Fresno — Request for Order

Source: https://www.fresno.courts.ca.gov/system/files/forms-and-filings/request-order_2.pdf

Sparse pages use OCR; original PDF remains authoritative.

Instructions for Request for Order

WHEN TO USE THIS PACKET

Use this packet to request or modify orders for custody, visitation, child or spousal support, as well as other issues. It can be used when the case is first opened and served with the Summons and Petition or it can be used in an existing case to get new orders or modify existing orders. If you do have an existing case, the Petitioner and Respondent never change; the Petitioner is the person who started the case in the beginning and will remain as the petitioner.

There is a filing fee for filing the enclosed forms. You may be eligible for a “Fee Waiver” which is available as a separate packet.

STEPS TO FILE THE REQUEST FOR ORDER:

1. The following forms in this packet are to be completed. Please refer to FL-300 INFO to know which exact forms you will need in your case.

Request for Order FL-300 Information Sheet for RFO FL-300 INFO Attached Declaration MC-031 Proof of Personal Service FL-330 Declaration Under UCCJEA FL-105 Responsive Declaration to RFO FL-320 Income & Expense Declaration FL-150 Proof of Service by Mail FL-335

2. You will need to make at least 2 additional copies of each form you fill out and any attachments you are including. One copy will be for you; another copy will be for other party. The original is for the court.
3. ALL copies must be submitted to the court for filing. Once the documents are filed by the court, you will be assigned a court date.
4. After you receive your copies back from the court, a copy of the documents must be served on the other party along with a blank copy of the FL-320.
5. A proof of service form must be completed by the person who served the other party. Then the proof of service form must be filed with the Court.

NOTE: You have a certain amount of days to serve your paperwork on the other party. See attached information sheet for Request for Order [FL-300 INFO] for further information.

Revised 01/01/2026

FL-300-INFO Information Sheet for Request for Order

1 USE Request for Order (form FL-300): • To schedule a court hearing and ask the court to make new orders or to change orders in your case. • When Restraining Order After Hearing (form DV-130) has expired, and you want to change the orders that are still in effect (examples: child custody, visitation (parenting time), child support, and other orders). • To change or end Juvenile Restraining Order After Hearing (form JV-255) when the case is closed (dismissed) and the order was granted under the Code of Civil Procedure. 2 DO NOT USE Request for Order (form FL-300): • To ask for a restraining order against your spouse or domestic partner, a former spouse or domestic partner, or someone you have a child with. Read How to Ask for a Temporary Restraining Order (form DV-505-INFO). • To ask to change or end a Restraining Order After Hearing granted under the Domestic Violence Prevention Act, including form DV-130 and form JV-255 in a juvenile case. For more information, read How Do I Ask to Change or End a Domestic Violence Restraining Order? (form DV-300-INFO). • Before you have filed a Petition to start your family law case (form FL-300 may be filed with the Petition). • If you and the other party have an agreement. For information about how to write up your agreement, get it approved by the court, and filed in your case, see selfhelp.courts.ca.gov/family-law/agreements, speak with an attorney, or get help at your court’s self-help center or family law facilitator’s office. • When specific Judicial Council forms must be used to ask the court for other orders. For example, to askfor an order for contempt, use form FL-410; to set aside a child support order, use form FL-360 or form FL-640; to set aside a voluntary declaration of paternity, use form FL-280. 3 Forms checklist a. Form FL-300, Request for Order, is the basic form you need to file with the court. Depending on your request, you may need the forms listed in items b through h, below: b. To request child custody or visitation (parenting time) orders, you may need to complete some of these forms: FL-105, Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act FL-311, Child Custody and Visitation (Parenting Time) Application Attachment FL-312, Request for Child Abduction Prevention Orders FL-341(C), Children’s Holiday Schedule Attachment FL-341(D), Additional Provisions—Physical Custody Attachment FL-341(E), Joint Legal Custody Attachment c. If you want child support, you need this form: A current FL-150, Income and Expense Declaration. You may use form FL-155, Financial Statement (Simplified), instead of form FL-150 if you meet the requirements listed on page 2 of form FL-155. d. If you want spousal or partner support or orders about your finances, you may need or want to use these forms: A current FL-150, Income and Expense Declaration FL-157, Spousal or Partner Support Declaration Attachment e. If you want attorney’s fees and costs, you need these forms:* A current FL-150, Income and Expense Declaration FL-319, Request for Attorney’s Fees and Costs Attachment (or provide the information in a declaration) FL-158, Supporting Declaration for Attorney’s Fees and Costs (or provide the information in a declaration) (*The above forms are not required when asking for attorney's fees and costs under the Domestic Violence Prevention Act.) f. To request temporary emergency (ex parte) orders, you need these forms: FL-305, Temporary Emergency Orders, to serve as the proposed temporary emergency orders. Your declaration describing how and when you gave notice about the request for temporary emergency orders. You may use form FL-303, Declaration Regarding Notice and Service of Request for Temporary Emergency (Ex Parte) Orders. Other forms required by local courts. See item 9 on page 3 of this form for more information. g. If you plan to have witnesses testify at the hearing, you may want to use: FL-321, Witness List h. If you want to request a separate trial (bifurcation) on an issue, you need form: FL-315, Request or Response to Request for Separate Trial

Judicial Council of California, courts.ca.gov FL-300-INFO, Page 1 of 4Rev. January 1, 2026, Optional Form Information Sheet for Request for Order (Family Law)

FL-300-INFO Information Sheet for Request for Order

4 Complete form FL-300 (Page 1) Caption: Complete the top part with your name, address, and telephone number. Below that, fill in the court's address. Write the name of the Petitioner, Respondent, or Other Parent/Party. (You must use the party names as they appear in the petition.) In the next section, check “CHANGE” if you want to change an existing order. Check “TEMPORARY EMERGENCY (EX PARTE) ORDER” if you are asking that the court make emergency orders that will be effective until the hearing date. Then, check the boxes that apply to the orders you are requesting. Finally, in the box on the right, write your case number. Item 1: List the name(s) of the other person(s) in your case who will receive your request. In some cases, this might include a grandparent who is joined as a party in the case, a local child support agency, or a lawyer who represents a child in the case. Item 2: Leave this blank. The court clerk will fill in the date, time, and location of the hearing. Item 3: This is a notice to all other parties. Items Leave these blank. The court will 4–5: complete them if the orders are granted. 7 File your documents Item 6: In some counties, the court clerk will Give your paperwork and the copies you made to check item 6 and provide the details for the court clerk to process. You may take them to the your required child custody mediation or clerk’s office in person, mail them, or, in some recommending counseling appointment. counties, you can e-file them. Other courts require the party or the The clerk will keep the original and give you back party’s lawyer to make the appointment the copies you made with a court date and time and then complete item 6 before filing stamped on the first page of the Request for Order. form FL-300. The procedure may be different in some courts if Ask your court’s Family Law Facilitator you are requesting temporary emergency orders. or Self-Help Center to find out what your court requires. 8 Pay filing fees Items Leave these blank. The court will 7–8: complete them, if needed. A fee is due at the time of filing. 5 Complete form FL-300 (pages 2–4) If you cannot afford to pay the filing fee, and you do not already have a valid fee waiver order in this 6 Complete additional forms and make copies case, you can ask the court to waive the fee by Complete any additional forms that you need to file completing and filing form FW-001, Request to with the Request for Order. Make at least two Waive Court Fees, and form FW-003, Order on copies of your full packet. Court Fee Waiver.

Rev. January 1, 2026 Information Sheet for Request for Order FL-300-INFO, Page 2 of 4 (Family Law)

FL-300-INFO Information Sheet for Request for Order

9 Temporary Emergency (Ex Parte) Orders • Copy of temporary emergency orders granted. (nondomestic violence restraining orders) • Blank form FL-320, Responsive Declaration to Courts can make temporary orders in your family Request for Order. law case to respond to emergencies that cannot wait to be heard on the court’s regular hearing calendar. • Blank form FL-150, Income and Expense Declaration (if you served form FL-150 or The emergency must involve an immediate or FL-155). irreparable harm to a party or children in the case, or an immediate loss or damage to property. 12 Who can be a “server” Under Family Code section 3064, "immediate harm You cannot serve the papers. Have someone else to a child" includes, but is not limited to, a child: (who is at least 18 years old) do it. The server can • Whose parent has committed acts of domestic be a friend, a relative who is not involved in your violence; or case, a sheriff, or a professional process server. • Who is a victim of sexual abuse. 13 “Personal service” When deciding whether there is immediate harm to Personal service means that your server walks up to a child, the court will consider whether a parent each person to be served, makes sure the right has illegal access to firearms or ammunition. person is served, and then hand-delivers a copy of all the papers (and the blank forms). If the person To request these orders: served does not take the papers, the server may leave the papers near the person. • Complete form FL-300. Describe the emergency and explain why you need the temporary emergency orders before the hearing. • Complete form FL-305 to serve as your proposed temporary orders. • Include a declaration describing how and when you notified the other parties (or why you could not give notice) about your request and the hearing (see form FL-303). • Complete forms required by local court rules. Note: Sometimes the papers may be personally • Follow your court’s local procedures for served on the other party’s lawyer (if the other party reserving the day for the hearing, submitting your has one) in the family law case. paperwork, and paying filing fees. “Service by mail” Service by mail means that 14 10 General information about “service” your server places copies of all the documents (and “Service” is the act of giving your legal papers to blank forms) in a sealed envelope and mails them all persons named as parties in the case so that they to the address of each party being served (or to the know what orders you are asking for and have party’s lawyer, if the party has one). information about the hearing. The server must be 18 years of age or over and If the other parties are NOT properly served, the live or work in the county where the mailing took judge cannot make the orders you requested on the place. date of the hearing. 11 Serve the Request for Order, blank forms Important! For questions about personal service or service by mail, talk with a lawyer or check with your The other party must be “served” with a: court’s family law facilitator or self-help center at • Copy of the Request for Order and all the other selfhelp.courts.ca.gov/court-based-self-help-services. forms and attachments filed with the court clerk.

Rev. January 1, 2026 Information Sheet for Request for Order FL-300-INFO, Page 3 of 4 (Family Law)

FL-300-INFO Information Sheet for Request for Order

15 When to use personal service or service by mail

Personal Service Service by Mail Personal service is the best way to make sure the If you are not required to use personal service, you other adults in your case are correctly served. may use service by mail. Sometimes you must use personal service. Important! Check with your court’s Family Law Facilitator’s Office or Self-Help Center, or ask a You must use personal service when the court: lawyer to be sure you are allowed to use service by Ordered personal service; mail in your case. Granted temporary emergency orders; A Request for Order to change a judgment or final order on the issue of child custody, visitation Does not yet have the power to make orders that (parenting time), or child support may be served by apply to the other party because the person has mail if: either NOT previously: • Been served with a Summons and Petition;* The documents do not include temporary emergency orders; OR The court did not order personal service; and • Appeared in the case by filing a: a. Response to a Petition; You have verified the other party’s current b. Appearance, Stipulations, and Waivers; residence or office address. (You may use c. Written notice of appearance; Address Verification (form FL-334).) d. Request to strike all or part of the Petition; or To change a judgment or final order on any other e. Request to transfer the case. issue, including spousal or domestic partner support, the Request for Order may need to be *Note: A Request for Order may be served at the same time as the family law Summons personally served on the other party. and Petition. 1. After serving, the server must fill out a Proof of 1. After serving, the server must fill out a Proof of Service by Mail (form FL-335) and give it to Personal Service (form FL-330) and give it to you. If the server needs instructions, give them Information Sheet for Proof of Service by you. If the server needs instructions, give them Mail (form FL-335-INFO). form FL-330-INFO, Information Sheet for 2. Take the completed Proof of Personal Service Proof of Personal Service. form to the clerk’s office (or e-file it, if available 2. Take the completed Proof of Personal Service in your court) at least 5 court days before your form to the clerk’s office (or e-file it, if hearing. available in your court) at least 5 court days Deadline: Unless the court orders a different time, before your hearing. service by mail must be completed at least 16 court Deadline: The deadline for personal service is 16 days PLUS 5 calendar days before the hearing court days before the hearing date, unless the court date (if service is in California). Other time lines orders a different deadline. apply for service outside of California. 16 Get ready for your hearing • Take at least two copies of your documents and filed forms to the hearing. Include a filed Proof of Service form. • For information about preparing for and presenting your case at the hearing, visit these two online resources: selfhelp.courts.ca.gov/tips-your-day-court and selfhelp.courts.ca.gov/debt-lawsuits/trial/present-case. • Information about having the other party or witnesses testify in court (including information about subpoenas) is online at selfhelp.courts.ca.gov/request-for-order/notice-attend-subpoena. 17 After the hearing, form FL-340 Findings and Order After Hearing, must be completed, filed, and served. 18 Do you have questions or need help? • Find a lawyer through your local bar association, the State Bar of California at www.calbar.ca.gov, or the Lawyer Referral Service at 1-866-442-2529. • For free and low-cost legal help (if you qualify), go to www.lawhelpca.org. • Contact the family law facilitator or self-help center for information and assistance, and referrals to local legal services providers. Go to selfhelp.courts.ca.gov/court-based-self-help-services. Rev. January 1, 2026 Information Sheet for Request for Order FL-300-INFO, Page 4 of 4 (Family Law)

FORM INSTRUCTIONS FL-300 PARTY WITHOUT ATTORNEY OR ATTORNEY STATE BAR NUMBER NAME YOUR NAME FIRM NAME: STREET ADDRE YOUR ADDRESS omy CITY, STATE, ZIP CODE STATE zp CODE TELEPHONE NO} FAX NO. YOUR TELEPHONE NUMBER EMAIL ADDRESY srtotvev ron YOUR EMAIL ADDRESS SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: | Fresno County Superior Court MAILING ADDRESS: 1130 oO Street CITY AND ZIP CODE: Fresno CA 93724-2220 BRANCH NAME; PARTY WHO INITIALLY OPENED CASE THE OTHER PARTY PETITIONER: RESPONDENT: OTHER PARENT/PARTY: FOR COURT USE ONLY SAMPLE ONLY DO NOT WRITE ON THIS COPY! REQUEST FORORDER [| CHANGE Child Custody [—] Visitation (Parenting Time) {-] Child Support [-] Property Control [] Attorney's Fees and Costs ‘ng Other (specify): IN IN [] TEMPORARY EMERGENCY ORDERS {-] Spousal or Partner Support CASE NUMBER: [COURT CASE NUMBER_ T u CHECK ALL THE BOXES THAT APPLY DV-SU0-INFO NOTICE OF HEARING plete this form. To ask to change or end an order m DV-130 or JV-255), read form FL-300-INFO and form

1. TO (name): [WRITE THE OTHER PARTY'S NAME AND IF DCSS IS INVOLVED, WRITE DCSS HERE TOO | CDetitioner CT pgesrondent CL) Other ParenvParty (_)) Qiher (specify):
2. A COURT HEARING WILL BE HELD AS FOLLOWL_CHECK THE BOXES THAT APPLY _| a. Date: b. Address of ci LEAVE THIS BOX BLANK
3. WARNING to the person served with the Request for Order: The court may make the requested orders without you if you do not file a Responsive Declaration to Request for Order (form FL-320), serve a copy on the other parties at least nine court days before the hearing (unless the court has ordered a shorter period of time), and appear at the hearing. (See form FL-320-INFO for more information.) COURT ORDER It is ordered that: (FOR COURT USE ONLY)
4. [| Time [J
5. [-_] A Respong
6. The parties (specify dal LEAVE SECTIONS 4-8 BLANK
7. The orders served wit!
8. Other (spe ate): y counseling as follows must be personally LEAVE BLANK Date:| LEAVE BLANK JUDICIAL OFFICER

Form Adopted for Mandatory Use Judicial Council of California FL-300 [Rev. July 1, 2025} REQUEST FOR ORDER Family Code, §§ 2045, 2107, 6224, 6226, 6320-6326, 6380-6383 Government Code, § 70812 Cal. Rules of Court, rule 5.92 ov

FL-300 PETITIONER: |PARTY WHO INITIALLY OPENED CASE CASE NUMBER RESPONDENT: |THE OTHER PARTY [COURT CASE NUMBER| OTHER PARENT/PARTY: REQUEST FOR ORDER Note: Place a mark X in front of the box that applies to your case or to your request. If you need more space, mark the box for “Attachment.” For example, mark “Attachment 2a” to indicate that the list of children's names and birth dates continues on a paper attached to this form. Then, on a sheet of paper, list each attachment number followed by your request. At the top of the paper, write your name, case number, and “FL-300” as a title. (You may use Attached Declaration (form MC-031) for this purpose.)

