Santa Cruz — SUPFL-1103

Source: https://www.santacruz.courts.ca.gov/system/files/post-web-supfl-1103-request-and-order-default-hearing.pdf

SUPFL 1103 ATTORNEY OR PARTY WITHOUT AN ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY NAME: ADDRESS: CITY, STATE, ZIP:

TELEPHONE NO: FAX NO. (Optional): EMAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA COUNTY OF SANTA CRUZ 1 Second Street, Room 300 Watsonville, CA 95076 Watsonville Branch PLAINTIFF/PETITIONER: vs. DEFENDANT/RESPONDENT: CASE NUMBER: REQUEST AND ORDER FOR DEFAULT HEARING Family Law

1. I am the Petitioner in the above entitled matter. The Petition was filed on .
2. I have filed a request for default which was entered on .
3. I seek a dissolution of marriage, but: a. Have community property and debt to be divided and/or confirmed by the Court: b. Other: . ꙱ continued on attachment
4. The Respondent has not participated in this action.
5. I request the Court set a Default Hearing under Family Code §2336.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: _________________________________ ________________________________________SIGN Print Name Signature of Petitioner

Form Adopted for OPTIONAL USE REQUEST AND ORDER FOR Page 1 of 2 Superior Court of Santa Cruz County DEFAULT HEARING SUPFL 1103 11/10/21 Family Law

PLAINTIFF/PETITIONER: CASE NUMBER: DEFENDANT/RESPONDENT:

IT IS ORDERED:

The Parties are required to appear at the following court hearing Date: Time: Dept: Room:

Date: ________________________________________ Judicial Officer

Clerk’s Certificate of Mailing

I certify that I am not a party to this cause and that a true copy of this Request and Order for Default Hearing was mailed first class, postage fully paid, in a sealed envelope addressed as shown below, and that is was mailed:

From (place): , California on (date):

Date: Clerk, by , deputy

Address of Petitioner Address of Respondent

Get Text Reminders! Text case number to (831) 208-5170 for reminders about hearings.

Form Adopted for OPTIONAL USE REQUEST AND ORDER FOR Page 2 of 2 Superior Court of Santa Cruz County DEFAULT HEARING SUPFL 1103 11/10/21 Family Law