Stanislaus — Petition for Custody and Support of Minor Children Packet

Source: https://www.stanislaus.courts.ca.gov/system/files/forms-and-filings/pet-custody-supp-minor-children.pdf

Sparse pages use OCR; original PDF remains authoritative.

STANISLAUS COUNTY SUPERIOR COURT Family Law - 1100 I Street, Modesto, CA 95356 209-530-3100 Self Help Center – 800 11 th Street, Room 220, Modesto CA 95356 Phone – 530-3299 www.stanislaus.courts.ca.gov

Revised 3/2025

Petition for Custody and Support of Minor Children Packet This packet includes the necessary forms to establish custody and support of a minor child. Judicial Council forms, local forms and information are available in the Clerk’s Office, the Stanislaus County Law Library located at 1101 13th Street, Modesto, and on the following Websites: Stanislaus County Superior Court: www.stanislaus.courts.ca.gov Judicial Council’s Self Help: www.courts.ca.gov/selfhelp.htm Judicial Council Forms: www.courts.ca.gov/formsrules.htm

Overview Parents that separate will need to have a plan for deciding how they will share and divide their parenting responsibilities. This plan can be called a parenting plan, a time-share plan, or an agreement ("stipulation") regarding child custody and visitation. Any plan must be in writing and signed by both parents and a judge. In California, either parent can have custody, or the parents can share custody. The judge makes the final decision but usually will approve the arrangement both parents agree upon. If the parents can't agree, the judge will make a decision at a court hearing. The judge will usually not make a decision about custody/visitation until after the parents have met with a mediator. Mediation If parents can't agree on custody/visitation on their own, the judge will have the parents meet with Family Court Services to see if an agreement can be reached with the help of a mediator. Parents can also hire a private mediator. Court Hearing If mediation doesn't work, the judge will make a decision at a hearing. In some courts, the mediator will make a recommendation to the judge about custody/visitation orders. Ask the mediator how the process works in your local court. The judge may appoint an evaluator to recommend a parenting plan. A parent can also ask for an evaluation, but the request may not be granted. Parents may have to pay for an evaluation. The judge also may appoint lawyers for children in custody cases.

Child's Needs Come First The law says that judges must give custody according to what is best for the child. In most

cases, judges give custody to one or both parents. There are times when custody is given to a friend or relative. You should consult a lawyer for information about custody given to non- parents.

Changing Custody/Visitation Orders After a judge makes a custody/visitation order, one or both parents may want to change the order. If the parents can't agree on a change, one of the parents must file a Request for Order with the Court asking for a change. If you want to change your order, you and the other parent will probably have to meet with a mediator to talk about why you want the order to change.

Notes: • The Income and Expense Declaration (FL 150) is included in this packet. This form is also accessible on the Judicial Council website and if filled in directly from the website, calculations will be computed for you.

• Child Custody and Visitation issues - If you are in agreement, you may use the “Stipulation and Order for Custody and/or Visitation of Children” forms along with a Petition for Custody. If you are not in agreement, you may use a “Request for Order” packet.

• Notice of Change of Address and Telephone Number (MC–040). When you have a change in your address or telephone number, you MUST purchase this form and file it with the Clerk’s Office.

Material prepared and/or distributed by the Superior Court Clerk’s Office IS INTENDED FOR INFORMATIONAL AND EDUCATIONAL PURPOSES ONLY. Such material is NOT intended to be and IT IS NOT LEGAL ADVICE as to your specific case. IT IS NOT INTENDED TO TAKE THE PLACE OF COMPETENT LEGAL ADVICE FROM A FAMILY LAW ATTORNEY. You are strongly advised to seek the advice of a licensed family law attorney before starting or completing your case in order to protect valuable legal rights that you may have and of which you may be unaware. Please contact a competent family law attorney of your choice, the Clerk’s Office cannot provide legal advice.

FL-260

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 STANISLAUS STREET ADDRESS: 1100 I STREET MAILING ADDRESS: P.O. BOX 1098 CITY AND ZIP CODE: MODESTO, CA 95353

BRANCH NAME:

PETITIONER:

RESPONDENT: PETITION FOR CUSTODY AND CASE NUMBER: SUPPORT OF MINOR CHILDREN

NOTICE: This action will not terminate a marriage or domestic partnership and will not determine a parental relationship.

1. I am the petitioner. The respondent and I are the parents of the following minor children: Child's name Birthdate Age

L continued on Attachment 1.

2. Choose at least one box below to explain why you are using this form: a. L I am married to the respondent, and no action is pending in any court for dissolution, legal separation, or nullity. b. L Respondent and I have signed a voluntary declaration of parentage or paternity regarding the minor children, and no action regarding the children has been filed in any other court. A copy is attached. c. L Respondent and I have legally adopted a child together. d. L Respondent and I have been determined to be the parents in juvenile court or governmental child support. Case number: County: State: Country (if not the United States):

3. A completed Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) (form FL-105) is attached.

4. Child custody and visitation (parenting time). I request the following orders: Petitioner Respondent Joint Other a. Legal custody of children to: L L L L b. Physical custody of children to: L L L L c. Visitation (parenting time) of children with: L L L d. If "Other" is checked above, name of the other person is (specify):

   The proposed schedule for visitation (parenting time) is as follows:

L See the attached form FL-311, Child Custody and Visitation (Parenting Time) Application Attachment.