1. [-] RESTRAINING ORDER INFORMATION One or more domestic violence restraining/protective orders are now in effect between (specify): {] Petitioner [] Respondent [] Other Parent/Party (Attach a copy of the orders i IF THERE IS A RESTRAINING The orders are from the following court or courts (specify county and state): ORDER IN EFFECT a. [-] Criminal: County/state (specify): Case No. (if known): BETWEEN YOU AND THE b. [__] Family: County/state (specify): Case No. (if known): | OTHER PARTY, COMPLETE la: ify) ‘1 . SECTION 1. AND ATTACH A
2. J le: County/stat ify): C. No. (if ki : c. [] Juvenile: County/state (specify) ase No. (if known) COPY, IF YOU HAVE ONE d. [] Other: County/state (specify): Case No. (if known): 2 CHILD CUSTODY [COMPLETE THIS SECTION IF YOU ARE ASKING FOR CHILD CUSTODYIVISITATION ORDERS TEqUeSTIEMIPUTaTy-Crrergenicy-OTuErs’ [_] /VISITATION (PARENTING TIME) A “ a. | request that the court make orders about the following children (specify): a , ( DLegal Custody to (person who Physical Custody to (person CHECK | Child's Name Date of Birth ides: health, education, eto with whom child lives): BOXES CHILD #1'S NAME BIRTHDATE THAT uy APPLY | CHILD avs NAME SIR HDATE IF YOU ARE ASKING FOR CUSTODY ORDERS, CHECK |

| CHILD #4'S NA THE BOXES AND WRITE IN THE NAME(S) OF WHOM

ME BIRTHDATE YOU WANT TO HAVE LEGAL AND PHYSICAL CUSTODY | NN | Attachment 2a b. The orders | request for AA child custody ct visitation (parenting time) are:

|

()) Specified in the attached forms: | |CHECK BOXES THAT APPLY| [ CHECKALL |s/(—] Formri-308 = (] Form FL-3i7—«L__] FormFL-312 [_] Form Fi-a41(C

| THAT APPLY ° : !

SQ i Form FL-341(D) Form FL-341(E) Other (specify): 2) * follows (specify): on Attachment 2b! IF YOU NEED MORE SPACE TO IF YOU CHECK THIS BOX, 7 PROVIDE FURTHER DETAILS, PROVIDE FURTHER DETAILS TO SUPPORT YOUR REQUEST IN USE FORM MC-031 AND REGARDS TO CUSTODYIVISITATION CHECK THIS BOX IF YOU WOULD LIKE TO ATTACH ADDITIONAL FORMS FOR CHILD CUSTODY/ < VISITATION, CHECK THE BOX OF THE FORM(S) YOU PRINTED AND ATTACHED c. The orders that | request are in the best interest of the children because (specify): Attachment 2c. EXPLAIN WHY THE ORDERS YOU ARE REQUESTING ARE GOOD FOR YOUR CHILD(REN) FL-300 [Rev. July 1, 2025] REQUEST FOR ORDER Page 2 of 4

FL-300 RR SHONER [PARTY WHO INITIALLY OPENED CASE CASE NUMBER OTHER PARENT/PARTY. HE OTHER PARTY [COURT CASE NUMBER| 2. d.(} This is a change from the current order for, ¢ ) child custody Q) visitation (parenting time). C> The order for legal or physical custody was filed on (date): _ The court ordered (specify): iN IF YOU ARE CHANGING AN EXISTING CUSTODY ORDER, CHECK THIS BOX IF YOU ARE WRITE IN THE DATE YOUR EXISTING ORDER WAS FILED ON AND GIVE A BRIEF DESCRIPTION OF ASKING TO WHAT YOUR CUSTODY ORDER IS CHANGE (2) <7) he visitation (parenting time) order was filed on (dafe): . The court ordered (specify): adie \ IF YOU ARE CHANGING AN EXISTING VISITATION ORDER, CHECK THIS BOX CHECK THE WRITE IN THE DATE YOUR EXISTING ORDER WAS FILED ON AND GIVE A BRIEF DESCRIPTION OF APPROPRIATE WHAT YOUR VISITATION ORDER IS BOXES J Attachment 2d. 3. CHILD SUPPORT [COMPLETE THIS SECTION IF YOU ARE ASKING FOR CHILD SUPPORT (Note: An earnings essignrrentcrrery 9 eS SCO CO TCO VITO TOT SAPITOTO TOIT ELE TIT a. | request that the court order child support as follows: .

| request support for each child Monthly amount ($) requested

Child's name and age CHILD #1'S NAME BIRTHDATE CHILD #2'S NAME BIRTHDATE CHILD #3'S NAME BIRTHDATE CHILD #4'S NAME BIRTHDATE based on the child support guideline. (if not by guideline) [COMPLETE WHICHEVER ONE APPLIES) [] Attachment 3a. b. [-] | want to change a current court order for child support filed on (date): The court ordered child support as follows (specify): [COMPLETE THIS SECTION IF YOU ARE ASKING TO CHANGE AN ORDER THAT WAS PREVIOUSLY MADE | c. | have completed and filed with this Request for Order a current Income and Expense Declaration (form FL-150) or | filed a current Financial Statement (Simplified) (form FL-155) because | meet the requirements to file form FL-155. d. The court should make or change the support orders because (specify): [] Attachment 3d. EXPLAIN WHY THE COURT SHOULD GRANT YOUR REQUEST FOR CHILD SUPPORT OR YOUR REQUEST TO CHANGE IT IF YOU ARE REQUESTING CHILD SUPPORT ORDERS, CHECK THIS BOX AND COMPLETE FORM FL-150 4. [] SPOUSAL OR DOMESTIC PARTNER SUPPORT|COMPLETE THIS SECTION IF YOU ARE ASKING FOR SPOUSAL SUPPOR" (Note: An Earnings Assignment Order for Spousal orPartér Support (form FL-435) May De TSSueT.) a. [] Amount requested (monthly): $ b. [] | wantthe courtto [] change [] end _ the current support order filed on (date): The court ordered $ per month for support. c. [] This request is to modify (change) spousal or partner support after entry of a judgment.

| have completed and attached Spousal or Partner Support Declaration Attachment (form FL-157) or a declaration

that addresses the same factors covered in form FL-157. d. | have completed and filed a current Income and Expense Declaration (form FL-150 ) in support of my request. e. The court should make, change, or end the support orders because (specify): [-_] Attachment 4e. EXPLAIN WHY THE COURT SHOULD GRANT YOUR REQUEST FOR SPOUSAL SUPPORT OR YOUR REQUEST TO CHANGE IT FL-300 [Rev. July 1, 2025] REQUEST FOR ORDER Page 3 of 4

PETITIONER: |PARTY WHO INITIALLY OPENED CASE RESPONDENT: |THE OTHER PARTY OTHER PARENT/PARTY: FL-300 CASE NUMBER [COURT CASE NUMBER] 5. [] PROPERTY CONTROL a. The [] petitioner [~] respondent [] other parent/party [] | request temporary emergency orders be given exclusive temporary use, possession, and control of the following property that we own or are buying lease or rent(specify): b. The [] petitioner [] res CHECK ANY OTHER BOXES THAT APPLY, TO TELL THE COURT WHAT YOU ARE REQUESTING and liens coming due while the order is in effect: Pay to: Pay to: Pay to: Pay to: For: Amount: $ For: Amount: $ For: Amount: $ For: Amount: $ the following payments on debts Due date: Due date: Due date: Due date: c. [] This is a change from the current order for property control filed on (date): d. Specify in Attachment 5d the reasons why the court should make or change the property control orders. 6. [__] ATTORNEY'S FEES AND COSTS

| request attorney's fees and costs, which total (specify amount): $

a. Acurrent Income and Exper b. A Request for Attorney's Fee Lfiled the following to support my request: in that form. YOU ARE REQUESTING c. A Supporting Declaration fo) CHECK ANY OTHER BOXES THAT APPLY, TO TELL THE COURT WHAT that addresses the factors covered factors covered in that form. ATIOINEY S FEES AN COSTS ATTACHMENT (Torn! FL- 158) Of a declaration that addresses the [Attachment 7. 7. R OTHER ORDERS REQUESTED (specify): [IF THERE WASN'T A BOX FOR WHAT YOU ARE REQUESTING, CHECK THE BOX AND WRITE IT HERE

|

YOU WILL ALSO NEED TO CHECK THE OTHER BOX ON THE TOP OF PAGE 1 OF 4 AND WRITE A BRIEF

|DESCRIPTION OF THE ORDER REQUESTED

8. [-] TIME FOR SERVICE / TIME UNTIL HEARING | urgently need: a. To serve the Request for Order no less than (number): b. [] The hearing date and service of the Request for Order to be sooner. c. | need the order because (specify): court days before the hearing. [__] Attachment 8.
9. a) FACTS TO SUPPORT the orders | request are listed below. The facts that | write in support and attach to this request ee be longer than 10 pages, unless the court gives me permission. TELL THE COURT WHY YOU ARE REQUESTING THE ORDERS LISTED ON THIS FORM AND PROVIDE FACTS AND/OR EVIDENCE TO SUPPORT YOUR REQUEST

| declare under penalty of perjury under the laws of the State of California that the information provided in this form and all attachments

is true_and_corre Date TODAY'S DATE

| PRINT YOUR NAME HERE |

OER NaN ) [SIGN YOUR NAME HERE | Requests for Accommodations Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are available if you ask at least five days before the proceeding. Contact the clerk's office or go to courts.ca.qov/forms for Disability Accommodations Request (form MC-410). (Civ. Code, § 54.8.) (SIGNATURE OF APPLICANT) FL-300 (Rev. July 1, 2025] REQUEST FOR ORDER

MC-031 PLAINTIFF/PETITIONER: [PARTY WHO INITIALLY OPENED CASE CASE NUMBER: DEFENDANT/RESPONDENT: |THE OTHER PARTY [COURT CASE NUMBER] DECLARATION (This form must be attached to another form or court paper before it can be filed in court.) BRIEFLY EXPLAIN WHY YOU ARE REQUESTING CUSTODY AND/OR VISITATION ORDERS IN THE BEST INTEREST OF THE CHILD(REN)

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

Date: [TODAY'S DATE [PRINT YOUR NAME HERE| [SIGN YOUR NAME HERE __| (TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT) CD Attorney for =) Plaintitt © (2) Petitioner [CJ Defendant CC] Respondent [CL] Other (Specify): Form Approved for Optional Use CEB’! Essential ATTACHED DECLARATION Page 1 of 1 Judicial Council of California ie MC-031 [Rev. July 1, 2005] cebcom | {2|Forms-

MC-031 PLAINTIFF/PETITIONER: [PARTY WHO INITIALLY OPENED CASE CASE NUMBER: DEFENDANT/RESPONDENT: |THE OTHER PARTY [COURT CASE NUMBER| DECLARATION (This form must be attached to another form or court paper before it can be filed in court.) BRIEFLY EXPLAIN WHY YOU ARE REQUESTING CUSTODY AND/OR VISITATION ORDERS IN THE BEST INTEREST OF THE CHILD(REN)

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

Date: TODAY'S DATE [PRINT YOUR NAME HERE| | SIGN YOUR NAME HERE | (TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT) Q) Attorney for i | Plaintiff | Petitioner | Defendant (} Respondent [CQ] Other (Specify): Form Approved for Optional Use CIB Essential ATTACHED DECLARATION Page 1 of 1 Judicial Council of California | 4 1 28 1 2 0 107 2022 416 25 -1 5 1 28 1 2 1 107 2029 53 12 91.296738 MC-031 5 1 28 1 2 2 168 2029 35 15 86.539551 [Rev. 5 1 28 1 2 3 210 2030 27 14 94.761459 July 5 1 28 1 2 4 244 2030 9 14 93.977188 1, 5 1 28 1 2 5 259 2030 39 15 93.977188 2005] 5 1 28 1 2 6 353 2031 59 14 34.024467 ceb.com 5 1 28 1 2 7 421 2018 3 36 90.133011 | 5 1 28 1 2 8 429 2022 94 25 20.165443 {2|Forms 2 1 29 0 0 0 85 1982 1464 8 -1 3 1 29 1 0 0 85 1982 1464 8 -1 4 1 29 1 1 0 85 1982 1464 8 -1 5 1 29 1 1 1 85 1982 1464 8 95.000000

