues as to

15 an unmarried child(ren) who has attained the age of 18 years, if a full-time high school student,

th16 and resides with a parent, until the time the child completes the 12 grade or attained the age of

17 19 years, whichever first occurs

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Attachment to Judgment

Case Name:___________________________________________________ Case No._______________________

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2 ATTACHMENT 4(k)

3 CHILD SUPPORT

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5 The Court finds the Child Support is currently assigned to the County of Stanislaus and is

6 currently enforced by the Stanislaus County Department of Child Support Services or the local

7 child support agency established in Superior Court Case _________________, entitled

8 COUNTY OF STANISLAUS VS. ________________________________, in the amount of

9 $_________ per month. A copy of said order is attached hereto and incorporated herein. Further,

10 the Court finds that sufficient notice has been given and payment shall be made to the

11 Department of Child Support Services. Only payments made to the Department of Child Support

12 Services shall be considered as payments towards the above obligation. Respondent shall apply

13 for, obtain, and maintain health insurance coverage of the minor if it is available at no or

14 reasonable cost, and notify the Department of Child Support Services or the local child support

15 agency within 30 days of obtaining such insurance coverage. A health insurance coverage

16 assignment shall issue as provided by law. Petitioner and Respondent are ordered to notify the

17 Department of Child Support Services or the local child support agency of any change of

18 address, employment, or employment status within 10 days of such change. A Wage assignment

19 will issue for said support order.

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21 The obligation to pay child support shall continue until further order of the Court, or until the

22 child(ren) marries, dies, is emancipated, or reaches age 18. The duty of support continues as to

23 an unmarried child(ren) who has attained the age of 18 years, if a full-time high school student,

th24 and resides with a parent, until the time the child completes the 12 grade or attained the age of

25 19 years, whichever first occurs.

Attachment to Judgment

Case Name:___________________________________________________ Case No._______________________

1 ATTACHMENT 4(k) CHILD SUPPORT 2 The Court finds the Child Support is currently assigned to the County of Stanislaus and is 3 currently enforced by the Stanislaus County Department of Child Support Services or the local

4 child support agency established in Superior Court Case TO BE DETERMINED, entitled 5 COUNTY OF STANISLAUS VS. TO BE DETERMINED , in the amount of $ TO BE DETERMINED per month. Further, the Court finds that sufficient notice has been given and 6 payment shall be made to the Department of Child Support Services. Only payments made to 7 the Department of Child Support Services shall be considered as payments towards the 8 above obligation. Respondent shall apply for, obtain, and maintain health insurance coverage of

9 the minor if it is available at no or reasonable cost, and notify the Department of Child Support

Services or the local child support agency within 30 days of obtaining such insurance coverage.10

A health insurance coverage assignment shall issue as provided by law. Petitioner and 11 Respondent are ordered to notify the Department of Child Support Services or the local child 12 support agency of any change of address, employment, or employment status within 10 days of

13 such change. A Wage assignment will issue for said support order.

The obligation to pay child support shall continue until further order of the Court, or until14

the child(ren) marries, dies, is emancipated, or reaches age 18. The duty of support continues as

15 to an unmarried child(ren) who has attained the age of 18 years, if a full-time high school 16 th student, and resides with a parent, until the time the child completes the 12 grade or attained the 17 age of 19 years, whichever first occurs.

18 DEPENDENT EXEMPTIONS: The Petitioner Respondent shall be allowed to claim 19 ____________________________________ as dependents for tax filing purposes in odd 20 even tax years beginning __________. The Petitioner Respondent shall be allowed 21 to claim ____________________________________ as dependents for tax filing purposes in

22 odd even tax years beginning __________.

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Attachment to Judgment

Case Name:___________________________________________________ Case No._______________________

ATTACHMENT 4(l)(5)

1 SPOUSAL SUPPORT 2 WAIVED 3 spousalspousalsupportsupportis anddeniedthat Respondent has not 4 The Court finds that Petitioner has 5 requested spousal support. Accordingly, to both parties and 6 the Court’s jurisdiction to award spousal support is terminated.

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Attachment to Judgment

Case Name:___________________________________________________ Case No._______________________

1 ATTACHMENT 4(l)(5)

2 SPOUSAL SUPPORT

3 RESERVED 4 The Court orders that spousal support as to both parties is effective forthwith 5 upon entry of Judgment. 6

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Attachment to Judgment

Case Name:___________________________________________________ Case No._______________________

1 ATTACHMENT 4(l)(5)

2 SPOUSAL SUPPORT

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4 Petitioner Respondent Specified Terms of Support – Termination Date Petitioner Respondent permanent spousal support 5 The Court orders the to pay the in the amount of 6 terminate and the court’s $__________________ per month, payable on the 1st day of each month, commencing jurisdiction shall terminate effective 7 (date). Said spousal support shall (date), or upon the death of 8 either party, remarriage of the recipient or further order of the court, whichever 9 occurs first.