Form Adopted for Mandatory Use PETITION FOR CUSTODY Family Code, §§ 211, 3120, 3400, 3900, Judicial Council of California 7600 et seq. FL-260 [Rev. September 1, 2021] AND SUPPORT OF MINOR CHILDREN www.courts.ca.gov

FL-260 PETITIONER: CASE NUMBER:

RESPONDENT:

4. e. L I request that the child abduction prevention orders requested on form FL-312 be approved. f. L I request that the proposed holiday schedule set out in L form FL-341(C) L other be approved. g. L I request that additional orders regarding child custody set out in L form FL-341(D) L other be approved. h. L I request that joint legal custody orders set out in L form FL-341(E) L other be approved. i. L I request that visitation (parenting time) be supervised with the following persons, with the following restrictions:

L Continued on Attachment 4i. j. L Other (specify):

5. Fees and cost of litigation a. Attorney's fees will be paid by L petitioner L respondent. b. L Each party will pay their own attorney's fees.

6. Child support. The court may make orders for support of the children and issue an earnings assignment without further notice to either party.

7. Other (specify):

8. I have read the restraining order on the back of the Summons (form FL-210) that is being filed with this petition, and I understand that it applies to me when this petition is filed.

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 PETITIONER)

A blank Response to Petition for Custody and Support of Minor Children (form FL-270) must be served on the respondent with a copy of this Petition.

NOTICE: If you have a child from this relationship, the court is required to order child support based on the incomes of both parents. You should supply the court with information about your income. Otherwise, the child support order will be based on information supplied by the other parent. Any party required to pay child support must pay interest on overdue amounts at the "legal rate," which is currently 10 percent.

FL-260 [Rev. September 1, 2021] PETITION FOR CUSTODY Page 2 of 2 AND SUPPORT OF MINOR CHILDREN

CONFIDENTIAL

ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME, ADDRESS, PHONE) FOR COURT USE ONLY NOTICE TO CLERK Place in confidential part of the court file. Attorney for:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF STANISLAUS Street Address: 800 11th Street, Modesto, CA 95354 Civil Clerk’ Office: 1100 I Street, P.O. Box 1098, Modesto, CA 95353

Petitioner:

Respondent:

CONFIDENTIAL DECLARATION Case Number:

You are required to complete this Confidential Declaration when you file any petition or response in any family law case type. You are required to provide the social security numbers for yourself and your spouse on this form if you know them. This form will be kept in a confidential part of the court file and may not be disclosed without good cause shown to the court.

After you have completed this form, you may redact (block or cross out) any social security number listed on this form from any future document or other written material filed with the court.

You may not redact or change any previously filed documents without a court order.

Petitioner (name): _____________________________________________________________________ Address: ____________________________________________________________________________ Alias (if any): Social security number: _____________________ Date of Birth: Drivers License:__________________________  Female  Male

Respondent (name): ___________________________________________________________________ Address: ___________________________________________________________________________ Alias (if any): Social security number: ______________________ Date of Birth: Drivers License:___________________________  Female  Male

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 Your Name) (Sign Your Name)

FL003 (Mandatory Form) CONFIDENTIAL DECLARATION Rev 6-10 (FAMILY LAW)

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:

ATTONREY FOR (name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STANISLAUS STREET ADDRESS: 1100 I STREET MAILING ADDRESS: P.O. BOX 1098 CITY AND ZIP CODE: MODESTO, CA 95353

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. I am (check one): L a party to this proceeding to determine custody of a child L 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. L Check this box if you need to list more children. (On form MC-020 or a separate piece of paper, write "FL-105, Attachment 2, Additional Children" at the top, provide all requested information for each additional child, and attach to this form.)

3. a. L 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 Relationship (Month/Year) (City/State) complete current address

   From: To present

   L Confidential (list state only) L Confidential (list state only)

   From: To:

   From: To:

   From: To:

   From: To:

L Additional addresses are listed on Attachment 3a. (Form MC-020 may be used for this purpose.) b. L 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.)

Form Adopted for Mandatory Use DECLARATION UNDER UNIFORM CHILD CUSTODY Family Code, § 3400 et seq.; Judicial Council of California Probate Code, §§ 1510(f), 1512 FL-105/GC-120 [Rev. January 1, 2025] JURISDICTION AND ENFORCEMENT ACT (UCCJEA) www.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? L Yes L No (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. L Family

   b. L Probate Guardianship c. L Other

   Proceeding Case Number Court (name, state, location)

   d. L Juvenile

   e. L Adoption

5. L One or more domestic violence restraining/protective orders are now in effect. (Attach a copy of the orders if you have one and provide the following information): Court County State or Tribe Case number (if known) Orders expire (date) a. L Criminal

   b. L Family

   c. L Juvenile

   d. L Other

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 rights with any child in this case? L Yes L No (If yes, provide the following information):

   a. Name and address of person: b. Name and address of person: c. Name and address of person:

L Has physical custody L Has physical custody L Has physical custody L Claims custody rights L Claims custody rights L Claims custody rights L Claims visitation rights L Claims visitation rights L Claims visitation rights Name of each child: Name of each child: Name of each child:

7. L Number of pages attached: I 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 Page 2 of 2 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: If 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. (If 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. (If 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:

Page Form Adopted for Mandatory Use ATTACHMENT TO Family Code, § 3400 et seq.; Judicial Council of California Probate Code, §§ 1510(f), 1512 FL-105(A)/GC-120(A) DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION www.courts.ca.gov [Rev. January 1, 2025] AND ENFORCEMENT ACT (UCCJEA)

FL-210 SUMMONS CITACIÓN (Paternidad—Custodia y Manutención) (Parentage—Custody and Support) FOR COURT USE ONLY NOTICE TO RESPONDENT (Name): (SOLO PARA USO DE LA CORTE)

AVISO AL DEMANDADO (Nombre):

You have been sued. Read the information below and on the next page. Lo han demandado. Lea la información a continuación y en la página siguiente.