FORM INSTRUCTIONS FL-105/GC-120 ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER: FOR COURT USE ONLY maw. [YOUR NAME crater noone YOUR ADDRESS SAMPLE ov |CITY, STATE, ZIP CODE paren reerrone 1 5 1 6 3 1 3 287 379 89 24 0.000000 ¥OUR 5 1 6 3 1 4 386 378 182 25 95.922562 TELEPHONE 5 1 6 3 1 5 580 377 138 25 96.056381 NUMBER 5 1 6 3 1 6 718 358 15 55 6.282272 | 5 1 6 3 1 7 1266 356 147 47 96.397057 ONLY 2 1 7 0 0 0 1148 256 381 10 -1 3 1 7 1 0 0 1148 256 381 10 -1 4 1 7 1 1 0 1148 256 381 10 -1 5 1 7 1 1 1 1148 256 381 10 95.000000 2 1 8 0 0 0 730 232 4 177 -1 3 1 8 1 0 0 730 232 4 177 -1 4 1 8 1 1 0 730 232 4 177 -1 5 1 8 1 1 1 730 232 4 177 95.000000 2 1 9 0 0 0 281 404 452 9 -1 3 1 9 1 0 0 281 404 452 9 -1 4 1 9 1 1 0 281 404 452 9 -1 5 1 9 1 1 1 281 404 452 9 95.000000 2 1 10 0 0 0 149 428 179 15 -1 3 1 10 1 0 0 149 428 179 15 -1 4 1 10 1 1 0 149 428 179 15 -1 5 1 10 1 1 1 149 428 86 12 96.655807 ATTORNEY 5 1 10 1 1 2 241 428 31 12 96.661667 FOR 5 1 10 1 1 3 279 428 49 15 81.148926 (name) 2 1 11 0 0 0 144 446 962 15 -1 3 1 11 1 0 0 144 446 962 15 -1 4 1 11 1 1 0 144 446 962 15 -1 5 1 11 1 1 1 144 446 962 15 95.000000 2 1 12 0 0 0 150 440 1300 46 -1 3 1 12 1 0 0 150 440 1300 46 -1 4 1 12 1 1 0 150 440 1300 46 -1 5 1 12 1 1 1 150 465 109 16 96.780685 SUPERIOR 5 1 12 1 1 2 267 464 74 17 96.818008 COURT 5 1 12 1 1 3 349 464 28 16 96.727707 OF 5 1 12 1 1 4 384 463 137 19 96.267731 CALIFORNIA, 5 1 12 1 1 5 530 463 88 16 96.093681 COUNTY 5 1 12 1 1 6 626 463 27 16 96.671730 OF 5 1 12 1 1 7 1231 441 82 45 96.308701 DO 5 1 12 1 1 8 1336 441 37 44 89.871979 N 5 1 12 1 1 9 1380 440 70 45 96.697105 OT 2 1 13 0 0 0 354 478 480 9 -1 3 1 13 1 0 0 354 478 480 9 -1 4 1 13 1 1 0 354 478 480 9 -1 5 1 13 1 1 1 354 478 480 9 95.000000 2 1 14 0 0 0 150 497 156 72 -1 3 1 14 1 0 0 150 497 156 72 -1 4 1 14 1 1 0 159 497 146 13 -1 5 1 14 1 1 1 159 498 61 12 96.452309 STREET 5 1 14 1 1 2 225 497 80 12 96.129837 ADDRESS: 4 1 14 1 2 0 156 527 149 13 -1 5 1 14 1 2 1 156 528 63 12 96.419434 MAILING 5 1 14 1 2 2 225 527 80 12 96.669365 ADDRESS: 4 1 14 1 3 0 150 557 156 12 -1 5 1 14 1 3 1 150 557 34 12 96.713173 CITY 5 1 14 1 3 2 189 557 33 12 96.471848 AND 5 1 14 1 3 3 228 557 23 12 95.518768 ZIP 5 1 14 1 3 4 257 557 49 12 96.582397 CODE: 2 1 15 0 0 0 362 489 391 28 -1 3 1 15 1 0 0 362 489 391 28 -1 4 1 15 1 1 0 362 489 391 28 -1 5 1 15 1 1 1 362 492 87 21 95.963455 Fresno 5 1 15 1 1 2 459 491 93 26 96.179161 County 5 1 15 1 1 3 561 489 112 28 96.486694 Superior 5 1 15 1 1 4 681 490 72 21 96.486694 Court 2 1 16 0 0 0 362 523 1115 47 -1 3 1 16 1 0 0 362 523 1115 47 -1 4 1 16 1 1 0 362 523 1115 47 -1 5 1 16 1 1 1 362 530 62 21 66.542587 1130 5 1 16 1 1 2 435 528 45 23 66.542587 O" Street WRITE ON Fresno CA 93724-2220 BRANCH NAME: (This section applies to cases other than probate guardianships.) TH IS CO PY I e PETITIONER: RESPONDENT: |THE OTHER PARTY PARTY WHO INITIALLY OPENED CASE OTHER PARTY: CHILD'S NAME (Juvenile cases only): CHECK THE (This section applies only to probate guard APPROPRIATE BOX __ [case numser: GUARDIANSHIP OF (name): LEAVE BLANK ( Minor DECLARATION UNDER UNIFORM CHILD CUSTODY [COURT CASE NUMBER| JURISDICTION AND ENFORCEMENT ACT (UCCJEA) 4. 1am (check one): [ a party to this proceeding to determine custody of a child [__] the authorized representative of the | WRITE IN THE NUMBER OF CHILDREN proceeding to determine custody of a child. 2. There are (specify number): minor children who are subject to this proceeding, as follows (list oldest child first): Full Name Date of birth Place of birth (city and state) a. [OLDEST CHILD'S NAME | [MM/DD/YYYY | __ |[CiTY & STATE WHERE CHILD WAS BORN | b. [NEXT OLDEST CHILD'S NAME| [MM/DD/YYYY | _|LCITY & STATE WHERE CHILD WAS BORN | c. [NEXT OLDEST CHILD'S NAME] [MM/DD/YYYY | __|[CitY & STATE WHERE CHILD WAS BORN | d. [NEXT OLDEST CHILD'S NAME] [MM/DD/YYYY | __|[CItY & STATE WHERE CHILD WAS BORN | C4 this box if you n¢CHECK THIS BOX IF lorm MG-020 or a separate piece of paper, write FL-105, 5 1 85 1 1 20 1414 1306 120 18 96.894310 Attachment 5 1 85 1 1 21 1541 1306 16 21 96.981529 2, 4 1 85 1 2 0 245 1343 231 18 -1 5 1 85 1 2 1 245 1343 106 18 96.578171 Additional 5 1 85 1 2 2 359 1343 88 18 73.545929 Children” 5 1 85 1 2 3 464 1347 12 13 73.545929 a 2 1 86 0 0 0 503 1336 937 31 -1 3 1 86 1 0 0 503 1336 937 31 -1 4 1 86 1 1 0 503 1336 937 31 -1 5 1 86 1 1 1 503 1347 168 20 96.331345 APPLICABLE 5 1 86 1 1 2 813 1340 112 18 86.908134 information 5 1 86 1 1 3 933 1339 30 18 96.937737 for 5 1 86 1 1 4 968 1339 51 18 96.937737 each 5 1 86 1 1 5 1028 1338 101 18 96.663033 additional 5 1 86 1 1 6 1136 1337 52 22 96.676155 child, 5 1 86 1 1 7 1199 1337 40 18 96.811523 and 5 1 86 1 1 8 1246 1337 62 18 96.832336 attach 5 1 86 1 1 9 1317 1337 18 17 96.797165 to 5 1 86 1 1 10 1344 1336 36 18 96.797165 this 5 1 86 1 1 11 1387 1336 53 22 95.081001 form.) 2 1 87 0 0 0 807 1307 3 70 -1 3 1 87 1 0 0 807 1307 3 70 -1 4 1 87 1 1 0 807 1307 3 70 -1 5 1 87 1 1 1 807 1307 3 70 95.000000 2 1 88 0 0 0 497 1309 3 70 -1 3 1 88 1 0 0 497 1309 3 70 -1 4 1 88 1 1 0 497 1309 3 70 -1 5 1 88 1 1 1 497 1309 3 70 95.000000 2 1 89 0 0 0 497 1371 313 9 -1 3 1 89 1 0 0 497 1371 313 9 -1 4 1 89 1 1 0 497 1371 313 9 -1 5 1 89 1 1 1 497 1371 313 9 95.000000 2 1 90 0 0 0 633 1389 295 7 -1 3 1 90 1 0 0 633 1389 295 7 -1 4 1 90 1 1 0 633 1389 295 7 -1 5 1 90 1 1 1 633 1389 295 7 95.000000 2 1 91 0 0 0 924 1388 5 76 -1 3 1 91 1 0 0 924 1388 5 76 -1 4 1 91 1 1 0 924 1388 5 76 -1 5 1 91 1 1 1 924 1388 5 76 95.000000 2 1 92 0 0 0 639 1390 5 76 -1 3 1 92 1 0 0 639 1390 5 76 -1 4 1 92 1 1 0 639 1390 5 76 -1 5 1 92 1 1 1 639 1390 5 76 95.000000 2 1 93 0 0 0 938 1444 468 25 -1 3 1 93 1 0 0 938 1444 468 25 -1 4 1 93 1 1 0 938 1444 468 25 -1 5 1 93 1 1 1 938 1447 39 17 96.971909 box 5 1 93 1 1 2 984 1446 40 18 96.516418 and 5 1 93 1 1 3 1030 1446 78 23 96.516418 provide 5 1 93 1 1 4 1116 1445 44 23 96.508171 only 5 1 93 1 1 5 1167

76 -1 3 1 92 1 0 0 639 1390 5 76 -1 4 1 92 1 1 0 639 1390 5 76 -1 5 1 92 1 1 1 639 1390 5 76 95.000000 2 1 93 0 0 0 938 1444 468 25 -1 3 1 93 1 0 0 938 1444 468 25 -1 4 1 93 1 1 0 938 1444 468 25 -1 5 1 93 1 1 1 938 1447 39 17 96.971909 box 5 1 93 1 1 2 984 1446 40 18 96.516418 and 5 1 93 1 1 3 1030 1446 78 23 96.516418 provide 5 1 93 1 1 4 1116 1445 44 23 96.508171 only 5 1 93 1 1 5 1167 1445 31 18 96.759865 the 5 1 93 1 1 6 1206 1445 51 18 96.637726 state 5 1 93 1 1 7 1265 1444 22 18 96.637726 of 5 1 93 1 1 8 1292 1444 114 22 96.817291 residence.) 2 1 94 0 0 0 641 1457 289 6 -1 3 1 94 1 0 0 641 1457 289 6 -1 4 1 94 1 1 0 641 1457 289 6 -1 5 1 94 1 1 1 641 1457 289 6 95.000000 2 1 95 0 0 0 146 1379 1392 73 -1 3 1 95 1 0 0 146 1379 1392 73 -1 4 1 95 1 1 0 146 1379 1392 45 -1 5 1 95 1 1 1 146 1388 16 17 88.048218 3. 5 1 95 1 1 2 184 1392 16 13 81.521149 a. 5 1 95 1 1 3 302 1387 49 17 95.921761 heck 5 1 95 1 1 4 359 1386 36 18 96.578423 this 5 1 95 1 1 5 404 1386 38 18 96.684624 box 5 1 95 1 1 6 451 1386 12 17 95.138451 if 5 1 95 1 1 7 469 1386 54 17 95.138451 there 5 1 95 1 1 8 532 1385 15 18 96.906807 is 5 1 95 1 1 9 555 1385 43 22 96.906807 only 5 1 95 1 1 10 607 1389 23 13 95.071388 on 5 1 95 1 1 11 647 1379 83 45 75.807007 CHECK 5 1 95 1 1 12 744 1383 63 36 96.782738 THIS 5 1 95 1 1 13 812 1383 54 35 70.149765 ‘BOX 5 1 95 1 1 14 879 1383 24 35 83.300323 IF 5 1 95 1 1 15 944 1382 54 18 93.862846 listed 5 1 95 1 1 16 1008 1382 15 18 93.862846 in 5 1 95 1 1 17 1033 1382 42 17 96.792816 item 5 1 95 1 1 18 1084 1382 11 17 96.740234 2 5 1 95 1 1 19 1105 1382 49 17 96.709122 have 5 1 95 1 1 20 1163 1381 46 18 96.670258 lived 5 1 95 1 1 21 1218 1380 88 23 96.796822 together 5 1 95 1 1 22 1312 1380 28 17 96.853645 for 5 1 95 1 1 23 1347 1380 32 17 95.645500 the 5 1 95 1 1 24 1388 1380 36 22 95.645500 past 5 1 95 1 1 25 1431 1379 35 18 96.376793 five 5 1 95 1 1 26 1474 1383 64 18 96.376793 years. 4 1 95 1 2 0 223 1414 1273 38 -1 5 1 95 1 2 1 223 1422 88 23 96.498169 (Provide 5 1 95 1 2 2 320 1422 31 18 97.011238 the 5 1 95 1 2 3 360 1422 75 17 96.896362 current 5 1 95 1 2 4 442 1421 86 18 96.587563 address 5 1 95 1 2 5 631 1420 2 2 37.091751 f 5 1 95 1 2 6 646 1431 168 21 74.125404 APPLICABLE 5 1 95 1 2 7 932 1418 103 18 96.278847 residence 5 1 95 1 2 8 1043 1417 70 22 96.906456 history 5 1 95 1 2 9 1120 1416 29 18 96.865150 for 5 1 95 1 2 10 1155 1416 31 18 96.865150 the 5 1 95 1 2 11 1194 1416 46 22 96.976891 past 5 1 95 1 2 12 1247 1416 39 17 96.686295 five 5 1 95 1 2 13 1293 1419 68 19 96.686295 years. 5 1 95 1 2 14 1371 1414 15 18 88.910606 If 5 1 95 1 2 15 1391 1415 25 17 96.722649 the 5 1 95 1 2 16 1423 1414 73 18 95.370056 current 2 1 96 0 0 0 223 1451 128 18 -1 3 1 96 1 0 0 223 1451 128 18 -1 4 1 96 1 1 0 223 1451 128 18 -1 5 1 96 1 1 1 223 1451 84 18 21.182184 address 5 1 96 1 1 2 315 1451 16 18 96.097832 is 5 1 96 1 1 3 339 1455 12 14 42.409382 ci 2 1 97 0 0 0 352 1449 289 23 -1 3 1 97 1 0 0 352 1449 289 23 -1 4 1 97 1 1 0 352 1449 289 23 -1 5 1 97 1 1 1 352 1450 111 18 69.984833 onfidential 5 1 97 1 1 2 470 1450 63 18 96.974571 under 5 1 97 1 1 3 538 1449 71 23 96.490074 Family 5 1 97 1 1 4 617 1449 24 18 77.559242 Co 2 1 98 0 0 0 221 1466 1358 24 -1 3 1 98 1 0 0 221 1466 1358 24 -1 4 1 98 1 1 0 221 1466 1358 24 -1 5 1 98 1 1 1 221 1466 1358 24 95.000000 2 1 99 0 0 0 221 1532 1359 24 -1 3 1 99 1 0 0 221 1532 1359 24 -1 4 1 99 1 1 0 221 1532 1359 24 -1 5 1 99 1 1 1 221 1532 1359 24 95.000000 2 1 100 0 0 0 1326 1542 2 62 -1 3 1 100 1 0 0 1326 1542 2 62 -1 4 1 100 1 1 0 1326 1542 2 62 -1 5 1 100 1 1 1 1326 1542 2 62 95.000000 2 1 101 0 0 0 225 1586 340 7 -1 3 1 101 1 0 0 225 1586 340 7 -1 4 1 101 1 1 0 225 1586 340 7 -1 5 1 101 1 1 1 225 1586 340 7 95.000000 2 1 102 0 0 0 941 1544 2 63 -1 3 1 102 1 0 0 941 1544 2 63 -1 4 1 102 1 1 0 941 1544 2 63 -1 5 1 102 1 1 1 941 1544 2 63 95.000000 2 1 103 0 0 0 607 1547 2 66 -1 3 1 103 1 0 0 607 1547 2 66 -1 4 1 103 1 1 0 607 1547 2 66 -1 5 1 103 1 1 1 607 1547 2 66 95.000000 2 1 104 0 0 0 604 1595 724 20 -1 3 1 104 1 0 0 604 1595 724 20 -1 4 1 104 1 1 0 604 1595 724 20 -1 5 1 104 1 1 1 604 1595 724 20 95.000000 2 1 105 0 0 0 225 1622 340 6 -1 3 1 105 1 0 0 225 1622 340 6 -1 4 1 105 1 1 0 225 1622 340 6 -1 5 1 105 1 1 1 225 1622 340 6 95.000000 2 1 106 0 0 0 946 1625 634 12 -1 3 1 106 1 0 0 946 1625 634 12 -1 4 1 106 1 1 0 946 1625 634 12 -1 5 1 106 1 1 1 946 1625 634 12 95.000000 2 1 107 0 0 0 221 1625 1359 24 -1 3 1 107 1 0 0 221 1625 1359 24 -1 4 1 107 1 1 0 221 1625 1359 24 -1 5 1 107 1 1 1 221 1625 1359 24 95.000000 2 1 108 0 0 0 1367 1653 190 6 -1 3 1 108 1 0 0 1367 1653 190 6 -1 4 1 108 1 1 0 1367 1653 190 6 -1 5 1 108 1 1 1 1367 1653 190 6 95.000000 2 1 109 0 0 0 619 1658 702 10 -1 3 1 109 1 0 0 619 1658 702 10 -1 4 1 109 1 1 0 619 1658 702 10 -1 5 1 109 1 1 1 619 1658 702 10 95.000000 2 1 110 0 0 0 244 1678 313 8 -1 3 1 110 1 0 0 244 1678 313 8 -1 4 1 110 1 1 0 244 1678 313 8 -1 5 1 110 1 1 1 244 1678 313 8 95.000000 2 1 111 0 0 0 219 1483 5 416 -1 3 1 111 1 0 0 219 1483 5 416 -1 4 1 111 1 1 0 219 1483 5 416 -1 5 1 111 1 1 1 219 1483 5 416 95.000000 2 1 112 0 0 0 243 1683 4 199 -1 3 1 112 1 0 0 243 1683 4 199 -1 4 1 112 1 1 0 243 1683 4 199 -1 5 1 112 1 1 1 243 1683 4 199 95.000000 2 1 113 0 0 0 218 1485 1361 379 -1 3 1 113 1 0 0 222 1485 1357 375 -1 4 1 113 1 1 0 290 1485 1222 31 -1 5 1 113 1 1 1 290 1491 62 18 96.754601 Dates 5 1 113 1 1 2 362 1491 21 18 96.379532 of 5 1 113 1 1 3 392 1491 112 18 95.901871 residence 5 1 113 1 1 4 694 1488 118 18 96.229721 Residence 5 1 113 1 1 5 988 1487 78 18 95.123306 Person 5 1 113 1 1 6 1075 1486 53 18 96.759544 child 5 1 113 1 1 7 1138 1485 52 18 96.644394 lived 5 1 113 1 1 8 1198 1485 46 18 96.799927 with 5 1 113 1 1 9 1253 1485 40 18 96.231331 and 5 1 113 1 1 10 1395 1498 117 18 90.456299 Relationshi 4 1 113 1 2 0 323 1502 1205 45 -1 5 1 113 1 2 1 323 1516 147 31 95.929909 (Month/Year) 5 1 113 1

