San Diego — Stipulation for Visitation and Order Directing Visitation PR-101 (Rev: 09/99)

Source: https://www.sdcourt.ca.gov/sites/default/files/sdcourt/generalinformation/forms/probateforms/pr101.pdf

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

TELEPHONE NO.: FAX NO.:
ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL COURTHOUSE, 1100 UNION ST., SAN DIEGO, CA 92101 MADGE BRADLEY BLDG., 1409 4TH AVE., SAN DIEGO, CA 92101 NORTH COUNTY DIVISION, 325 S. MELROSE DR., VISTA, CA 92081 IN THE MATTER OF THE GUARDIANSHIP OF THE PERSON OF

MINOR(S)
STIPULATION FOR VISITATION AND CASE NUMBER
ORDER DIRECTING VISITATION P

The issue of visitation with the minor(s) having come before the court, the parties have stipulated and agree to be bound by the stipulation as set forth below. This stipulation must be signed by the guardian(s). If a Family Court Services counselor has made a report, or mediated this matter, reference should be made to that fact. Visitation is agreed and stipulated to as follows:

Continued on attachment:

Other stipulations:

Date: Guardian (print name) Signature

Date: Guardian (print name) Signature

Date: Print name Signature

Date: Print name Signature

IT IS SO ORDERED.

Date: Judge of the Superior Court Signature follows attachment

SDSC PR-101(Rev. 9-99) STIPULATION FOR VISITATION AND ORDER DIRECTING VISITATION

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