Petitioner's name: El nombre del demandante:

CASE NUMBER: (Número de caso)

You have 30 calendar days after this Summons and Petition Tiene 30 dias de calendario después de habir recibido la entrega legal are served on you to file a Response (form FL-220 or FL-270) de esta Citación y Petición para presentar una Respuesta (formulario at the court and have a copy served on the petitioner. A FL-220 o FL-270) ante la corte y efectuar la entrega legal de una copia letter, phone call, or court appearance will not protect you. al demandante. Una carta o llamada telefónica o una audiencia de la corte no basta para protegerlo.

If you do not file your Response on time, the court may make Si no presenta su Respuesta a tiempo, la corte puede dar órdenes que orders affecting your right to custody of your children. You afecten la custodia de sus hijos. La corte también le puede ordenar que may also be ordered to pay child support and attorney fees pague manutención de los hijos, y honorarios y costos legales. and costs.

For legal advice, contact a lawyer immediately. Get help Para asesoramiento legal, póngase en contacto de inmediato con un finding a lawyer at the California Courts Online Self-Help abogado. Puede obtener información para encontrar un abogado en el Center (www.courts.ca.gov/selfhelp), at the California Legal Centro de Ayuda de las Cortes de California (www.sucorte.ca.gov), en Services website (www.lawhelpca.org), or by contacting your el sitio web de los Servicios Legales de California (www.lawhelpca.org), local bar association. o poniéndose en contacto con el colegio de abogados de su condado.

NOTICE: The restraining order on page 2 remains in effect AVISO: La órden de protección que aparecen en la pagina 2 against each parent until the petition is dismissed, a judgment continuará en vigencia en cuanto a cada parte hasta que se emita un is entered, or the court makes further orders. This order is fallo final, se despida la petición o la corte dé otras órdenes. Cualquier enforceable anywhere in California by any law enforcement agencia del orden público que haya recibido o visto una copia de estas officer who has received or seen a copy of it. orden puede hacerla acatar en cualquier lugar de California.

EXENCIÓN DE CUOTAS: Si no puede pagar la cuota de presentación,FEE WAIVER: If you cannot pay the filing fee, ask the clerk pida al secretario un formulario de exención de cuotas. La corte puede for a fee waiver form. The court may order you to pay back all ordenar que usted pague, ya sea en parte o por completo, las cuotas y or part of the fees and costs that the court waived for you or costos de la corte previamente exentos a petición de usted o de la otra the other party. parte.

1. The name and address of the court are: (El nombre y dirección de la corte son:)

[SEAL] Superior Court of the State of California, County of Stanislaus 1100 I Street - P. O. Box 1098 Modesto, CA 95353

2. The name, address, and telephone number of petitioner’s attorney, or petitioner without an attorney, are: (El nombre, la dirección y el número de teléfono del abogado del demandante, o del

demandante si no tiene abogado, son:)

Date (Fecha): Clerk, by (Secretario, por) , Deputy (Asistente)

Form Adopted for Mandatory Use SUMMONS Family Code, §§ 232, 233, 7700; Judicial Council of California Cal. Rules of Court, rule 5.50 FL-210 [Rev. January 1, 2015] (Parentage—Custody and Support) www.courts.ca.gov

FL-210

STANDARD RESTRAINING ORDER (Parentage—Custody and Support)

ORDEN DE RESTRICCIÓN ESTÁNDAR (Paternidad—Custodia y Manutención)

Starting immediately, you and every other party are restrained from removing from the state, or applying for a passport for, the minor child or children for whom this action seeks to establish a parent-child relationship or a custody order without the prior written consent of every other party or an order of the court.

This restraining order takes effect against the petitioner when he or she files the petition and against the respondent when he or she is personally served with the Summons and Petition OR when he or she waives and accepts service.

This restraining order remains in effect until the judgment is entered, the petition is dismissed, or the court makes other orders.

This order is enforceable anywhere in California by any law enforcement officer who has received or seen a copy of it.

En forma inmediata, usted y cada otra parte tienen prohibido llevarse del estado a los hijos menores para quienes esta acción judicial procura establecer una relación entre hijos y padres o una orden de custodia, ni pueden solicitar un pasaporte para los mismos, sin el consentimiento previo por escrito de cada otra parte o sin una orden de la corte.

Esta orden de restricción entrará en vigencia para el demandante una vez presentada la petición, y para el demandado una vez que éste reciba la notificación personal de la Citación y Petición, o una vez que renuncie su derecho a recibir dicha notificación y se dé por notificado.

Esta orden de restricción continuará en vigencia hasta que se emita un fallo final, se despida la petición o la corte dé otras órdenes.

Cualquier agencia del orden público que haya recibido o visto una copia de esta orden puede hacerla acatar en cualquier lugar de California.

AVISO—ACCESO A SEGURA DE SALUD MÁS NOTICE—ACCESS TO AFFORDABLE HEALTH ECONOMICO Necessita seguro de salud a un costo INSURANCE Do you or someone in your household need asequible, ya sea para usted o alguien en su hogar? Si es affordable health insurance? If so, you should apply for asi, puede presentar una solicitud con Covered California. Covered California. Covered California can help reduce the Covered California lo puede ayudar a reducir al costo que cost you pay toward high-quality, affordable health care. paga por seguro de salud asequible y de alta calidad. Para For more information, visit www.coveredca.com. Or call obtener más información, visite www.coveredca.com. O Covered California at 1-800-300-1506. llame a Covered California al 1-800-300-0213.

