San Bernardino — SB-12390

Source: https://sanbernardino.courts.ca.gov/system/files/sb-12390.pdf

SB-12390

ATTORNEY OR PARTY WITHOUT ATIORNEY (Name, State Bar number, and address): FOR COURT USE ONLY

TELEPHONE NO. FAX NO. (Optronal):

E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF San Bernardino STREET ADDRESS:

MAILING AooREss CllY AND ZIP CODE: BRANCH NAME: PLAINTIFF/PETITIONER:

DEFENDANTIRESPONDEN

CASE NUMBER:

Declaration Regarding Objection to Agreement

Hearing Date: ________

The undersigned hereby declares that: Time: ____ ___ Dept: _____ _ _

0 I am the Petitioner D Respondent D Other Parent in the above mentioned matter. I object to the Agreement regarding custody/visitation and parenting plan entered on . My hearing is currently scheduled for . My objection is being made within 10 (ten) days of signing of the Agreement.

I object for the following reasons:

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

SIGN

Printed Name----------- - ---- - Signature_________________

Form No. SB-12390 Optional Declaration Regarding Objection to Agreement Page 1 of 1 Rev. 01-18-2019