8 96.229721 Residence 5 1 113 1 1 5 988 1487 78 18 95.123306 Person 5 1 113 1 1 6 1075 1486 53 18 96.759544 child 5 1 113 1 1 7 1138 1485 52 18 96.644394 lived 5 1 113 1 1 8 1198 1485 46 18 96.799927 with 5 1 113 1 1 9 1253 1485 40 18 96.231331 and 5 1 113 1 1 10 1395 1498 117 18 90.456299 Relationshi 4 1 113 1 2 0 323 1502 1205 45 -1 5 1 113 1 2 1 323 1516 147 31 95.929909 (Month/Year) 5 1 113 1 2 2 687 1517 57 23 96.999466 (City, 5 1 113 1 2 3 753 1517 66 22 96.896812 State) 5 1 113 1 2 4 995 1515 103 23 96.306877 complete 5 1 113 1 2 5 1107 1515 81 18 96.306877 current 5 1 113 1 2 6 1196 1514 89 18 95.865486 address 5 1 113 1 2 7 1516 1502 12 18 75.983597 P 4 1 113 1 3 0 231 1547 1313 31 -1 5 1 113 1 3 1 231 1560 52 16 96.235237 From: 5 1 113 1 3 2 403 1558 25 16 96.281837 To 5 1 113 1 3 3 436 1558 71 20 96.941040 present 5 1 113 1 3 4 615 1553 128 21 95.944756 CURRENT 5 1 113 1 3 5 752 1552 128 21 95.877892 ADDRESS 5 1 113 1 3 6 965 1552 68 18 93.287216 NAME 5 1 113 1 3 7 1042 1552 16 18 93.215073 & 5 1 113 1 3 8 1066 1551 115 18 95.283691 CURRENT 5 1 113 1 3 9 1189 1550 115 18 95.283691 ADDRESS 5 1 113 1 3 10 1308 1543 15 35 96.480537 | 5 1 113 1 3 11 1337 1543 12 35 69.921677 | 5 1 113 1 3 12 1363 1564 1 8 90.575775 | 5 1 113 1 3 13 1376 1547 168 19 96.453712 RELATIONSHIP 4 1 113 1 4 0 225 1571 1299 58 -1 5 1 113 1 4 1 225 1586 147 43 15.815067 [MuoDIYYYY 5 1 113 1 4 2 382 1590 4 34 74.242035 | 5 1 113 1 4 3 403 1583 146 45 20.203562 [MM/DDAYYYY 5 1 113 1 4 4 562 1590 3 34 61.863174 | 5 1 113 1 4 5 647 1586 53 20 95.361588 FOR 5 1 113 1 4 6 709 1585 51 20 96.093735 THE 5 1 113 1 4 7 770 1585 79 20 96.135490 CHILD 5 1 113 1 4 8 953 1581 32 18 96.769691 OF 5 1 113 1 4 9 994 1581 98 18 96.197227 PERSON 5 1 113 1 4 10 1102 1580 70 18 96.965469 CHILD 5 1 113 1 4 11 1182 1579 66 18 96.965469 LIVES 5 1 113 1 4 12 1256 1579 59 18 96.564987 WITH 5 1 113 1 4 13 1332 1571 33 19 39.344372 |S] 5 1 113 1 4 14 1394 1577 25 18 64.794777 OF 5 1 113 1 4 15 1427 1576 97 19 96.809471 PERSON 4 1 113 1 5 0 644 1606 866 27 -1 5 1 113 1 5 1 644 1614 110 16 96.079712 Confidential 5 1 113 1 5 2 763 1614 32 19 96.613075 (list 5 1 113 1 5 3 801 1614 45 15 96.883865 state 5 1 113 1 5 4 854 1613 44 20 96.887733 only) 5 1 113 1 5 5 946 1610 50 23 17.358904 {__] 5 1 113 1 5 6 1010 1611 110 17 95.651718 Confidential 5 1 113 1 5 7 1128 1611 33 20 96.911278 (list 5 1 113 1 5 8 1167 1611 45 16 96.917625 state 5 1 113 1 5 9 1219 1610 45 20 96.255653 only) 5 1 113 1 5 10 1406 1606 25 18 95.683540 TO 5 1 113 1 5 11 1441 1606 69 17 95.683540 CHILD 4 1 113 1 6 0 231 1648 201 29 -1 5 1 113 1 6 1 231 1648 52 29 96.899765 From: 5 1 113 1 6 2 403 1651 29 16 96.731606 To: 4 1 113 1 7 0 672 1668 164 21 -1 5 1 113 1 7 1 672 1669 51 20 96.649490 THE 5 1 113 1 7 2 733 1668 103 21 96.337975 CHILD'S 4 1 113 1 8 0 222 1696 1357 48 -1 5 1 113 1 8 1 222 1705 128 27 0.000000 [Fimmoonery 5 1 113 1 8 2 371 1694 14 54 52.725101 | 5 1 113 1 8 3 378 1704 152 40 0.000000 Prdmmooney 5 1 113 1 8 4 672 1700 164 21 96.342278 ADDRESSES 5 1 113 1 8 5 1022 1702 74 20 93.278946 NAME 5 1 113 1 8 6 1106 1702 17 20 93.153625 & 5 1 113 1 8 7 1133 1701 129 21 96.986313 CURRENT 5 1 113 1 8 8 1378 1719 168 19 95.967239 RELATIONSHIP 5 1 113 1 8 9 1553 1692 7 41 54.848080 | 5 1 113 1 8 10 1557 1696 22 3 78.535683 | 4 1 113 1 9 0 309 1730 215 23 -1 5 1 113 1 9 1 309 1730 14 23 65.398949 Hi 5 1 113 1 9 2 488 1732 36 12 43.916645 HILD 4 1 113 1 10 0 218 1728 1361 48 -1 5 1 113 1 10 1 218 1728 12 48 69.890411 | 5 1 113 1 10 2 242 1734 102 38 0.663834 |Starnna 5 1 113 1 10 3 374 1727 8 47 90.794113 | 5 1 113 1 10 4 378 1768 43 2 35.921280 | 5 1 113 1 10 5 427 1751 77 12 8.367624 |sroreen 5 1 113 1 10 6 663 1734 53 19 95.703331 FOR 5 1 113 1 10 7 725 1733 51 20 95.703331 THE 5 1 113 1 10 8 785 1733 71 22 96.075722 PAST 5 1 113 1 10 9 994 1734 128 21 96.176796 ADDRESS 5 1 113 1 10 10 1132 1734 35 20 96.666969 OF 5 1 113 1 10 11 1177 1733 109 20 64.545174 PERSON 5 1 113 1 10 12 1324 1728 43 23 14.874306 |<7J 5 1 113 1 10 13 1395 1748 132 19 92.084084 OFPERSON 5 1 113 1 10 14 1557 1760 22 2 58.775707 [| 4 1 113 1 11 0 231 1765 1282 39 -1 5 1 113 1 11 1 231 1780 11 16 14.696379 Flat 5 1 113 1 11 2 249 1772 70 32 14.696379 each 5 1 113 1 11 3 403 1779 13 15 34.648457 Thar 5 1 113 1 11 4 427 1770 72 32 65.381332 EACH 5 1 113 1 11 5 677 1765 56 20 96.763077 FIVE 5 1 113 1 11 6 742 1765 91 20 96.505486 YEARS 5 1 113 1 11 7 989 1767 79 20 96.985214 CHILD 5 1 113 1 11 8 1078 1766 75 20 95.963577 LIVED 5 1 113 1 11 9 1162 1766 66 20 95.963577 WITH 5 1 113 1 11 10 1240 1765 53 20 96.848625 FOR 5 1 113 1 11 11 1408 1778 26 18 94.903336 TO 5 1 113 1 11 12 1443 1778 70 18 94.903336 CHILD 4 1 113 1 12 0 222 1797 1357 40 -1 5 1 113 1 12 1 218 1799 14 42 58.747807 | 5 1 113 1 12 2 222 1811 105 25 0.000000 |aopRess 5 1 113 1 12 3 344 1799 35 42 36.104988 =| 5 1 113 1 12 4 389 1824 6 13 49.735912 | 5 1 113 1 12 5 403 1832 11 2 49.735912 _ 5 1 113 1 12 6 427 1809 79 12 19.195976 [ADDRESS 5 1 113 1 12 7 670 1798 39 20 96.742844 GO 5 1 113 1 12 8 719 1798 23 19 95.925346 IN 5 1 113 1 12 9 752 1797 88 20 96.694763 THESE 5 1 113 1 12 10 968 1800 52 19 96.434135 THE 5 1 113 1 12 11 1031 1799 68 20 93.345795 PAST 5 1 113 1 12 12 1109 1798 55 20 93.345795 FIVE 5 1 113 1 12 13 1173 1798 91 20 96.669716 YEARS 5 1 113 1 12 14 1274 1797 39 20 96.640343 GO 5 1 113 1 12 15 1557 1823 22 3 62.825974 || 4 1 113 1 13 0 227 1827 1024 37 -1 5 1 113 1 13 1 227 1827 15 37 65.546204 FI 5 1 113 1 13 2 403 1843 13 15 77.921974 T 5 1 113 1 13 3 710 1829 90 21 96.323425 BOXES 5 1 113 1 13 4 1031 1832 23 19 96.082108 IN 5 1 113 1 13 5 1064 1831 86 20 95.957451 THESE 5 1 113 1 13 6 1161 1830 90 20 96.947182 BOXES 2 1 114 0 0 0 1318 1698 51 1 -1 3 1 114 1 0 0 1318 1698 51 1 -1 4 1 114 1 1 0 1318 1698 51 1 -1 5 1 114 1 1 1 1318 1698 51 1 95.000000 2 1 115 0 0 0 888 1701 74 1 -1 3 1 115 1 0 0 888 1701 74 1 -1 4 1 115 1 1 0 888 1701 74 1 -1 5 1 115 1 1 1 888 1701 74 1 95.000000 2 1 116 0 0 0 5

9 96.082108 IN 5 1 113 1 13 5 1064 1831 86 20 95.957451 THESE 5 1 113 1 13 6 1161 1830 90 20 96.947182 BOXES 2 1 114 0 0 0 1318 1698 51 1 -1 3 1 114 1 0 0 1318 1698 51 1 -1 4 1 114 1 1 0 1318 1698 51 1 -1 5 1 114 1 1 1 1318 1698 51 1 95.000000 2 1 115 0 0 0 888 1701 74 1 -1 3 1 115 1 0 0 888 1701 74 1 -1 4 1 115 1 1 0 888 1701 74 1 -1 5 1 115 1 1 1 888 1701 74 1 95.000000 2 1 116 0 0 0 555 1703 66 2 -1 3 1 116 1 0 0 555 1703 66 2 -1 4 1 116 1 1 0 555 1703 66 2 -1 5 1 116 1 1 1 555 1703 66 2 95.000000 2 1 117 0 0 0 1319 1762 50 1 -1 3 1 117 1 0 0 1319 1762 50 1 -1 4 1 117 1 1 0 1319 1762 50 1 -1 5 1 117 1 1 1 1319 1762 50 1 95.000000 2 1 118 0 0 0 889 1765 74 1 -1 3 1 118 1 0 0 889 1765 74 1 -1 4 1 118 1 1 0 889 1765 74 1 -1 5 1 118 1 1 1 889 1765 74 1 95.000000 2 1 119 0 0 0 555 1767 66 1 -1 3 1 119 1 0 0 555 1767 66 1 -1 4 1 119 1 1 0 555 1767 66 1 -1 5 1 119 1 1 1 555 1767 66 1 95.000000 2 1 120 0 0 0 1319 1826 51 1 -1 3 1 120 1 0 0 1319 1826 51 1 -1 4 1 120 1 1 0 1319 1826 51 1 -1 5 1 120 1 1 1 1319 1826 51 1 95.000000 2 1 121 0 0 0 889 1829 74 1 -1 3 1 121 1 0 0 889 1829 74 1 -1 4 1 121 1 1 0 889 1829 74 1 -1 5 1 121 1 1 1 889 1829 74 1 95.000000 2 1 122 0 0 0 555 1831 66 1 -1 3 1 122 1 0 0 555 1831 66 1 -1 4 1 122 1 1 0 555 1831 66 1 -1 5 1 122 1 1 1 555 1831 66 1 95.000000 2 1 123 0 0 0 1551 1540 8 329 -1 3 1 123 1 0 0 1551 1540 8 329 -1 4 1 123 1 1 0 1551 1540 8 329 -1 5 1 123 1 1 1 1551 1540 8 329 95.000000 2 1 124 0 0 0 1365 1541 7 329 -1 3 1 124 1 0 0 1365 1541 7 329 -1 4 1 124 1 1 0 1365 1541 7 329 -1 5 1 124 1 1 1 1365 1541 7 329 95.000000 2 1 125 0 0 0 886 1545 7 322 -1 3 1 125 1 0 0 886 1545 7 322 -1 4 1 125 1 1 0 886 1545 7 322 -1 5 1 125 1 1 1 886 1545 7 322 95.000000 2 1 126 0 0 0 1318 1662 4 200 -1 3 1 126 1 0 0 1318 1662 4 200 -1 4 1 126 1 1 0 1318 1662 4 200 -1 5 1 126 1 1 1 1318 1662 4 200 95.000000 2 1 127 0 0 0 960 1664 3 201 -1 3 1 127 1 0 0 960 1664 3 201 -1 4 1 127 1 1 0 960 1664 3 201 -1 5 1 127 1 1 1 960 1664 3 201 95.000000 2 1 128 0 0 0 619 1663 2 206 -1 3 1 128 1 0 0 619 1663 2 206 -1 4 1 128 1 1 0 619 1663 2 206 -1 5 1 128 1 1 1 619 1663 2 206 95.000000 2 1 129 0 0 0 554 1680 4 199 -1 3 1 129 1 0 0 554 1680 4 199 -1 4 1 129 1 1 0 554 1680 4 199 -1 5 1 129 1 1 1 554 1680 4 199 95.000000 2 1 130 0 0 0 420 1681 5 199 -1 3 1 130 1 0 0 420 1681 5 199 -1 4 1 130 1 1 0 420 1681 5 199 -1 5 1 130 1 1 1 420 1681 5 199 95.000000 2 1 131 0 0 0 619 1855 702 16 -1 3 1 131 1 0 0 619 1855 702 16 -1 4 1 131 1 1 0 619 1855 702 16 -1 5 1 131 1 1 1 619 1855 702 16 95.000000 2 1 132 0 0 0 1367 1865 191 5 -1 3 1 132 1 0 0 1367 1865 191 5 -1 4 1 132 1 1 0 1367 1865 191 5 -1 5 1 132 1 1 1 1367 1865 191 5 95.000000 2 1 133 0 0 0 1576 1474 7 415 -1 3 1 133 1 0 0 1576 1474 7 415 -1 4 1 133 1 1 0 1576 1474 7 415 -1 5 1 133 1 1 1 1576 1474 7 415 95.000000 2 1 134 0 0 0 1341 1475 7 416 -1 3 1 134 1 0 0 1341 1475 7 416 -1 4 1 134 1 1 0 1341 1475 7 416 -1 5 1 134 1 1 1 1341 1475 7 416 95.000000 2 1 135 0 0 0 933 1478 6 416 -1 3 1 135 1 0 0 933 1478 6 416 -1 4 1 135 1 1 0 933 1478 6 416 -1 5 1 135 1 1 1 933 1478 6 416 95.000000 2 1 136 0 0 0 568 1480 6 416 -1 3 1 136 1 0 0 568 1480 6 416 -1 4 1 136 1 1 0 568 1480 6 416 -1 5 1 136 1 1 1 568 1480 6 416 95.000000 2 1 137 0 0 0 393 1548 6 350 -1 3 1 137 1 0 0 393 1548 6 350 -1 4 1 137 1 1 0 393 1548 6 350 -1 5 1 137 1 1 1 393 1548 6 350 95.000000 2 1 138 0 0 0 375 1682 4 199 -1 3 1 138 1 0 0 375 1682 4 199 -1 4 1 138 1 1 0 375 1682 4 199 -1 5 1 138 1 1 1 375 1682 4 199 95.000000 2 1 139 0 0 0 244 1875 314 9 -1 3 1 139 1 0 0 244 1875 314 9 -1 4 1 139 1 1 0 244 1875 314 9 -1 5 1 139 1 1 1 244 1875 314 9 95.000000 2 1 140 0 0 0 221 1880 1360 25 -1 3 1 140 1 0 0 221 1880 1360 25 -1 4 1 140 1 1 0 221 1880 1360 25 -1 5 1 140 1 1 1 221 1880 1360 25 95.000000 2 1 141 0 0 0 271 1905 53 44 -1 3 1 141 1 0 0 271 1905 53 44 -1 4 1 141 1 1 0 271 1905 53 44 -1 5 1 141 1 1 1 271 1905 53 44 95.000000
2 1 142 0 0 0 184 1900 1368 94 -1 3 1 142 1 0 0 184 1900 1368 94 -1 4 1 142 1 1 0 300 1900 1009 26 -1 5 1 142 1 1 1 300 1907 88 18 92.110382 dditional 5 1 142 1 1 2 397 1906 112 19 96.500183 addresses 5 1 142 1 1 3 518 1910 32 13 96.347336 are 5 1 142 1 1 4 559 1905 54 18 96.303848 listed 5 1 142 1 1 5 622 1910 24 13 97.001678 on 5 1 142 1 1 6 655 1904 120 18 96.890472 Attachment 5 1 142 1 1 7 783 1904 30 17 96.925011 3a. 5 1 142 1 1 8 824 1903 61 23 93.275436 (Form 5 1 142 1 1 9 896 1902 85 21 92.542374 MC-020 5 1 142 1 1 10 989 1907 45 17 96.808388 may 5 1 142 1 1 11 1040 1902 25 17 96.933975 be 5 1 142 1 1 12 1074 1901 51 18 96.902611 used 5 1 142 1 1 13 1132 1901 29 18 97.010567 for 5 1 142 1 1 14 1167 1901 36 18 97.005020 this 5 1 142 1 1 15 1210 1900 99 23 96.772552 purpose.) 4 1 142 1 2 0 184 1935 1357 27 -1 5 1 142 1 2 1 184 1944 17 18 90.972939 b. 5 1 142 1 2 2 328 1943 23 18 78.358887 ck 5 1 142 1 2 3 359 1943 36 18 94.196754 this 5 1 142 1 2 4 404 1943 39 17 94.196754 box 5 1 142 1 2 5 451 1942 12 18 96.449814 if 5 1 142 1 2 6 469 1942 54 18 94.398117 there 5 1 142 1 2 7 533 1942 14 18 94.398117 is 5 1 142 1 2 8 557 1946 52 13 96.971725 more 5 1 142 1 2 9 618 1941 44 18 96.943848 than 5 1 142 1 2 10 671 1945 38 13 96.959190 one 5 1 142 1 2 11 718 1940 46 18 96.468323 child 5 1 142 1 2 12 774 1940 37 18 95.167114 and 5 1 142 1 2 13 821 1939 21 18 95.828697 all 5 1 142 1 2 14 851 1939 31 18 96.639084 the 5 1 142 1 2 15 891 1939 82 18 96.482758 children 5 1 142 1 2 16 983 1938 51 18 96.482758 have 5 1 142 1 2 17 1042 1938 33 18 96.562309 not 5 1 142 1 2 18 1082 1937 46 19 96.562309 lived 5 1 142 1 2 19 1137 1937 88 23 96.969536 together 5 1 142 1 2 20 1231 1937 28 17 96.875778 for 5 1 142 1 2 21 1267 1936 31 18 96.916183 the 5 1 142 1 2 22 1307 1937 44 22 95.397438 past 5 1 142 1 2 23 1358 1935 36 18 95.397438 five 5 1 142 1 2 24 1401 1940 56 18 95.363594 years. 5 1 142 1 2 25 1467 1935 74 22 96.184479 (Attach 4