FL-210 [Rev. January 1, 2015] SUMMONS Page 2 of 2 (Parentage—Custody and Support)

FL-115

PARTY WITHOUT ATTORNEY or ATTORNEY STATE BAR NO.: 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 STANISLAUS STREET ADDRESS: 1100 I STREET MAILING ADDRESS: P.O. BOX 1098 CITY AND ZIP CODE: MODESTO, CA 95353

BRANCH NAME: PETITIONER:

RESPONDENT:

PROOF OF SERVICE OF SUMMONS CASE NUMBER:

1. At the time of service I was at least 18 years of age and not a party to this action. I served the respondent with copies of: a. = Family Law: Petition—Marriage/Domestic Partnership (form FL-100), Summons (form FL-110), and blank Response— Marriage/Domestic Partnership (form FL-120) -or- b. = Uniform Parentage: Petition to Determine Parental Relationship (form FL-200), Summons (form FL-210), and blank Response to Petition to Determine Parental Relationship (form FL-220) -or- c. = Custody and Support: Petition for Custody and Support of Minor Children (form FL-260), Summons (form FL-210), and blank Response to Petition for Custody and Support of Minor Children (form FL-270) and d. = (1) = Completed and blank Declaration Under (5) = Completed and blank Financial Statement Uniform Child Custody Jurisdiction and (Simplified) (form FL-155) Enforcement Act (UCCJEA) (form FL-105) (6) = Completed and blank Property (2) = Completed and blank Declaration of Declaration (form FL-160) Disclosure (form FL-140) (7) = Request for Order (form FL-300), and blank (3) = Completed and blank Schedule of Assets Responsive Declaration to Request for Order and Debts (form FL-142) (form FL-320) (4) = Completed and blank Income and (8) = Other (specify): Expense Declaration (form FL-150)

2. Address where respondent was served:

3. I served the respondent by the following means (check proper boxes): a. = Personal service. I personally delivered the copies to the respondent (Code Civ. Proc., § 415.10) on (date): at (time):

b. = Substituted service. I left the copies with or in the presence of (name):
who is (specify title or relationship to respondent):
(1) = (Business) a person at least 18 years of age who was apparently in charge at the office or usual place of
business of the respondent. I informed the person of the general nature of the papers.
(2) = (Home) a competent member of the household (at least 18 years of age) at the home of the respondent. I
informed the person of the general nature of the papers.

on (date): at (time):
I thereafter mailed additional copies (by first class, postage prepaid) to the respondent at the place where the
copies were left (Code Civ. Proc., § 415.20b) on (date):
A declaration of diligence is attached, stating the actions taken to first attempt personal service.

Form Approved for Optional Use PROOF OF SERVICE OF SUMMONS Code of Civil Procedure, § 417.10 Judicial Council of California www.courts.ca.gov FL-115 [Rev. January 1, 2021] (Family Law—Uniform Parentage—Custody and Support)

FL-115 PETITIONER: CASE NUMBER:

RESPONDENT:

3. c. = Mail and acknowledgment service. I mailed the copies to the respondent, addressed as shown in item 2, by first-class mail, postage prepaid, on (date): from (city): (1) = with two copies of the Notice and Acknowledgment of Receipt (form FL-117) and a postage-paid return envelope addressed to me. (Attach completed Notice and Acknowledgment of Receipt (form FL-117).) (Code Civ. Proc., § 415.30.) (2) = to an address outside California (by registered or certified mail with return receipt requested). (Attach signed return receipt or other evidence of actual delivery to the respondent.) (Code Civ. Proc., §§ 415.40, 417.20.) d. = Other (specify code section): = Continued on Attachment 3d.

4. Person who served papers Name: Address:

Telephone number:

This person is a. = exempt from registration under Business and Professions Code section 22350(b). b. = not a registered California process server. c. = a registered California process server: = an employee or = an independent contractor (1) Registration no.: (2) County: (3) The fee for service was (specify): $

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

   -or-

6. = I am a California sheriff, marshal, or constable, and I certify that the foregoing is true and correct.

Date:

(NAME OF PERSON WHO SERVED PAPERS) (SIGNATURE OF PERSON WHO SERVED PAPERS)

FL-115 [Rev. January 1, 2021] PROOF OF SERVICE OF SUMMONS Page 2 of 2 (Family Law—Uniform Parentage—Custody and Support)

FL-117

PARTY WITHOUT ATTORNEY or ATTORNEY STATE BAR NO.: 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 STANISLAUS STREET ADDRESS: 1100 I STREET MAILING ADDRESS: P.O. BOX 1098 CITY AND ZIP CODE: MODESTO, CA 95353

BRANCH NAME:

PETITIONER: RESPONDENT: NOTICE AND ACKNOWLEDGMENT OF RECEIPT CASE NUMBER:

(Sender completes items 1 through 4 and signs before mailing. Recipient completes items 5 and 6, signs, then returns)

1. To (name of individual being served):

   NOTICE

The documents identified below are being served on you by mail with this acknowledgment form. You must personally sign, or a person authorized by you must sign, this form to acknowledge receipt of the documents.

If the documents described below include a summons and you fail to complete and return this acknowledgment form to the sender within 20 days of the date of mailing, you will be liable for the reasonable expenses incurred after that date in serving you or

attempting to serve you with these documents by any other methods permitted by law. If you return this form to the sender, service of a summons is deemed complete on the date you sign the acknowledgment of receipt below. This is not an answer to the action. If you do not agree with what is being requested, you must submit a completed Response form to the court within 30 calendar days.