10 Petitioner Respondent Specified Terms of Support – NO Termination Date Petitioner Respondent permanent spousal support11 The Court orders the to pay the in the amount of12 $__________________ per month, payable on the 1st day of each month, commencing13 (date)___________________. Said spousal support shall continue until the death of either party, remarriage of the recipient or further order of the court, whichever occurs 14 first. 15

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Attachment to Judgment

Case Name:___________________________________________________ Case No._______________________

ATTACHMENT 4(m)(3)

1 COMMUNITY PROPERTY AND DEBTS: 2 The Court finds that there is no community property or debts subject to divide. 3

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Attachment to Judgment

Case Name:___________________________________________________ Case No._______________________

1 ATTACHMENT 4(m)(3)

COMMUNITY PROPERTY ASSETS AND DEBTS: 2 The Court orders that the community property assets and debts shall be divided as follows: 3 Petitioner shall be awarded the following community property and debt as his/her sole and 4 separate property and shall hold Respondent harmless therefrom:

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6 Description of Property/Debt Market Loan or Net Value 7 Value Debt - = 8 - = 9 - = - = 10 - =11 - = - = 12 - =13 - = - = Total awarded to Petitioner: $14 - =

15 Respondent shall be awarded the following community property and debt as his/her sole and separate property and shall hold Petitioner harmless therefrom: 16

1718 Description of Property/Debt Market Loan or Net Value Value Debt19 - = - = 20 - =21 - = - = 22 - =23 - = - = 24 - =25 - = Total awarded to Respondent: $ - =

Attachment to Judgment

Case Name:___________________________________________________ Case No._______________________

1 EQUALIZATION

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3 PetitionerHusbandacknowledgesor Wife that the above-division of assets and debts results in

4 receiving $_______________ more in net assets and debts

5 than the other party, resulting in an equalization payment due in the amount of 6 $_____________ which is one-half of the difference between the total net assets and 7 debts going to each party. Husband or 8 In order to equalize the division of assets and debts, Wife, 9 will pay to the other party the sum of $___________ as an equalizing payment1011 Said equalizing payment shall be payable as follows:12 $ ____________ per month commencing ________________________________ until paid

13 in full. Should said payment become more than 30 days past due, the entire sum

14 will be deemed due and payable.

15 Other terms of payment: 16 _________________________________________________________________________________________ 17 _________________________________________________________________________________________ 18 _________________________________________________________________________________________ 19

20 Petitioner acknowledges that the above may not constitute an equal division of 21 property; however is knowingly, freely and without duress or undo pressure 22 waiving and releasing all rights and claims to receive an equalizing payment from 23 the other party at any time. 24

25 Petitioner acknowledges that the above division of community assets and debts constitutes an equal division of property.

Attachment to Judgment

Case Name:___________________________________________________ Case No._______________________

WAIVER OF RETIREMENT 1 BENEFITS. 2

3 1. Based on Husband’s Wife’s employment during the marriage with 4 ______________________________________________________________________, a community interest 5 has arisen in the following plan(s): ___________________________________________________________________________________________. 6

7 2. Under the terms of this agreement, that entire interest, including the right to name 8 beneficiaries other than the employee’s spouse for death and survivor benefits 9 payable under the plan, is being awarded to the employee-spouse.

10 The non-employee spouse is informed that, under federal law or the terms of the11 plan, she/he may, but for this agreement, have become entitled to survivor rights or 12 benefits payable by the plan. The non-employee spouse shall timely sign whatever 13 documents, including but not limited to a stipulated qualified domestic relations 14 order (QDRO), that are required to implement her/his waiver of spousal rights in15 the plan, including written consent to the employee spouse’s designation of one or more alternate beneficiaries.16

17 This provision does not waive any right expressly provided in any trust agreement 18 or beneficiary designation executed by the employee spouse after the effective date

19 of this agreement.

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Attachment to Judgment

Case Name:___________________________________________________ Case No._______________________

DIVISION OF RETIREMENT BENEFITS

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2 1. Based on Husband’s Wife’s employment during marriage with the following 3 employer(s) ____________________________________________________, a community interest 4 has arisen in the following plan(s): 5 _______________________________________________________________________________________________.

6 7 2. Petitioner requests an order that both parties agree to and shall cooperate in the preparation of a Qualified Domestic Relations Order or retirement benefits order for 8 each plan, which proposed order(s) shall set forth the respective community 9 time interests of the parties and govern the disposition of benefits upon qualification by 10 the plan(s) based upon the rule. The court shall reserve jurisdiction over the

11 preparation of the order(s), and division of said retirement benefits.

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Attachment to Judgment

Case Name:___________________________________________________ Case No._______________________

SEPARATE PROPERTY 1 The Court finds the following shall be confirmed to the Petitioner as his/her 2 separate property: 3

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13 The Court finds that the following shall be confirmed to the Respondent as his/her 14 separate property:

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Attachment to Judgment

Case Name:___________________________________________________ Case No._______________________

1 ATTACHMENT 4(o)

2 MISCELLANEOUS ORDERS

3 OTHER ORDERS:

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5 _____________________________________________________________________________

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Attachment to Judgment

Case Name:___________________________________________________ Case No._______________________

1 OTHER ORDERS:

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3 The court finds that the community property residence located at: 4

5 ____________________________________________________________________________________ and legally

6 described in the attachment is currently in foreclosure. The court shall retain jurisdiction

7 to divide any residual deficiency amount, if any.

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Attachment to Judgment