8 33 18 96.562309 not 5 1 142 1 2 18 1082 1937 46 19 96.562309 lived 5 1 142 1 2 19 1137 1937 88 23 96.969536 together 5 1 142 1 2 20 1231 1937 28 17 96.875778 for 5 1 142 1 2 21 1267 1936 31 18 96.916183 the 5 1 142 1 2 22 1307 1937 44 22 95.397438 past 5 1 142 1 2 23 1358 1935 36 18 95.397438 five 5 1 142 1 2 24 1401 1940 56 18 95.363594 years. 5 1 142 1 2 25 1467 1935 74 22 96.184479 (Attach 4 1 142 1 3 0 284 1964 1268 30 -1 5 1 142 1 3 1 284 1971 287 23 44.449329 form&L-105(A)/GC-120(A) 5 1 142 1 3 2 581 1971 40 17 96.992111 and 5 1 142 1 3 3 627 1970 30 18 96.231987 list 5 1 142 1 3 4 664 1970 49 18 96.854309 each 5 1 142 1 3 5 722 1970 56 17 95.681900 other 5 1 142 1 3 6 783 1969 65 18 78.324455 child's 5 1 142 1 3 7 856 1969 74 17 96.622185 current 5 1 142 1 3 8 937 1968 85 18 94.488655 address 5 1 142 1 3 9 1030 1967 40 18 95.594063 and 5 1 142 1 3 10 1077 1967 47 18 95.594063 their 5 1 142 1 3 11 1129 1966 103 18 96.843376 residence 5 1 142 1 3 12 1240 1966 71 22 96.816635 history 5 1 142 1 3 13 1318 1965 29 18 96.905235 for 5 1 142 1 3 14 1352 1965 32 18 96.939056 the 5 1 142 1 3 15 1391 1965 39 22 96.448616 past 5 1 142 1 3 16 1437 1964 34 18 96.448616 five 5 1 142 1 3 17 1479 1964 73 23 96.633049 years.) 2 1 143 0 0 0 894 1921 62 2 -1 3 1 143 1 0 0 894 1921 62 2 -1 4 1 143 1 1 0 894 1921 62 2 -1 5 1 143 1 1 1 894 1921 62 2 95.000000 2 1 144 0 0 0 1497 1993 84 16 -1 3 1 144 1 0 0 1497 1993 84 16 -1 4 1 144 1 1 0 1497 1993 84 16 -1 5 1 144 1 1 1 1497 1994 36 15 96.189178 Page 5 1 144 1 1 2 1540 1994 5 12 92.657234 1 5 1 144 1 1 3 1553 1993 15 13 91.203285 of 5 1 144 1 1 4 1573 1994 8 11 91.203285 2 2 1 145 0 0 0 144 2002 1443 27 -1 3 1 145 1 0 0 144 2002 1443 27 -1 4 1 145 1 1 0 144 2002 1443 27 -1 5 1 145 1 1 1 144 2002 1443 27 95.000000 2 1 146 0 0 0 145 2031 190 33 -1 3 1 146 1 0 0 145 2031 190 33 -1 4 1 146 1 1 0 145 2031 189 16 -1 5 1 146 1 1 1 145 2033 35 12 97.009758 Form 5 1 146 1 1 2 186 2032 58 15 96.919373 Adopted 5 1 146 1 1 3 250 2032 18 12 84.478432 for 5 1 146 1 1 4 286 2031 48 13 19.576635 Yandato! 4 1 146 1 2 0 145 2051 190 13 -1 5 1 146 1 2 1 145 2052 51 12 90.721275 Judicial 5 1 146 1 2 2 202 2051 52 13 96.791397 Council 5 1 146 1 2 3 260 2051 13 12 93.300911 of 5 1 146 1 2 4 289 2051 46 12 0.000000 Nalifornit 2 1 147 0 0 0 338 2018 2 65 -1 3 1 147 1 0 0 338 2018 2 65 -1 4 1 147 1 1 0 338 2018 2 65 -1 5 1 147 1 1 1 338 2018 2 65 95.000000 2 1 148 0 0 0 368 2009 20 13 -1 3 1 148 1 0 0 368 2009 20 13 -1 4 1 148 1 1 0 368 2009 20 13 -1 5 1 148 1 1 1 368 2009 20 13 95.000000 2 1 149 0 0 0 465 2017 995 49 -1 3 1 149 1 0 0 465 2017 995 49 -1 4 1 149 1 1 0 526 2017 876 23 -1 5 1 149 1 1 1 526 2024 17 16 88.465660 IF 5 1 149 1 1 2 550 2023 42 16 92.113823 THE 5 1 149 1 1 3 600 2022 122 18 96.483109 CHILD(REN) 5 1 149 1 1 4 730 2022 43 16 96.794136 HAS 5 1 149 1 1 5 781 2021 61 17 96.618240 LIVED 5 1 149 1 1 6 849 2021 28 16 96.816086 AT 5 1 149 1 1 7 884 2021 62 16 95.262306 MORE 5 1 149 1 1 8 954 2020 58 17 96.055779 THAN 5 1 149 1 1 9 1019 2020 11 16 95.944839 4 5 1 149 1 1 10 1037 2019 131 17 95.944839 ADDRESSES 5 1 149 1 1 11 1176 2019 19 16 96.799965 IN 5 1 149 1 1 12 1203 2019 41 16 96.615776 THE 5 1 149 1 1 13 1253 2018 53 16 96.197655 LAST 5 1 149 1 1 14 1314 2018 9 16 96.757271 5 5 1 149 1 1 15 1331 2017 71 17 90.567261 YEARS. 4 1 149 1 2 0 465 2043 995 23 -1 5 1 149 1 2 1 465 2050 76 16 96.532234 CHECK 5 1 149 1 2 2 547 2049 48 17 96.532234 THIS 5 1 149 1 2 3 603 2049 45 16 34.178677 BOX 5 1 149 1 2 4 660 2048 45 16 34.178677 AND 5 1 149 1 2 5 713 2048 85 16 95.411537 CREATE 5 1 149 1 2 6 806 2047 29 16 95.411537 AN 5 1 149 1 2 7 843 2046 158 17 95.601471 ATTACHMENT 3a" AND LIST THE ADDITIONAL ADDRESSES FL-105/GC-120 [Rev Janui v T IF YOU HAVE MORE THAN 2 CHILDREN INVOLVED IN THE CASE, CHECK BOX b. AND COMPLETE FORM FL-105(A)/GC-1 20(A)

FL-105/GC-120 CASE NAME: [PETITIONER'S LAST NAME VS RESPONDENT'S LAST NAME] CASE NUMBER: [COURT 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? Caves CD lo (If yes, attach a copy of the orders if you have one and provide the following information): — . Court Court order Your Proceeding Case number | (name, state or tribe, | or judgment | Name of each child | connection to | Case status location) (date) the case a. [] Family Probat TELL THE COURT IF THERE IS ANOTHER COURT CASE THAT b. [7] Guardianship DEALS WITH THE CUSTODY AND/OR VISITATION OF THE CHILD(REN) IN THIS CASE. IF YES, COMPLETE THE c. [] Other INFORMATION IN THIS SECTION. IF NO, SKIP TO NUMBER 5 Proceeding Case Number Court (name, state or tribe, location) d. [-] Juvenile e. [] Adoption 5. ne or more domestic violence restraining/protective orders are now in effect. (Attach a copy of the orders if you have one anthprovide the following information): Court County State or Tribe Case Number (if known) Orders expire (date) a. [] Criminal b. [-] Family CHECK THIS BOX IF THERE IS A DOMESTIC c. [J Juvenile COMPLETE THE INFORMATION IN THIS SECTION d. [] Other | | 6. Do you know of any person who is not a party to thi proceeding who has physical custody of or claims to have rights to custody of or visitation with any child in this case? <T_lyYes [ Bo (If yes, provide the following information): a. Name and address of person: ZN b. Name and address of person: c. Name and address of person: al | TELL THE COURT IF THERE IS ANYONE ELSE THAT CLAIMS TO HAVE CUSTODY AND/OR VISITATION ORDERS TT IT {"_] Has physical custody {] Has physical custody [] Has physical custody {] Claims custody rights [] Claims custody rights [__] Claims custody rights [] Claims visitation rights [~] Claims visitation rights {] Claims visitation rights Name of each child: Name of each child: Name of each child: 7. [__] Number of pages attached:

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

Date TODAY'S DATE [| PRINT YOUR NAME HERE | » [| SIGN YOUR NAME HERE | (NAME OF DECLARANT) (SIGNATURE OF DECLARANT) 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. Flef0S16C-120 (Rev. January 1, 2025] DECLARATION UNDER UNIFORM CHILD CUSTODY Page 2ot2 JURISDICTION AND ENFORCEMENT ACT (UCCJEA)

FORM INSTRUCTIONS FL-105(A)/GC-120(A) CASE NAME: [PETITIONER'S LAST NAME VS RESPONDENT'S LAST NAME] CASE NUMBER: [COURT CASE NUMBER| ATTACHMENT TO DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA) Instructions: /f all the children subject to the proceeding have not lived together for the last five years, use as many copies of this form as needed to list all the children. Number each item and each page consecutively, and attach all pages to form FL-105/GC-120. 3. b. Name of child:[NEXT OLDEST CHILD'S NAME] (Provide the child's current address and their residence ~~ history for the past five years. If the current address is confidential under Family Code section 3429, check the box and provide only the state of residence.) Residence information is the same as given for the child listed in item 2a on form FL-105/GC-120. (ifnot the same, Fd provide the information below.) CHECK THIS Dat f id Resid P hild lived with (1 id BOX ates of residence ‘esidence erson child lived with (name an . | SrIL DREN (Month/Year) (City, State) complete current address) Relationship HAVE BEEN | From: To present CURRENT ADDRESS NAME & CURRENT ADDRESS | iarapaaeil N RS CO AE [MMrODIYYYY | [MMIDDIYYYY | FOR THE CHILD OF PERSON CHILD LIVES WITH TO CHILD ADDRESSES [_] Confidential (list state only) _| [__] Confidential (list state only) From: To: IF THIS CHILD HAS NOT BEEN om To: LIVING AT THE SAME ADDRESS AS THE CHILD ABOVE, FILL OUT WHERE THE CHILD HAS BEEN From: To: LIVING FOR THE PAST 5 YEARS From: To: 3. b. Name of child: [NEXT OLDEST CHILD'S NAME] (Provide the child's current address and their residence ~~ history for the past five years. If the current address is confidential under Family Code section 3429, check the box and provide only the state of residence.) 7 CHECK THIS BOX IF THE CHILDREN HAVE BEEN LIVING AT THE SAME ADDRESSES Residence information is the same as given for the child listed in item 2a on form FL-105/GC-120. (Ifnot the same, provide the information below.) Dates of residence Residence Person child lived with (name and Relationshi (Month/Year) (City, State) complete current address) Pp From: To present CURRENT ADDRESS NAME & CURRENT ADDRESS 4 REP T| OF PER MMIDD MM/DDIVYYY FOR THE CHILD OF PERSON CHILD LIVES WITH TO CHILD {__] Confidential (list state only) _|[-__] Confidential (list state only) From: To: IF THIS CHILD HAS NOT BEEN LIVING AT THE SAME ADDRESS From: To: AS THE CHILD ABOVE, FILL OUT WHERE THE CHILD HAS BEEN LIVING FOR THE PAST 5 YEARS From: To: From: To: Page of Form Adopted for Mandatory Use Judicial Council of California FL-105(AVGC-120(A) [Rev. January 1, 2025] ATTACHMENT TO DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA) Family Code, § 3400 et seq.; Probate Code, §§ 1510(f, 1512 www.courts.ca.gov