2. Date of mailing (specify):

(TYPE OR PRINT SENDER'S NAME) (SIGNATURE OF SENDER—MUST NOT BE A PARTY IN THIS CASE AND MUST BE 18 YEARS OR OLDER) ACKNOWLEDGMENT OF RECEIPT 4. I agree I received the following: a. = Family Law: Petition—Marriage/Domestic Partnership (form FL-100), Summons (form FL-110), and blank Response— Marriage/Domestic Partnership (form FL-120) b. = Uniform Parentage: Petition to Determine Parental Relationship (form FL-200), Summons (form FL-210), and blank Response to Petition to Determine Parental Relationship (form FL-220) c. = Custody and Support: Petition for Custody and Support of Minor Children (form FL-260), Summons (form FL-210), and blank Response to Petition for Custody and Support of Minor Children (form FL-270) d. = (1) = Completed and blank Declaration Under Uniform (5) = Completed and blank Financial Statement Child Custody Jurisdiction and Enforcement Act (Simplified) (form FL-155) (UCCJEA) (form FL-105) (6) = Completed and blank Property Declaration (2) = Completed and blank Declaration of Disclosure (form FL-160) (form FL-140) (7) = Request for Order (form FL-300) and blank (3) = Completed and blank Schedule of Assets and Responsive Declaration to Request for Order Debts (form FL-142) (form FL-320) (4) = Completed and blank Income and Expense (8) = Other (specify): Declaration (form FL-150)

5. Recipient signed this acknowledgment on (specify date):

(TYPE OR PRINT NAME OF PERSON ACKNOWLEDGING RECEIPT) (SIGNATURE OF PERSON ACKNOWLEDGING RECEIPT)

Form Approved for Optional Use NOTICE AND ACKNOWLEDGMENT OF RECEIPT Code of Civil Procedure, §§ 415.30, 417.10 Judicial Council of California www.courts.ca.gov FL-117 [Rev. January 1, 2021] (Family Law)

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 STANISLAUS STREET ADDRESS: 1100 I STREET MAILING ADDRESS: P.O. BOX 1098 CITY AND ZIP CODE: MODESTO, CA 95353

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 a. Employer: of your pay b. Employer's address: stubs for last c. Employer's phone number: two months d. Occupation: (black out e. Date job started: Social f. If unemployed, date job ended: Security g. I work about hours per week. numbers). h. I get paid $ gross (before taxes) = per month = 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 1—Other Jobs" at the top.)

2. Age and education a. My age is (specify): b. I have completed high school or the equivalent: = Yes = 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. I have: = professional/occupational license(s) (specify): = vocational training (specify):

3. Tax information a. = I last filed taxes for tax year (specify year): b. My tax filing status is = single = head of household = married, filing separately = married, filing jointly with (specify name): c. I file state tax returns in = California = other (specify state): d. I claim the following number of exemptions (including myself) on my taxes (specify):

4. Other party's income. I estimate the gross monthly income (before taxes) of the other party in this case at (specify): $ This estimate is based on (explain):

(If you need more space to answer any questions on this form, attach an 8 1/2-by-11-inch sheet of paper and write the question number before your answer.) Number of pages attached:

I declare under penalty of perjury under the laws of the State of California that the information contained on all pages of this form and any attachments is true and correct.

Date:

(TYPE OR PRINT NAME) (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 PETITIONER: CASE NUMBER:

RESPONDENT:

OTHER PARTY/PARENT/CLAIMANT:

Attach copies of your pay stubs for the last two months and proof of any other income. Take a copy of your latest federal tax return to the court hearing. (Black out your Social Security number on the pay stub and tax return.)

5. Income (For average monthly, add up all the income you received in each category in the last 12 months Average and divide the total by 12.) Last month monthly a. Salary or wages (gross, before taxes) ...........................................................................................................................................$ b. Overtime (gross, before taxes) ...........................................................................................................................................................$ c. Commissions or bonuses .........................................................................................................................................................................$ d. Public assistance (for example: TANF, SSI, GA/GR) = currently receiving .............................................$ e. Spousal support = from this marriage = from a different marriage = federally taxable* $ f. Partner support = from this domestic partnership = from a different domestic partnership $ g. Pension/retirement fund payments ...................................................................................................................................................$ h. Social Security retirement (not SSI) .................................................................................................................................................$ i. Disability: = Social Security (not SSI) = State disability (SDI) = Private insurance $ j. Unemployment compensation ...............................................................................................................................................................$ k. Workers' compensation .............................................................................................................................................................................$ l. Other (military allowances, royalty payments) (specify): ...................................................................................................$

6. Investment income (Attach a schedule showing gross receipts less cash expenses for each piece of property.) a. Dividends/interest .........................................................................................................................................................................................$ b. Rental property income ..............................................................................................................................................................................$ c. Trust income ......................................................................................................................................................................................................$ d. Other (specify): ..............................................................................................................................................................................................$

7. Income from self-employment, after business expenses for all businesses ........................................$ I am the = owner/sole proprietor = business partner = other (specify): Number of years in this business (specify): Name of business (specify): Type of business (specify): Attach a profit and loss statement for the last two years or a Schedule C from your last federal tax return. Black out your Social Security number. If you have more than one business, provide the information above for each of your businesses.

8. = Additional income. I received one-time money (lottery winnings, inheritance, etc.) in the last 12 months (specify source and amount):

9. = Change in income. My financial situation has changed significantly over the last 12 months because (specify):

10. Deductions Last month a. Required union dues ......................................................................................................................................................................................................................$ b. Required retirement payments (not Social Security, FICA, 401(k), or IRA) ..........................................................................................$ c. Medical, hospital, dental, and other health insurance premiums (total monthly amount) ........................................................$ d. Child support that I pay for children from other relationships ..........................................................................................................................$ .............................. $ e. Spousal support that I pay by court order from a different marriage = federally tax deductible* f. Partner support that I pay by court order from a different domestic partnership ..............................................................................$ g. Necessary job-related expenses not reimbursed by my employer (attach explanation labeled "Question 10g") ......$

11. Assets Total a. Cash and checking accounts, savings, credit union, money market, and other deposit accounts .......................................$ b. Stocks, bonds, and other assets I could easily sell ...............................................................................................................................................$ .............. $ c. All other property, = real and = personal (estimate fair market value minus the debts you owe)

• 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

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 .............................................$ (1) = Rent or = mortgage ..................$ i. Clothes ............................................................................$ If mortgage: j. Education ..........................................................................$ (a) average principal: $ k. Entertainment, gifts, and vacation ................$ (b) average interest: $ l. Auto expenses and transportation (2) Real property taxes ......................................$ (insurance, gas, repairs, bus, etc.) ..............$ (3) Homeowner's or renter's insurance m. Insurance (life, accident, etc.; do not include (if not included above) ...............................$ auto, home, or health insurance) $ (4) Maintenance and repair .............................$ n. Savings and investments ....................................$ b. Health-care costs not paid by insurance .... $ o. Charitable contributions ......................................$ c. Child care .......................................................................$ p. Monthly payments listed in item 14 d. Groceries and household supplies ...............$ (itemize below in 14 and insert total here) $ e. Eating out .......................................................................$ q. Other (specify): ........................................................$ f. Utilities (gas, electric, water, trash) ...........$ g. Telephone, cell phone, and e-mail ...............$ r. TOTAL EXPENSES (a-q) (do not add in the amounts in a(1)(a) and (b)) $

s. Amount of expenses paid by others $

14. Installment payments and debts not listed above Paid to For Amount Balance Date of last payment $ $ $ $ $ $ $ $ $ $ $ $

15. Attorney fees (This information is required if either party is requesting attorney fees.): a. To date, I have paid my attorney this amount for fees and costs (specify): $ b. The source of this money was (specify): c. I still owe the following fees and costs to my attorney (specify total owed): $ d. My attorney's hourly rate is (specify):

I 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. I have (specify number): children under the age of 18 with the other parent in this case. b. The children spend percent of their time with me and percent of their time with the other parent. (If you're not sure about percentage or it has not been agreed on, please describe your parenting schedule here.)

17. Children's health-care expenses a. = I do = I do 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 expenses for the children in this case Amount per month a. Child care so I can work or get job training .................................................................................. $ b. Children's health care not covered by insurance ...................................................................... $ c. Travel expenses for visitation ................................................................................................................ $ d. Children's educational or other special needs (specify below): .................................. $

19. Special hardships. I ask the court to consider the following special financial circumstances (attach documentation of any item listed here, including court orders) : Amount per month 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 I receive for those children ...............................................................................$

The expenses listed in a, b and c create an extreme financial hardship because (explain):

20. Other information I want the court to know concerning support in my case (specify):

FL-150 [Rev. September 1, 2024] INCOME AND EXPENSE DECLARATION Page 4 of 4

STANISLAUS COUNTY SUPERIOR COURT Family Law - 1100 I Street, Modesto, CA 95356 209-530-3100 Self Help Center – 800 11 th Street, Room 220, Modesto CA 95356 www.stanislaus.courts.ca.gov

Revised 4/24

Response Packet to Petition for Custody and Support of Minor Children The following forms need to be served on the respondent BLANK. If the respondent chooses to respond, he/she will complete these forms and file them with the Court. This packet includes the necessary forms to respond to a Petition for custody and support of minor children.

Judicial Council forms, local forms and information are available in the Clerk’s Office, the Stanislaus County Law Library located at 1101 13th Street, Modesto, and on the following Websites: Stanislaus County Superior Court: www.stanislaus.courts.ca.gov Judicial Council’s Self Help: www.courts.ca.gov/selfhelp.htm Judicial Council Forms: www.courts.ca.gov/formsrules.htm

Overview Parents that separate will need to have a plan for deciding how they will share and divide their parenting responsibilities. This plan can be called a parenting plan, a time-share plan, or an agreement ("stipulation") regarding child custody and visitation. Any plan must be in writing and signed by both parents and a judge. In California, either parent can have custody, or the parents can share custody. The judge makes the final decision but usually will approve the arrangement both parents agree upon. If the parents can't agree, the judge will make a decision at a court hearing. The judge will usually not make a decision about custody/visitation until after the parents have met with a mediator. Mediation If parents can't agree on custody/visitation on their own, the judge will have the parents meet with Family Court Services to see if an agreement can be reached with the help of a mediator. Parents can also hire a private mediator. Court Hearing If mediation doesn't work, the judge will make a decision at a hearing. In some courts, the mediator will make a recommendation to the judge about custody/visitation orders. Ask the mediator how the process works in your local court.

The judge may appoint an evaluator to recommend a parenting plan. A parent can also ask for an evaluation, but the request may not be granted. Parents may have to pay for an evaluation.

The judge also may appoint lawyers for children in custody cases.

Child's Needs Come First The law says that judges must give custody according to what is best for the child. In most cases, judges give

custody to one or both parents. But there are times when custody is given to a friend or relative. You should consult a lawyer for information about custody given to non-parents.

Changing Custody/Visitation Orders After a judge makes a custody/visitation order, one or both parents may want to change the order. If the parents cannot agree on a change, one of the parents must file a motion with the Court asking for a change. If you want to change your order, you and the other parent will probably have to meet with a mediator to talk about why you want the order to change.

Family Law Facilitator’s Office/Superior Court Self-Help Center 800 11 th Street, Room 220, Modesto

PROVIDING ASSISTANCE TO PARTIES REPRESENTING THEMSELVES

NOTES: • The Income and Expense Declaration (FL-150) is included in this packet. This form is also accessible on the Judicial Council website and if filled in directly from the website, calculations will be computed for you.

• Child Custody and Visitation issues - If you are in agreement you may use the “Stipulation and Order for Custody and/or Visitation of Children” forms along with a Petition for Custody. If you are not in agreement, you may use a “Request for Order”..