FORM INSTRUCTIONS FL-105{AVGC-120(A) [PETITIONER'S LAST NAME VS RESPONDENT'S LAST NAME| CASE NUMBER: [COURT CASE NUMBER] CASE NAME: ATTACHMENT TO DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA) Instructions: /f all the children subject to the proceeding have not lived together for the last five years, use as many copies of this form as needed to list all the children. Number each item and each page consecutively, and attach all pages to form FL-105/GC-120. 3. b. Name of child: [NEXT OLDEST CHILD'S NAME] (Provide the child's current address and their residence history for the past five years. If the current address is confidential under Family Code section 3429, check the box and provide only the state of residence.) Fo Residence information is the same as given for the child listed in item 2a on form FL-105/GC-120. (/f not the same, provide the information below.) ec THIS Dates of resid Resid P hild lived with ( id BOXI ates of residence ‘esidence erson child lived with (name an - . ChILDREN (Month/Year) (City, State) complete current address) Relationship HAVE BEEN | From: To present CURRENT ADDRESS NAME & CURRENT ADDRESS || REC ATIONSHIP LIVING AT | [rana7DDIYYYY |[MrDDIYYY | FOR THE CHILD OF PERSON CHILD LIVES WITH TO CHILD THE SAME — . ADDRESSES [] Confidential (list state only) [] Confidential (list state only) From: To: IF THIS CHILD HAS NOT BEEN From: To: LIVING AT THE SAME ADDRESS AS THE CHILD ABOVE, FILL OUT WHERE THE CHILD HAS BEEN From: To: LIVING FOR THE PAST 5 YEARS From: To: 3. b. Name of child: NEXT OLDEST CHILD'S NAME] (Provide the child's current address and their residence ~~ history for the past five years. If the current address is confidential under Family Code section 3429, check the box and provide only the state of residence.) Residence information is the same as given for the child listed in item 2a on form FL-105/GC-120. (/f not the same, provide the information below.) one THE Dates of residence Residence Person child lived with (name and Relationshi CHILDREN (Month/Year) (City, State) complete current address) P HAVE BEEN ||": To present CURRENT ADDRESS NAME & CURRENT ADDRESS | 1 [RELATIONSHIP LIVING AT | FaaToDrVPYY J] [TDD FOR THE CHILD OF PERSON CHILD LIVES WITH F PERSO ADDRESSES — — [_] Confidential (list state only) |[~] Confidential (list state only) IF THIS CHILD HAS NOT BEEN LIVING AT THE SAME ADDRESS From: To: AS THE CHILD ABOVE, FILL OUT WHERE THE CHILD HAS BEEN LIVING FOR THE PAST 5 YEARS From: To: From: To: Page of_ dual CounelofCalfora ATTACHMENT TO probate ede, 9 1510(), 1812 FL-105(A)/GC-120(A) DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION www,courts.ca.gov [Rev. January 1, 2025} AND ENFORCEMENT ACT (UCCJEA)

FORM INSTRUCTIONS FL-150 PARTY WITHOUT ATTORNEY OR ATTORNEY STATE BAR NUMBER: FOR COURT USE ONLY vame|¥YOUR NAME i YOUR ADDRESS SAM PLE eny:.|CITY, STATE, ZIP CODE STATE ZIP CODE TeLEVYOUR TELEPHONE NUMBER]! ***"° ONLY E-MAIL ADDRESS: NOTE: YOU MUST WRITE YOUR NAME AND THE OTHER PARTY'S ATTORNEY FOR (name): NAME THE EXACT SAME WAY THROUGHOUT YOUR FORMS D O N OT wane neoneee Fresno County Superior Court W R ITE O N city ano zip cove,| +230 O Street BRANCH Name: |Fresno CA 93724-2220 TH iS rae) PY I PETITIONER: [PARTY WHO INITIALLY OPENED CASE ] a RESPONDENT: [THE OTHER PARTY | OTHER PARTY/PARENT/CLAIMANT: CASE NUMBER: INCOME AND EXPENSE DECLARATION [couRr case NUWaER |

1. Employment (Give information on your current job or, if you're unemployed, your most recent job.) . FILL OUT YOUR EMPLOYER'S

• a. Employer: Attach copies b. Emol 1s add . INFORMATION HERE. IF YOU DO of your pay - Employers address: NOT HAVE A JOB, GIVE THE stubs for last | © Employer's phone number: INFORMATION FROM YOUR LAST two months d. Occupation: JOB AND WHEN YOUR JOB ENDED (black out e. Date job started: ; (NAME OF EMPLOYER, ADDRESS, Social f. If unemployed, date job ended: PHONE NUMBER, JOB TITLE, DATE Security g. | work about hours per week. OF EMPLOYMENT AND SALARY) numbers). h. I get paid $ gross (before taxes) [__] permonth [|] per week per hour. (If you have more than one job, attach an 8 1/2-by-11-inch sheet of paper and list the same information as above for your other jobs. Write Question 5 1 45 1 13 4 403 1146 99 18 92.627815 1—Other 5 1 45 1 13 5 509 1146 66 18 95.299782 Jobs at the top.) TELL THE COURT ABOUT YOUR A d . EDUCATION INCLUDING ANY DEGREES

2. Age and education OR LICENSES YOU EARNED a. My age is (specify):

| have completed high school or the equivalent:

No If no, highest grade completed (speci{GRADE FINISHED b c. Number of years of college completed ify): Degree(s) obtained (specify): [DEGREE EARNED d. Number of years of gradu ool completed (specify): [-_] Degree(s) obtained (specify): [DEGREE EARNED e. | have: fessional/occupational license(s) (specify): [LICENSES EARNED FILL OUTYOUR [-] vocational training (specify): [JOB TRAINING COMPLETED] INFORMATION FROM THE

• . PAST YEAR YOU FILED

3. Tax information TAXES. REMEMBER TO a. [] I last filed taxes for tax year (specify year): NOTE HOW YOU FILED b. My tax filing status is single head of household married, filing separately |(SINGLE, ETC.), WHERE y g wie j 9 , 9 Sep ¥ YOU FILED, (CA, ETC.)AND [] married, filing jointly with (specify name): HOW MANY EXEMPTIONS c. I file state tax returns in [7] California [_] other (specify state): YOU CLAIMED (1, ETC.) d. | claim the following number of exemptions (including myself) on my taxes (specify):
4. Other party's income. | estimate the gross monthly income (before taxes) of the other party in this case at (specify): $ This estimate is based on (explain): [HOW MUCH DO YOU THINK THE OTHER PARTY EARNS BEFORE TAXES? HOW DID YOU COME UP WITH THAT AMOUNT? IF YOU DO NOT KNOW, EXPLAIN WHY YOU DO NOT KNOW (If you need more space to answer any questions on this form, attach an 8 1/Z-by-17-inch sheet of paper and write the question number before your answer.) Number of pages attached:

| 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: [TODAY'S DATE [PRINT YOUR NAME HERE | > [SIGN YOUR NAME HERE __| (TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT)

Form Adopted for Mandatory Use INCOME AND EXPENSE DECLARATION Family Code, §§ 2030-2032, 2100-2113, 3552, 3620-3634, 4050-4076, 4300-4339 Judicial Council of California www. courts.ca.gov FL-150 [Rev. September 1, 2024]

FORM INSTRUCTIONS FL-150 PETITIONER: [PARTY WHO INITIALLY OPENED CASE | CASE NUMBER: RESPONDENT: [THE OTHER PARTY | COURT CASE NUMBER OTHER PARTY/PARENTI/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.) [LIST ALL OF YOUR INCOME, BEFORE TAXES, IN THIS AREA | 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 taxe@S)..........cccccscsesssessessssssesssessssessscsssssssvessesssessseessenssvetesectseteceeetsteveees $ NTHIS IN THIS b. Overtime (gross, before taxes). . $} COLUMN COLUMN c. Commissions or bonuses. 8 LIST aes d. Public assistance (for example: TANF, SSI, GA/GR) [] currently receiving ..........ccccccccsesseeeseens $ wer AMOUNT e. Spousal support [] from this marriage [] froma different marriage [7] federally taxable* $] pecervep| | You f. Partner support [] from this domestic partnership [__] froma different domestic partnership $| LAST RECEIVED g. Pension/retirement fund payments. 8 FROM LAST 12 h. Social Security retirement (not SSI) Js EACH || MONTHS i. Disability: [—~] Social Security (not SSI) [7] State disability (SDI) | ["] Private insurance $]| source || FROM EACH j. Unemployment compensattion.........ccccccccseessseecssessssesessssecssssvessusssimnnsessnaeesnsnisessssiieceesssssessessseessees $| THAT SOURCE k. Workers' compensation $] APPLIES | APPLIES J. Other (military allowances, royalty payments) (specify): $ 6. Investment income (Attach a schedule showing gross receipts less cash expenses for each piece of property.) a. Dividends/interest $ [LIST ALL OF YOUR b. Rental property income $ |INVESTMENT INCOME, Trust i g |AFTER EXPENSES AND c. Trust income BEFORE TAXES, IN THIS d. Other (specify): S$ JAREA 7. Income from self-employment, after business expenses for all businesses...............ccccccccccseesesseseees $ lam the [] owner/sole proprietor [] business partner [] other (specify): Number of years in this business (specify): IF YOU ARE SELF-EMPLOYED, COMPLETE . THIS SECTION AND ATTACH A TWO YEAR Name of business (specify): PROFIT & LOSS STATEMENT/SCHEDULE C Type of business (specify): FROM YOUR LAST FEDERAL TAX RETURN 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. itional income. | received one-time money (lottery winnings, inheritance, etc.) in the last 12 months (specify source and amount): CHECK THIS BOX IF YOU RECEIVED A ONE-TIME SOURCE OF INCOME, (LOTTERY OR INHERITANCE) AND WRITE WHERE YOU RECEIVED THE MONEY AND THE AMOUNT 9. hange in income. My financial situation has changed significantly over the last 12 months because (specify): IF YOU HAD A MAJOR CHANGE IN INCOME IN THE PAST 12 MONTHS, STATE WHAT THE CHANGE. WAS | 10. Deductions Last month a. Required union dues. FILL OUT THIS b. Required retirement payments (not Social Security, FICA, 401(k), or IRA) SECTION IF c. Medical, hospital, dental, and other health insurance premiums (total monthly amount). eOneY d. Child support that | pay for children from other relationships. DEDUCTED e. Spousal support that | pay by court order from a different marriage [] federally tax deductible FOR ANY OF f. Partner support that | pay by court order from a different domestic partnership we ws es g. Necessary job-related expenses not reimbursed by my employer (attach explanation labeled “Question 109")......... $ MONTH'S ~ {List WHAT YOU HAVE IN YOUR SAVINGS AND CHECKING ACCOUNTS, ANY STOCKS, BONDS, AND/OR REAL PROPERTY | PAYCHECK 11. Assets a. Cash and checking accounts, savings, credit union, money market, and other deposit acco Tse > b. Stocks, bonds, and other assets | could easily sell. c. Allother property, [—_] real and [__] personal (estimate fair market value minus the debts you owe)... Total

• Check the box if the spousal support order or judgment was executed by the parties and the court before January 1, 2019, or if a court-ordered change maintains the spousal support payments as taxable income to the recipient and tax deductible to the payor. FL-150 [Rev. September 1, 2024] INCOME AND EXPENSE DECLARATION Page 2 of 4

FORM INSTRUCTIONS FL-150 PETITIONER: [PARTY WHO INITIALLY OPENED CASE | CASE NUMBER: RESPONDENT: [THE OTHER PARTY OTHER PARTY/PARENT/CLAIMANT: ] COURT CASE NUMBER 12. The following people live with me: How the person is That person's gross Pays some of the Name Age related to me (ex: son) | monthly income household expenses? a. Yes No b LIST ANYONE WHO LIVES WITH YOU (INCLUDING CHILD(REN), ROOMATES, = Yes | No . FAMILY, ETC.), THEIR AGE, THEIR RELATION TO YOU, HOW MUCH THEY MAKE °. BEFORE TAXES, AND WHETHER THEY PAY ANY EXPENSES FOR THE HOME [] Yes [_] No d. [__] Yes [] No e. [] Yes [] No 13. Average monthly expenses [[]| Estimatedexpenses [| Actual expenses []| Proposed needs CHECK ONE] a. Home: hy LISTALLOF ning... cece YOUR MONTHLY (1) [] Rent or [] mortgage.......... EXPENSES | |- If mortgage: HERE FOR THE |. (a) average principal: $ ITEMS LISTED (b) average interest: $ 1. Auto expenses and transportation (2) Real property taxes.........ccccceeeeeeees (3) Homeowner's or renter's insurance (if not included above).... (4) Maintenance and repa Health-care costs not paid by insurance........

| n. Savings and investments..

o. Charitable contributions (insurance, gas, repairs, bus, etc.) m. Insurance (life, accident, etc.; do not include auto, home, or health insurance)...............-. $ Child CAPE... ce ceeereseeeseeteeteeeeteeeeneneree Groceries and household supplies. Eating out Utilities (gas, electric, water, trash)............... e©reaos Telephone, cell phone, and e-mail............... 14. Installment payments and debts not listed above p. 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)) 37 . Amount of expenses paid by others $ ~— ADD UP ALL THE WRITE HOW MUCH OF THE EXPENSES YOU LISTED FOR A TOTAL TO PUT HERE EXPENSES ARE PAID BY OTHERS Paid to For / Amount Balance Date of last payment gs & LIST HERE ANY PAYMENTS YOU ARE MAKING FOR VEHICLE LOANS, STUDENT LOANS, MORTGAGES, CREDIT CARDS, ETC. AND THE NAME OF THE COMPANY YOU ARE PAYING. LIST HOW MUCH YOU PAY EACH MONTH, WHAT IS STILL OWED, AND THE DATE OF YOUR LAST PAYMENT. ADD UP ALL OF THE MONTHLY PAYMENT AMOUNTS AND PUT THE TOTAL IN ITEM 13. p. $ $ $ $ $ $ 15. Attorney fees (This information is required if either party is requesting attorney fees): a. To date, | have paid my attorney this amount for fees and costs (specify): $ b. The source of this money was (specify): c. | still owe the following fees and costs to my attorney (specify total owed): $ d. My attorney's hourly rate is (specify):

| confirm this fee arrangement.

ONLY COMPLETE SECTION 15. IF YOU HAD AN ATTORNEY AND WANT THE OTHER PARTY TO PAY FOR YOUR ATTORNEY Date: DO NOT SIGN ON THIS PAGE UNLESS COMPLETING SECTION 15 (TYPE OR PRINT NAME OF ATTORNEY) (SIGNATURE OF ATTORNEY) FL-150 [Rev. September 1, 2024] INCOME AND EXPENSE DECLARATION

FORM INSTRUCTIONS FL-150 PETITIONER: [PARTY WHO INITIALLY OPENED CASE _| CASE NUMBER: RESPONDENT: |THE OTHER PARTY | COURT CASE NUMBER OTHER PARTY/PARENT/CLAIMANT: 16. Number of children CHILD SUPPORT INFORMATION (NOTE: Fill out this page only if your case involves child support.) WRITE IN THE NUMBER OF MINOR CHILD(REN) YOU HAVE WITH THE OTHER PARENT IN THIS CASE AND HOW MUCH TIME EACH PARENT SPENDS WITH THEM a. | 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.) IF YOU DO NOT KNOW A PERCENTAGE, DESCRIBE PARENTING SCHEDULE EXAMPLE: THE CHILDREN LIVE WITH ME AND ARE WITH THE OTHER PARENT EVERY 1ST AND 3RD WEEKEND FROM FRIDAY AT 6PM TO SUNDAY AT 6M 17. Children's health-care expenses a [J ldo [] Idono have health insurance available to me for the children through my job. b. Name of insurance company: c. Address of insurance company: <—_ CHECK WHETHER YOU DO OR DO NOT HAVE HEALTH INSURANCE FOR THE CHILDREN IF YOU DO HAVE HEALTH INSURANCE, WRITE THE NAME AND ADDRESS OF THE INSURANCE COMPANY AND HOW MUCH YOU PAY, NOT HOW MUCH YOUR EMPLOYER PAYS 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 expense for the children in this case a. Childcare so | can work or get job training........ b. Children's health care not covered by insurance c. Travel expenses for visitation d. 19. Special hardships. | ask the court to consider the following special financial circumstances (attach documentation of any item listed here, including court orders): Amount per month | For how many months? 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 | receive for those Children... cccccscccecessesveseecsessseveseeses $ The expenses listed in a, b, and c create an extreme financial hardship because (explain): Amount per month WRITE IN ANY OTHER EXPENSES IF IT APPLIES FILL IN ITEMS a. - c. AND DESCRIBE THE HARDSHIP BELOW Al EXPLAIN WHY THESE EXPENSES CREATE N EXTREME FINANCIAL HARDSHIP 20. Other information | want the court to know concerning support in my case (specify): [WRITE ANY INFORMATION HERE YOU WANT THE COURT TO KNOW REGARDING CHILD SUPPORT IN THIS CASE| FL-150 [Rev. September 1, 2024] INCOME AND EXPENSE DECLARATION

FORM INSTRUCTIONS FL-330 ATTORNEY OR PARTY WITHOUT ATTORNEY OR GOVERNMENTAL AGENCY (under Family Code, §§ 17400, 17406) FOR COURT USE ONLY (Name, State Bar number, and address). YOUR NAME SAMIPLE YOUR ADDRESS CITY, STATE, ZIP CODE ONLY YOUR TELEPHONE NUMBER samme DO NOT SUPERIOR COURT _OF CALIFORNIA, COUNTY OF street aporess: {Fresno County Superior Court WRITE ON MAILING ADDRESS: |1130 O Street CITY AND ZIP CODE: |Frasno CA 93724-2220 THIS COPY! BRANCH NAME: PETITIONER/PLAINTIFF: PARTY WHO INITIALLY OPENED CASE CASE NUMBER COURT CASE NUMBER (if applicable, provide) RESPONDENT/DEFENDANT: |THE OTHER PARTY HEARING DATE: HEARING TIME: PROOF OF PERSONAL SERVICE DEPT. OTHER PARENT/PARTY:

1. 1am atleast 18 years old, not a party to this action, and not a protected person listed in any of the orders.
2. Person served (name): [NAME OF PERSON BEING SERVED (OTHER PARTY'S NAME)|
3. | served copies of the following documents (specify): WRITE IN THE NAME(S) AND THE FORM(S) OF THE DOCUMENTS BEING SERVED ON THE OTHER PARTY
4. By personally delivering copies to the person served, as follows: a. Date: [DATE DOCUMENTS WERE SERVED] b. Time: |THE EXACT TIME THE c. Address: ADDRESS WHERE PAPERS WERE HANDED TO DOCUMENTS WERE SERVED THE OTHER PARTY (AM/PM) CHECK ONE BOX
5. lam a. [.) nota registered Califotnia process server. d. (exempt from registration under Business & Profession b. Q) a registered California process server. Code section 22350(b). c. [] an employee or independent contractor of a e. (2) a California sheriff or marshal. registered California process server.
6. Myname, address, and telephone number, and, if applicable, county of registration and number (specify): SERVER'S NAME SERVER'S STREET ADDRESS SERVER'S CITY, STATE, AND ZIP CODE CHECK EITHER BOX 7 OR 8] 7 under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
7. () ama California sheriff or marshal and | certify that the foregoing is true and correct. Date: |DATE SERVER SIGNS [SERVER PRINTS THEIR NAME HERE| > SERVER SIGNS HERE (TYPE OR PRINT NAME OF PERSON WHO SERVED THE PAPERS) (SIGNATURE OF PERSON WHO SERVED THE PAPERS)

Form Approved for Optional Use PROOF OF PERSONAL SERVICE Code of Civil Procedure, § 1011 Judicial Council of California www.courts.ca.gov FL-330 (Rev. January 1, 2012] CEB’ Essential cebcom | {2|Forms:

FL-300 PARTY WITHOUT ATTORNEY OR ATTORNEY STATE BAR NUMBER: FOR COURT USE ONLY NAME FIRM NAME. STREET ADDRESS CITY. STATE, ZIP CODE: TELEPHONE NO. FAX NO. EMAIL ADDRESS ATTORNEY FOR (name) SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE BRANCH NAME: PETITIONER: RESPONDENT: OTHER PARENT/PARTY: REQUEST FORORDER []| CHANGE []| TEMPORARY EMERGENCY ORDERS CASE NUMBER [7] Child Custody [] Visitation (Parenting Time) [__] Spousal or Partner Support [-] Child Support [—] Property Control [__] Attorney's Fees and Costs [-] Other (specify): Note: Read form FL-300-INFO for information about how to complete this form. To ask to change or end an order that was granted in a Restraining Order After Hearing (form DV-130 or JV-255), read form EL-300-INFO and form DV-300-INFO. NOTICE OF HEARING

1. TO (name): [-_] Petitioner [7] Respondent [] Other Parent/Party [] Other (specify):
2. ACOURT HEARING WILL BE HELD AS FOLLOWS: a. Date: Time: [_] Dept.: [-] Room.: b. Address of court [] same asnoted above [] other (specify):
3. WARNING to the person served with the Request for Order: The court may make the requested orders without you if you do not file a Responsive Declaration to Request for Order (form FL-320), serve a copy on the other parties at least nine court days before the hearing (unless the court has ordered a shorter period of time), and appear at the hearing. (See form FL-320-INFO for more information.) COURT ORDER It is ordered that: (FOR COURT USE ONLY)
4. Time [] forservice [] until the hearing is shortened. Service must be on or before (date):
5. [_] A Responsive Declaration to Request for Order (form FL-320) must be served on or before (date):
6. [__] The parties must attend an appointment for child custody mediation or child custody recommending counseling as follows (specify date, time, and location):
7. [__] The orders in Temporary Emergency (Ex Parte) Orders (form FL-305) apply to this proceeding and must be personally served with all documents filed with this Request for Order.
8. [-_] Other (specify): Date: JUDICIAL OFFICER

Form Adopted for Mandatory Use REQUEST FOR ORDER Family Code, §§ 2045, 2107, 6224, Judicial Council of California 6226, 6320-6326, 6380-6383 FL-300 [Rev. July 1, 2025] Government Code, § 70612 Cal. Rules of Court, rule 5.92 cour Jv.

FL-300 PETITIONER: CASE NUMBER RESPONDENT: OTHER PARENT/PARTY: REQUEST FOR ORDER Note: Place a mark X in front of the box that applies to your case or to your request. If you need more space, mark the box for “Attachment.” For example, mark “Attachment 2a” to indicate that the list of children's names and birth dates continues on a paper attached to this form. Then, on a sheet of paper, list each attachment number followed by your request. At the top of the paper, write your name, case number, and “FL-300” as a title. (You may use Attached Declaration (form MC-031) for this purpose.)

1. [-] RESTRAINING ORDER INFORMATION One or more domestic violence restraining/protective orders are now in effect between (specify): {__] Petitioner [~] Respondent [-] Other Parent/Party (Attach a copy of the orders if you have one.) The orders are from the following court or courts (specify county and state): a. [__] Criminal: County/state (specify): Case No. (if known): b. Family: County/state (specify): Case No. (if known): c. [| Juvenile: County/state (specify): Case No. (if known): d. [-] Other: County/state (specify): Case No. (if known):
2. [] CHILD CUSTODY [-~] | request temporary emergency orders [] VISITATION (PARENTING TIME) a. | request that the court make orders about the following children (specify): aa ,, [L] Legal Custody to (person who [] Physical Custody to (person Child's Name Date of Birth decides: health, education, etc): with whom child lives): Attachment 2a. b. [] The orders | request for [] child custody [] visitation (parenting time) are: (1) [-—] Specified in the attached forms: {] Form FL-305 [-_] Form FL-311 (] Form FL-312 [-] Form FL-341(C) {-—] Form FL-341(D) Form FL-341(E) Other (specify): (2) [7] As follows (specify): L_] Attachment 2b. c. The orders that | request are in the best interest of the children because (specify): Attachment 2c. FL-300 [Rev. July 1, 2025] REQUEST FOR ORDER Page 2 of 4

FL-300 OTHER PARENT/PARTY: PETITIONER: CASE NUMBER RESPONDENT: 2. d. [] This is a change from the current order for [__] child custody [—] visitation (parenting time). (1) [-] The order for legal or physical custody was filed on (date): . The court ordered (specify): (2) [-] The visitation (parenting time) order was filed on (date): . The court ordered (specify): []Attachment 2d. 3. [7] CHILD SUPPORT 4. (Note: An earnings assignment may be issued. See Income Withholding for Support (form FL-195) a. | request that the court order child support as follows: , Child's name and age | request support for each child _ Monthly amount ($) requested &niid's name and age based on the child support guideline. (if not by guideline) [] Attachment 3a. b. [-] | want to change a current court order for child support filed on (date): The court ordered child support as follows (specify): c. [have completed and filed with this Request for Order a current Income and Expense Declaration (form FL-150) or | filed a current Financial Statement (Simplified) (form FL-155) because | meet the requirements to file form FL-155. d. The court should make or change the support orders because (specify): [] At ment 3d. SPOUSAL OR DOMESTIC PARTNER SUPPORT (Note: An Earnings Assignment Order for Spousal or Partner Support (form FL-435) may be issued.) a. [] Amount requested (monthly): $ b. [] | wantthe courtto [7] change [__] end _ the current support order filed on (date): The court ordered $ per month for support. c. [] This request is to modify (change) spousal or partner support after entry of a judgment.

| have completed and attached Spousal or Partner Support Declaration Attachment (form FL-157) or a declaration

that addresses the same factors covered in form FL-157. d. | have completed and filed a current Income and Expense Declaration (form FL-150 ) in support of my request. e. The court should make, change, or end the support orders because (specify): [_] Attachment 4e. FL-300 [Rev. July 1, 2625] REQUEST FOR ORDER Page 3 of 4

FL-300 PETITIONER: CASE NUMBER RESPONDENT: OTHER PARENT/PARTY: 5. [-] PROPERTY CONTROL [-] | request temporary emergency orders a. The [|] petitioner [—] respondent [—] other parent/party _ be given exclusive temporary use, possession, and control of the following property that we [] ownorare buying [] lease or rent (specify): b. The [] petitioner [—] respondent [-] other parent/party be ordered to make the following payments on debts and liens coming due while the order is in effect: Pay to: For: Amount: $ Due date: Pay to: For: Amount: $ Due date: Pay to: For: Amount: $ Due date: Pay to: For: Amount: $ Due date: c. [] This is a change from the current order for property control filed on (date): d. Specify in Attachment 5d the reasons why the court should make or change the property control orders. 6. [_] ATTORNEY'S FEES AND COSTS

| request attorney's fees and costs, which total (specify amount): $ . | filed the following to support my request:

a. Acurrent Income and Expense Declaration (form FL-150). b. A Request for Attorney's Fees and Costs Attachment (form FL-319) or a declaration that addresses the factors covered in that form. c. A Supporting Declaration for Attorney's Fees and Costs Attachment (form FL-158) or a declaration that addresses the factors covered in that form. 7. [~~] OTHER ORDERS REQUESTED (specify): Attachment 7 8. [] TIME FOR SERVICE / TIME UNTIL HEARING | urgently need: a. [] To serve the Request for Order no less than (number): court days before the hearing. b. [] The hearing date and service of the Request for Order to be sooner. C. | need the order because (specify): [] Attachment 8. 9. [-] FACTS TO SUPPORT the orders | request are listed below. The facts that | write in support and attach to this request cannot be longer than 10 pages, unless the court gives me permission. [} Attachment 9.

| declare under penalty of perjury under the laws of the State of California that the information provided in this form and all attachments

is true and correct. Date: (TYPE OR PRINT NAME) y (SIGNATURE OF APPLICANT) Requests for Accommodations Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are available if Accommodations Request (form MC-410). (Civ. Code, § 54.8.) FL-300 [Rev. July 1, 2025] REQUEST FOR ORDER Page 4 of 4

MC-031 PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: CASE NUMBER: DECLARATION (This form must be attached to another form or court paper before it can be filed in court.)

| 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) i | Attorney for i | Respondent (SIGNATURE OF DECLARANT) C2) Piaintits © (2) Petitioner (] other (Specify):

| Defendant

Form Approved for Optional Use im Pal i Judicial Council of California CEB | Essential MC-031 [Rev. July 1, 2005] cebcom | /2|/Forms’ ATTACHED DECLARATION

MC-031 PLAINTIFF/PETITIONER: CASE NUMBER DEFENDANT/RESPONDENT: DECLARATION (This form must be attached to another form or court paper before it can be filed in court.)

| 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) i | Attorney for a | Plaintiff i | Petitioner | Defendant [-} Respondent (CJ Other (Specify): Form Approved for Optional U: * | i ATTACHED DECLARATION Page 1 of 1 Judicial Council of California = CLD | Essential “8 MC-031 [Rev. July 1, 2005] ceb.com | {2/Forms

FL-105/GC-120 ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER: FOR COURT USE ONLY NAME: FIRM NAME: STREET ADDRESS CITY: STATE: ZIP CODE: TELEPHONE NO.: FAX NO. EMAIL ADDRESS: ATTORNEY FOR (name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: (This section applies to cases other than probate guardianships.) PETITIONER: RESPONDENT: OTHER PARTY: CHILD'S NAME (Juvenile cases only): (This section applies only to probate guardianship cases.) CASE NUMBER: GUARDIANSHIP OF (name): Minor DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA)

1. lam (check one): [_] aparty to this proceeding to determine custody of a child [__] the authorized representative of the agency, which is a party to this proceeding to determine custody of a child.
2. There are (specify number): minor children who are subject to this proceeding, as follows (list oldest child first): Full Name Date of birth Place of birth (city and state) a. b. c. d. [-_] Check this box if you need to list more children. (On form MC-020 or a separate piece of paper, write FL-105, 5 1 29 1 1 23 1415 1307 119 18 96.680786 Attachment 5 1 29 1 1 24 1541 1306 16 21 97.018715 2, 4 1 29 1 2 0 247 1336 1193 28 -1 5 1 29 1 2 1 247 1343 107 18 96.139046 Additional 5 1 29 1 2 2 361 1342 98 18 94.215790 Children at the top, provide all requested information for each additional child, and attach to this form.)
3. a. [] Check this box if there is only one child or if all of the children listed in item 2 have lived together for the past five years. (Provide the current address of the child listed in item 2a and their residence history for the past five years. If the current address is confidential under Family Code section 3429, check the box and provide only the state of residence.) Dates of residence Residence Person child lived with and Relationshi (Month/Year) (City, State) complete current address Pp From: To present [] Confidential (list state only) _|[] Confidential (list state only) From: To: From: To: From: To: From To: {] Additional addresses are listed on Attachment 3a. (Form MC-020 may be used for this purpose.) b. [__] Check this box if there is more than one child and all the children have not lived together for the past five years. (Attach form FL-105(A)/GC-120(A) and list each other child's current address and their residence history for the past five years.)

Family Code, § 3400 et seq.; Form Adopted for Mandatory Use DECLARATION UNDER UNIFORM CHILD CUSTODY organi Code, § 240 at so Judicial Council of California FL-105/GC-120 (Rev. January 1, 2025] JURISDICTION AND ENFORCEMENT ACT (UCCJEA) wow. courts.ca.gov

FL-105/GC-120 CASE NAME: 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 (ifyes, attach a copy of the orders if you have one and provide the following information): Court Court order Your Proceeding Case number | (name, state or tribe, | or judgment | Name of each child | connection to | Case status location) (date) the case a. (] Family Probate b CI] Guardianship c. [] Other Proceeding Case Number Court (name, state or tribe, location) d. [] Juvenile 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 State or Tribe a. [] Criminal b. (-_] Family c. [] Juvenile d. [] Other County 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 of or claims to have rights to custody of or visitation with any child in this case? [] Yes []No __ (/f yes, provide the following information): a. Name and address of person: b. Name and address of person: c. Name and address of person: [] Has physical custody [] Claims custody rights [J Claims visitation rights Name of each child: [-] Has physical custody [] Claims custody rights (_] Claims visitation rights Name of each child: [] Has physical custody [-] Claims custody rights [__] Claims visitation rights Name of each child: 7. [-] Number of pages attached:

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

Date: » (NAME OF DECLARANT) (SIGNATURE OF DECLARANT) 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, 2025] DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA)

FL-105(A)GC-120(A) CASE NAME: CASE NUMBER: ATTACHMENT TO DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA) Instructions: /f all the children subject to the proceeding have not lived together for the last five years, use as many copies of this form as needed to list all the children. Number each item and each page consecutively, and attach all pages to form FL-105/GC-120. 3. b. Name of child: (Provide the child's current address and their residence history for the past five years. If the current address is confidential under Family Code section 3429, check the box and provide only the state of residence.) [] Residence information is the same as given for the child listed in item 2a on form FL-105/GC-120. (Ifnot the same, provide the information below.) Dates of residence Residence Person child lived with (name and Relationshi (Month/Year) (City, State) complete current address) P From: To present Confidential (list state only) [] Confidential (list state only) From: To: From: To: From: To: From: To: 3. b. Name of child: (Provide the child's current address and their residence ~~ history for the past five years. If the current address is confidential under Family Code section 3429, check the box and provide only the state of residence.) [] Residence information is the same as given for the child listed in item 2a on form FL-105/GC-120. (ifnot the same, provide the information below.) Dates of residence Residence Person child lived with (name and Relationshi (Month/Year) (City, State) complete current address) Pp From: To present Confidential (list state only) [] Confidential (list state only) From: To: From: To: From: To: From: To: Page of___ Family Code, § 340 5 sete! Counel of Catfnis ATTACHMENT TO proba Code, 8 1510), 18512 FL-105(A)/GC-120(A) DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION vownw.courts.ca,gov (Rev. January 4.2025] AND ENFORCEMENT ACT (UCCJEA)