• Notice of Change of Address and Telephone Number (MC–040). When you have a change in your address or telephone number, you MUST purchase this form and file it with the Clerk’s Office.

**You must serve the other party with a copy of your Response BEFORE filing it with the Court. When filing your paperwork, you must attach one of the following double-sided forms: • Proof of Service by Mail (FL-335) - Included in this packet • Proof of Personal Service (FL-330) - Available on the Judicial Council’s Self-Help website or can be purchased at the Clerk’s Office.

Material prepared and/or distributed by the Superior Court Clerk’s Office IS INTENDED FOR INFORMATIONAL AND EDUCATIONAL PURPOSES ONLY. Such material is NOT intended to be and IT IS NOT LEGAL ADVICE as to your specific case. IT IS NOT INTENDED TO TAKE THE PLACE OF COMPETENT LEGAL ADVICE FROM A FAMILY LAW ATTORNEY. You are strongly advised to seek the advice of a licensed family law attorney before starting or completing your case in order to protect valuable legal rights that you may have and of which you may be unaware. Please contact a competent family law attorney of your choice or contact the LAWYERS REFERENCE SERVICE of the Stanislaus County Bar Association at (209) 571-5727 for a referral.

CONFIDENTIAL

ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME, ADDRESS, PHONE) FOR COURT USE ONLY NOTICE TO CLERK Place in confidential part of the court file. Attorney for:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF STANISLAUS Street Address: 800 11th Street, Modesto, CA 95354 Civil Clerk’ Office: 1100 I Street, P.O. Box 1098, Modesto, CA 95353

Petitioner:

Respondent:

CONFIDENTIAL DECLARATION Case Number:

You are required to complete this Confidential Declaration when you file any petition or response in any family law case type. You are required to provide the social security numbers for yourself and your spouse on this form if you know them. This form will be kept in a confidential part of the court file and may not be disclosed without good cause shown to the court.

After you have completed this form, you may redact (block or cross out) any social security number listed on this form from any future document or other written material filed with the court.

You may not redact or change any previously filed documents without a court order.

Petitioner (name): _____________________________________________________________________ Address: ____________________________________________________________________________ Alias (if any): Social security number: _____________________ Date of Birth: Drivers License:__________________________  Female  Male

Respondent (name): ___________________________________________________________________ Address: ___________________________________________________________________________ Alias (if any): Social security number: ______________________ Date of Birth: Drivers License:___________________________  Female  Male

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 Your Name) (Sign Your Name)

FL003 (Mandatory Form) CONFIDENTIAL DECLARATION Rev 6-10 (FAMILY LAW)

FL-270

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 STANISLAUS STREET ADDRESS: 1100 I STREET MAILING ADDRESS: P.O. BOX 1098 CITY AND ZIP CODE: MODESTO, CA 95353

BRANCH NAME:

PETITIONER:

RESPONDENT: RESPONSE TO PETITION FOR CUSTODY AND CASE NUMBER: SUPPORT OF MINOR CHILDREN

NOTICE: This action will not terminate a marriage or domestic partnership and will not determine a parental relationship.

1. I am the respondent. The petitioner and I are the parents of the following minor children: Child's name Birthdate Age

L continued on Attachment 1.

2. Choose at least one box below to explain why you are using this form: a. L I am married to the petitioner, and no action is pending in any court for dissolution, legal separation, or nullity. b. L Petitioner and I have signed a voluntary declaration of parentage or paternity regarding the minor children, and no action regarding the children has been filed in any other court. A copy is attached. c. L Petitioner and I have legally adopted a child together. d. L Petitioner and I have been determined to be the parents in juvenile court or governmental child support. Case number: County: State: Country (if not the United States):

3. A completed Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) (form FL-105) is attached.

4. Child custody and visitation (parenting time). I request the following orders: Petitioner Respondent Joint Other a. Legal custody of children to: L L L L b. Physical custody of children to: L L L L c. Visitation (parenting time) of children with: L L L d. If "Other" is checked above, name of the other person is (specify):

   The proposed schedule for visitation (parenting time) is as follows:

L See the attached form FL-311, Child Custody and Visitation (Parenting Time) Application Attachment.

Form Adopted for Optional Use RESPONSE TO PETITION FOR CUSTODY Family Code, §§ 211, 3120, 3400, 3900, Judicial Council of California 7800 et seq. FL-270 [Rev. January 1, 2020] AND SUPPORT OF MINOR CHILDREN www.courts.ca.gov

FL-270 PETITIONER: CASE NUMBER:

RESPONDENT:

4. e. L I request that the child abduction prevention orders requested on form FL-312 be approved. f. L I request that the proposed holiday schedule set out in L form FL-341(C) L other be approved. g. L I request that additional orders regarding child custody set out in L form FL-341(D) L other be approved. h. L I request that joint legal custody orders set out in L form FL-341(E) L other be approved. i. L I request that visitation (parenting time) be supervised with the following persons, with the following restrictions:

L Continued on Attachment 4h. j. L Other (specify):

5. Fees and cost of litigation a. Attorney fees will be paid by L petitioner L respondent. b. L Each party will pay their own attorney's fees.

6. Child support. The court may make orders for support of the children and issue an earnings assignment without further notice to either party.

7. Other (specify):

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 RESPONDENT)

NOTICE: Any party required to pay child support must pay interest on overdue amounts at the "legal rate," which is currently 10 percent.

FL-270 [Rev. January 1, 2020] RESPONSE TO PETITION FOR CUSTODY Page 2 of 2 AND SUPPORT OF MINOR CHILDREN

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:

ATTONREY FOR (name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STANISLAUS STREET ADDRESS: 1100 I STREET MAILING ADDRESS: P.O. BOX 1098 CITY AND ZIP CODE: MODESTO, CA 95353

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. I am (check one): L a party to this proceeding to determine custody of a child L 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. L Check this box if you need to list more children. (On form MC-020 or a separate piece of paper, write "FL-105, Attachment 2, Additional Children" at the top, provide all requested information for each additional child, and attach to this form.)

3. a. L 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 Relationship (Month/Year) (City/State) complete current address

   From: To present

   L Confidential (list state only) L Confidential (list state only)

   From: To:

   From: To:

   From: To:

   From: To:

L Additional addresses are listed on Attachment 3a. (Form MC-020 may be used for this purpose.) b. L 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.)

Form Adopted for Mandatory Use DECLARATION UNDER UNIFORM CHILD CUSTODY Family Code, § 3400 et seq.; Judicial Council of California Probate Code, §§ 1510(f), 1512 FL-105/GC-120 [Rev. January 1, 2025] JURISDICTION AND ENFORCEMENT ACT (UCCJEA) www.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? L Yes L No (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. L Family

   b. L Probate Guardianship c. L Other

   Proceeding Case Number Court (name, state, location)

   d. L Juvenile

   e. L Adoption

5. L One or more domestic violence restraining/protective orders are now in effect. (Attach a copy of the orders if you have one and provide the following information): Court County State or Tribe Case number (if known) Orders expire (date) a. L Criminal

   b. L Family

   c. L Juvenile

   d. L Other

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 rights with any child in this case? L Yes L No (If yes, provide the following information):

   a. Name and address of person: b. Name and address of person: c. Name and address of person:

L Has physical custody L Has physical custody L Has physical custody L Claims custody rights L Claims custody rights L Claims custody rights L Claims visitation rights L Claims visitation rights L Claims visitation rights Name of each child: Name of each child: Name of each child:

7. L Number of pages attached: I 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 Page 2 of 2 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: If 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. (If 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. (If 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:

Page Form Adopted for Mandatory Use ATTACHMENT TO Family Code, § 3400 et seq.; Judicial Council of California Probate Code, §§ 1510(f), 1512 FL-105(A)/GC-120(A) DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION www.courts.ca.gov [Rev. January 1, 2025] AND ENFORCEMENT ACT (UCCJEA)

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 STANISLAUS STREET ADDRESS: 1100 I Street MAILING ADDRESS: PO Box 1098 CITY AND ZIP CODE: Modesto, CA 95353 BRANCH NAME:

CASE NUMBER:

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT: (If applicable, provide):

OTHER PARENT/PARTY: HEARING DATE:
HEARING TIME:
PROOF OF SERVICE BY MAIL DEPT.:

NOTICE: To serve temporary restraining orders you must use personal service (see form FL-330).

1. I am at least 18 years of age, not a party to this action, and I am a resident of or employed in the county where the mailing took place.

2. My residence or business address is:

3. I served a copy of the following documents (specify):

by enclosing them in an envelope AND
a. depositing the sealed envelope with the United States Postal Service with the postage fully prepaid.
b. placing the envelope for collection and mailing on the date and at the place shown in item 4 following our ordinary
business practices. I am readily familiar with this business’s practice for collecting and processing correspondence for
mailing. On the same day that correspondence is placed for collection and mailing, it 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. 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 FL-335 [Rev. January 1, 2012]

FL-335-INFO INFORMATION SHEET FOR PROOF OF SERVICE BY MAIL

Use these instructions to complete the Proof of Service by Mail (form FL-335).

A person at least 18 years of age or older must serve the documents. There are two ways to serve documents: (1) personal delivery and (2) by mail. See the Proof of Personal Service (form FL-330) if the documents are being personally served. The person who serves the documents must complete a proof of service form for the documents being served. You cannot serve documents if you are a party to the action.

INSTRUCTIONS FOR THE PERSON WHO SERVES THE DOCUMENTS (TYPE OR PRINT IN BLACK INK)

You must complete a proof of service for each package of documents you serve. For example, if you serve the respondent and the other parent, you must complete two proofs of service; one for the respondent and one for the other parent.

Complete the top section of the proof of service forms as follows: First box, left side: In this box print the name, address, and phone number of the person for whom you are serving the documents. Second box, left side: Print the name of the county in which the legal action is filed and the court’s address in this box. Use the same address for the court that is on the documents you are serving. Third box, left side: Print the names of the petitioner/plaintiff, respondent/defendant, and other parent in this box. Use the same names listed on the documents you are serving. First box, top of form, right side: Leave this box blank for the court’s use. Second box, right side: Print the case number in this box. This number is also stated on the documents you are serving. Third box, right side: Print the hearing date, time, and department. Use the same information that is on the documents you are serving.

You cannot serve a temporary restraining order by mail. You must serve those documents by personal service.

1. You are stating that you are at least 18 years old and that you are not a party to this action. You are also stating that you either live in or are employed in the county where the mailing took place.
2. Print your home or business address.
3. List the name of each document that you mailed (the exact names are listed on the bottoms of the forms). a. Check this box if you put the documents in the regular U.S. mail. b. Check this box if you put the documents in the mail at your place of employment.
4. a. Print the name you put on the envelope containing the documents. b. Print the address you put on the envelope containing the documents. c. Print the date that you put the envelope containing the documents in the mail. d. Print the city and state you were in when you mailed the envelope containing the documents.
5. Check this box if you are serving an address verification form (required for service by mail of a postjudgment request to change a child custody, visitation, or child support order).
6. You are stating under penalty of perjury that the information you have provided is true and correct. Print your name, fill in the date, and sign the form.

If you need additional assistance with this form, contact the family law facilitator in your county.

FL-335-INFO [New January 1, 2012] INFORMATION SHEET FOR PROOF OF SERVICE BY MAIL Code of Civil Procedure, §§ 1013, 1013a