FL-105(A)/GC-120(A) CASE NAME: CASE NUMBER: ATTACHMENT TO DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA) Instructions: /f ail the children subject to the proceeding have not lived together for the last five years, use as many copies of this form as needed to list all the children. Number each item and each page consecutively, and attach all pages to form FL-105/GC-120. 3. b. Name of child: (Provide the child's current address and their residence history for the past five years. If the current address is confidential under Family Code section 3429, check the box and provide only the state of residence.) [] Residence information is the same as given for the child listed in item 2a on form FL-105/GC-120. (/f not the same, provide the information below.) Dates of residence Residence Person child lived with (name and Relationship (Month/Year) (City, State) complete current address) From: To present [] Confidential (list state only) |[__] Confidential (list state only) From: To: From: To: From: To: From: To: 3. b. Name of child: (Provide the child's current address and their residence history for the past five years. If the current address is confidential under Family Code section 3429, check the box and provide only the state of residence.) [] Residence information is the same as given for the child listed in item 2a on form FL-105/GC-120. (/f not the same, provide the information below.) Dates of residence . Residence Person child lived with (name and Relationshi (Month/Year) (City, State) complete current address) P From: To present [_] Confidential (list state only) [] Confidential (list state only) From: To: From: To: From: To: From: To: Page of Form Adopted for Mandatory U Family Code, § 3400 et seq.: Judicial Council of California i ATTACHMENT TO probate cade ¢¢ 151009, isi FL-105(A)/GC-120(A) DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION woww.courts.ca.gov FRev. January 1.2025] AND ENFORCEMENT ACT (UCCJEA)

FL-150 PARTY WITHOUT ATTORNEY OR ATTORNEY STATE BAR NUMBER: FOR COURT USE ONLY NAME: FIRM NAME: STREET ADDRESS: CITY: STATE: ZIP CODE TELEPHONE NO. FAX NO. E-MAIL ADDRESS ATTORNEY FOR (name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PETITIONER: RESPONDENT: OTHER PARTY/PARENT/CLAIMANT: INCOME AND EXPENSE DECLARATION CASE NUMBER:

1. Employment (Give information on your current job or, if you're unemployed, your most recent job.) Attach copies . emever . of your pay . Employer's address: stubs for last | ° Employer's phone number: two months d. Occupation: (black out e. Date job started: Social f. If unemployed, date job ended: Security g. | work about hours per week. numbers). h. I get paid $ gross (before taxes) [] permonth [] perweek [__] perhour. (If you have more than one job, attach an 8 1/2-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. Ihave completed high school or the equivalent: (-] Yes [] No If no, highest grade completed (specify): c. Number of years of college completed (specify): [-{] Degree(s) obtained (specify): d. Number of years of graduate school completed (specify): {] Degree(s) obtained (specify): e. Ihave: [] professional/occupational license(s) (specify): [__] vocational training (specify):
3. Tax information a. [] | last filed taxes for tax year (specify year): b. My tax filing statusis [7] single [] headofhousehold [] married, filing separately [-] married, filing jointly with (specify name): c. I file state tax returnsin [[] California [_] other (specify state): d. I claim the following number of exemptions (including myself) on my taxes (specify):
4. Other party's income. | 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 8 4/2-by-11-inch sheet of paper and write the question number before your answer.) Number of pages attached:

| 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) (SIGNATURE OF DECLARANT)

Form Adopted for Mandatory Use INCOME AND EXPENSE DECLARATION Family Code, §§ 2030-2032, 2100-2113, Judicial Council of California 3552, 3620-3634, 4050-4076, 4300-4339 FL-150 [Rev. September 1, 2024] www. courts. ca.gov

FL-150 OTHER PARTY/PARENT/CLAIMANT: PETITIONER: CASE NUMBER RESPONDENT: 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. 10. 11 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.) Salary or wages (gross, before taxeS)............cceceeccccsseceseesesteseesessesesssssessesesveseseevsusssensessesitatensatsevavavsevaree $ Overtime (gross, before taxes). .$ Commissions or bonuses S$ Public assistance (for example: TANF, SSI, GA/GR) [] currently receiving ........cccccccsceseeeeee Spousal support [] from this marriage [] froma different marriage [] federally taxable* $ Partner support [] from this domestic partnership [] froma different domestic partnership $ Pension/retirement fund payments. .$ Social Security retirement (not SSI $ $ $ $ $ “ Disability: [] Social Security (not SSI) [] State disability (SDI) | [] Private insurance Unemployment compensation Workers' compensation Other (military allowances, royalty payments) (specify): xT sare aooD 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 ........0..0..00.00.0ccccccsseseeeees $ !amthe [] owner/sole proprietor [-_] business partner [] other (specify): Number of years in this business (specify): Name of business (specify): Type of business (specify): Average Last month monthly 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. [] Additional income. | received one-time money (lottery winnings, inheritance, etc.) in the last 12 months (specify source and amount): {J Change in income. My financial situation has changed significantly over the last 12 months because (specify): Deductions A. Required Union dues... ceccccccesesesesesesesesesseseesssesesssesessussssssusussusisustsuesessvssavscevavssesevavsvsceeseusvsrevavsvavsvevavevevenees . 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 | pay for children from other relationShips.............cccccccccsscsscssessesesssessessescesesscseseasessveseeesaesevareseveveane e. Spousal support that | pay by court order from a different marriage [] federally tax deductible*. f. Partner support that | pay by court order from a different domestic partnership g. Necessary job-related expenses not reimbursed by my employer (attach explanation labeled “Question 109")......... . Assets a. Cash and checking accounts, savings, credit union, money market, and other deposit accounts.............cc0ceee $ b. Stocks, bonds, and other assets | could easily sell c. Allother property, (] real and (__] personal (estimate fair market value minus the debts you owe Last month

• Check the box if the spousal support order or judgment was executed by the parties and the court before January 1, 2019, or if a court-ordered change maintains the spousal support payments as taxable income to the recipient and tax deductible to the payor. FL-150 [Rev. September 1, 2024] INCOME AND EXPENSE DECLARATION

FL-150 PETITIONER: CASE NUMBER: RESPONDENT: OTHER PARTY/PARENT/CLAIMANT: 12. The following people live with me: How the person is That person's gross Pays some of the Name Age related to me (ex: son) | monthly income household expenses? a. [-] Yes [] No b. [-] Yes [] No c. [-] Yes [-] No d. [] Yes [-_] No e. [] Yes [] No 13. Average monthly expenses [] Estimated expenses [| Actual expenses [] Proposed needs a. Home: h. Laundry and cleaning..........ccccccceeceeee $ (4) (J Rent or [__] mortgage.......... $ i. Clothes... .$ If mortgage: j. Education .§ (a) average principal: $ k. Entertainment, gifts, and vacation................ $ (b) average interest: $ 1. Auto expenses and transportation (2) Real property taxes... $ (insurance, gas, repairs, bus, etc.)........... $ (3) Homeowner's or renter's insurance m. Insurance (life, accident, etc.; do not include (if not included above)... .$ auto, home, or health insurance) a) (4) Maintenance and repair. .$ n. Savings and investments S$ b. Health-care costs not paid by insurance........ $ 0. Charitable contributions... $ F p. Monthly payments listed in item 14 C. CHI Care... ec ccce eects tesecneeeeeeieeeeee $ (itemize below in 14 and insert total here)... § d. Groceries and household supplies. ey $ q. Other (specify): e. Eating out.. - SES ad sige . r. TOTAL EXPENSES (a-q) (do not add in f. Utilities (gas, electric, water, trash)............... $ the amounts in a(1)(a) and (b)) $ g. Telephone, cell phone, and e-mail................- $ s. Amount of expenses paid by others $ 14. Installment payments and debts not listed above Paid to For Amount Balance Date of last payment awlalan lan la lw wlalanlen la la 15. Attorney fees (This information is required if either party is requesting attorney fees): a. To date, | have paid my attorney this amount for fees and costs (specify): $. b. The source of this money was (specify): c. | still owe the following fees and costs to my attorney (specify total owed): $ d. My attorney's hourly rate is (specify):

| confirm this fee arrangement.

Date:

(TYPE OR PRINT NAME OF ATTORNEY) (SIGNATURE OF ATTORNEY) FL-150 (Rev. September 1, 2024] INCOME AND EXPENSE DECLARATION Page 3 of 4

FL-150 PETITIONER: CASE NUMBER: RESPONDENT: OTHER PARTY/PARENT/CLAIMANT: CHILD SUPPORT INFORMATION (NOTE: Fill out this page only if your case involves child support.) 16. Number of children a. | 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 a [J] ldo [[_] Ido not have health insurance available to me for the children through my job. 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 expense for the children in this case a. Childcare so | can work or get job training... b. Children's health care not covered by insurance. c. Travel expenses for visitation.......0.00.ccccccccccccescssessessessvsseeresseresvevsveverestsevevevereeee d Amount per month 19. Special hardships. | ask the court to consider the following special financial circumstances (attach documentation of any item listed here, including court orders): Amount per month — For how many months? a. Extraordinary health expenses not included in 18b..........0.cccccccccsceseceees $ 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 | receive for those ChIIGPEN.........ccccceccccessessesesessesseeseeres $ The expenses listed in a, b, and c create an extreme financial hardship because (explain): 20. Other information | want the court to know concerning support in my case (specify): FL-150 [Rev. September 1, 2024] INCOME AND EXPENSE DECLARATION Page 4 of 4

FL-330 ATTORNEY OR PARTY WITHOUT ATTORNEY OR GOVERNMENTAL AGENCY (under Family Code, §§ 17400, 17406) FOR COURT USE ONLY (Name, State Bar number, and address} TELEPHONE NO.: FAX NO.: ATTORNEY FOR (Name) : SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PETITIONER/PLAINTIFF: CASE NUMBER: RESPONDENT/DEFENDANT: (if applicable, provide): OTHER PARENT/PARTY: HEARING DATE: HEARING TIME: PROOF OF PERSONAL SERVICE DEPT:

1. lam atleast 18 years old, not a party to this action, and not a protected person listed in any of the orders.
2. Person served (name):
3. | served copies of the following documents (specify):
4. By personally delivering copies to the person served, as follows: a. Date: b. Time: c. Address:
5. lam a. () nota registered California process server. d. (C] exempt from registration under Business & Profession b. () aregistered California process server. Code section 22350(b). c. [) anemployee or independent contractor of a e. () a California sheriff or marshal. registered California process server.
6. My name, address, and telephone number, and, if applicable, county of registration and number (specify):
7. () I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
8. CL) | ama California sheriff or marshal and | certify that the foregoing is true and correct. Date: (TYPE OR PRINT NAME OF PERSON WHO SERVED THE PAPERS) (SIGNATURE OF PERSON WHO SERVED THE PAPERS)

Form Approved for Optional Use PROOF OF PERSONAL SERVICE Code of Civil Procedure, § 1011 Judicial Council of California www.courts.ca. gov FL-330 (Rev. January 1, 2012] CEB Essential cebcom | {2|Forms:

LEAVE FORMS FL-320 & FL-335 BLANK FOR THE RESPONDENT

FL-320 TELEPHONE NO. FAX NO EMAIL ADDRESS: ATTORNEY FOR (name) PARTY WITHOUT ATTORNEY OR ATTORNEY STATE BAR NUMBER: NAME: FIRM NAME STREET ADDRESS: CITY: STATE. FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS MAILING ADDRESS CITY AND ZIP CODE BRANCH NAME PETITIONER: RESPONDENT: OTHER PARENT/PARTY: RESPONSIVE DECLARATION TO REQUEST FOR ORDER CASE NUMBER: HEARING DATE TIME DEPARTMENT OR ROOM Read Information Sheet: Responsive Declaration to Request for Order (form FL-320-INFO) for more information about this form

1. [-] RESTRAINING ORDER INFORMATION a. [-] No domestic violence restraining/protective orders are now in effect between the parties in this case. b. [] | agree that one or more domestic violence restraining/protective orders are now in effect between the parties in this case. 2, [] CHILD CUSTODY [] VISITATION (PARENTING TIME) a. [] I consent to the order requested for child custody (legal and physical custody). b. [] I consent to the order requested for visitation (parenting time). [_] child custody [] visitation (parenting time) c. [] | do not consent to the order requested for [- ] but I consent to the following order:
2. [] CHILD SUPPORT a. | have completed and filed a current Income and Expense Declaration (form FL-150) or, if eligible, a current Financial Statement (Simplified) (form FL-155) to support my responsive declaration. b. [-_] I consent to the order requested. c. [] | consent to guideline support. d
3. [-] SPOUSAL OR DOMESTIC PARTNER SUPPORT . [] | do not consent to the order requested [] but | consent to the following order: a. | have completed and filed a current Income and Expense Declaration (form FL-150) to support my responsive declaration. b. [-] | consent to the order requested. c. [__] Ido not consent to the order requested [—] but I consent to the following order:

Form Adopted for Mandatory Use RESPONSIVE DECLARATION TO REQUEST FOR ORDER Code of Civil Procedure, § 1005 Judicial Council of California FL-320 (Rev. July 1, 2025] Cal, Rules of Court, rule 5. Q

FL-320 PETITIONER: CASE NUMBER RESPONDENT: OTHER PARENT/PARTY: 5. [_] PROPERTY CONTROL a. [-] I consent to the order requested. b. [-] | do not consent to the order requested [—] but! consent to the following order: 6. [-_] ATTORNEY'S FEES AND COSTS a. | have completed and filed a current Income and Expense Declaration (form FL-150 ) to support my responsive declaration.

| have completed and filed with this form a Supporting Declaration for Attorney's Fees and Costs Attachment (form FL-158) or a

declaration that addresses the factors covered in that form. c. [] I consent to the order requested. {] | do not consent to the order requested [] but | consent to the following order: 2. 7. [] OTHER ORDERS REQUESTED a. | consent to the order requested. b. | do not consent to the order requested {] but | consent to the following order: 8 TIME FOR SERVICE / TIME UNTIL HEARING a. | | consent to the order requested. b. [-_] | do not consent to the order requested [-] but | consent to the following order: 9. [] FACTS TO SUPPORT my responsive declaration are listed below. The facts that | write and attach to this form cannot be longer than 10 pages, unless the court gives me permission. [_] Attachment 9.

| declare under penalty of perjury under the laws of the State of California that the information provided in this form and all attachments

is true and correct. Date: (TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT) FL-320 [Rev. July 1, 2025] RESPONSIVE DECLARATION TO REQUEST FOR ORDER Page 2 of 2

FL-335 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address). FOR COURT USE ONLY TELEPHONE NO. FAX NO. (Optional): E-MAIL ADDRESS (Optional) ATTORNEY FOR (Name). SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE BRANCH NAME: PETITIONER/PLAINTIFF: CASE NUMBER: RESPONDENT/DEFENDANT: (If applicable, provide): OTHER PARENT/PARTY: HEARING DATE: HEARING TIME: DEPT.: PROOF OF SERVICE BY MAIL NOTICE: To serve temporary restraining orders you must use personal service (see form FL-330).

1. lam atleast 18 years of age, not a party to this action, and | am a resident of or employed in the county where the mailing took place.
2. My residence or business address is:
3. | served a copy of the following documents (specify) : by enclosing them in an envelope AND a. [C] depositing the sealed envelope with the United States Postal Service with the postage fully prepaid. b. (CQ placing the envelope for collection and mailing on the date and at the place shown in item 4 following our ordinary business practices. | 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 is deposited in the ordinary course of business with the United States Postal Service in a sealed envelope with postage fully prepaid.
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. (CC) 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.)
6. 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 PERSON COMPLETING THIS FORM)

Form Approved for Optional Use . . PROOF OF SERVICE BY MAIL Code of Civil Procedure, §§ 1013, 1013a Judicial Council of California CEB | Essential www.courts.ca.gov FL-335 Rev. January 1, 2012) ED | Forms: