Orange — RFO Accounting

Source: https://www.occourts.org/system/files/selfhelp/shc-rfo-07.pdf

SUPERIOR COURT OF CALIFORNIA Self-Help Services COUNTY OF ORANGE www.occourts.org/self-help

REQUEST FOR ORDER: ACCOUNTING

SELF-HELP FORM PACKET

SHC-RFO-07 (Rev. 01/01/2026)

Self-Help Services can review your completed forms before you file them with the Court. To request review of your completed forms:

1. Complete the attached forms in black ink.
2. Scan your completed forms and save as a single PDF file.
3. Go to www.occourts.org/self-help (click the button labeled Contact Self- Help Services), attach the PDF, and complete the online request form. For cases involving the Dept. of Child Support Services, Make sure to select CHILD SUPPORT CASES INVOLVING THE DEPARTMENT OF CHILD SUPPORT SERVICES as the case type on the form. For all other cases, select FAMILY LAW as the case type. www.occourts.org/self-help

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)

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): Self-Represented SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE STREET ADDRESS: 341 The City Drive South MAILING ADDRESS: Orange, CA 92868 CITY AND ZIP CODE: Lamoreaux Justice CenterBRANCH NAME:

PETITIONER: RESPONDENT:

OTHER PARENT/PARTY:

REQUEST FOR ORDER CHANGE TEMPORARY EMERGENCY ORDERS CASE NUMBER: Child Custody Visitation (Parenting Time) Spousal or Partner Support Child Support Property Control Attorney's Fees and Costs X Other (specify): Accounting re:

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 FL-300-INFO and form DV-300-INFO. NOTICE OF HEARING

1. TO (name): Petitioner Respondent Other Parent/Party Other (specify):

2. A COURT HEARING WILL BE HELD AS FOLLOWS:

   a. Date: Time: Dept.: Room.: b. Address of court same as noted 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 for service 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.

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 courts.ca.gov

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 I request temporary emergency orders
   VISITATION (PARENTING TIME)
   a. I request that the court make orders about the following children (specify):
   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 I 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) As follows (specify): Attachment 2b.

   c. The orders that I 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 PETITIONER: CASE NUMBER: RESPONDENT: OTHER PARENT/PARTY:

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. CHILD SUPPORT
   (Note: An earnings assignment may be issued. See Income Withholding for Support (form FL-195 )
   a. I request that the court order child support as follows:
   I request support for each child Monthly amount ($) requested Child's name and age
   based on the child support guideline. (if not by guideline)

   Attachment 3a.
   b. I want to change a current court order for child support filed on (date):
   The court ordered child support as follows (specify):

   c. I have completed and filed with this Request for Order a current Income and Expense Declaration (form FL-150) or I filed
   a current Financial Statement (Simplified) ( form FL-155 ) because I meet the requirements to file form FL-155.
   d. The court should make or change the support orders because (specify): Attachment 3d.

4. 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. I want the court to 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.
   I 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. I 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, 2025] REQUEST FOR ORDER Page 3 of 4

FL-300 PETITIONER: CASE NUMBER: RESPONDENT: OTHER PARENT/PARTY:

5. PROPERTY CONTROL I 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 own or are 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
   I request attorney's fees and costs, which total (specify amount): $ . I filed the following to support my request:
   a. A current 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. x OTHER ORDERS REQUESTED (specify): Accounting re: Attachment 7.

8. TIME FOR SERVICE / TIME UNTIL HEARING I 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. I need the order because (specify): Attachment 8.

9. x FACTS TO SUPPORT the orders I request are listed below. The facts that I write in support and attach to this request cannot be longer than 10 pages, unless the court gives me permission. x Attachment 9.

I 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 APPLICANT) 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.gov/forms for Disability Accommodations Request (form MC-410 ). (Civ. Code, § 54.8.)

FL-300 [Rev. July 1, 2025] REQUEST FOR ORDER Page 4 of 4

FL-490

PETITIONER: CASE NUMBER: RESPONDENT: OTHER PARTY:

APPLICATION TO DETERMINE ARREARS
Attachment to Request for Order (form FL-300)

Child support Spousal or partner support Family support Medical support
Unreimbursed expenses Unreimbursed medical expenses Other(specify):

1. I ask that the amount of past due support payments (arrears) be decided in this case because (check all that apply): a. I have already paid some all of the support ordered. Proof of payment is attached. b. The children for whom support is to be paid were living with me full time for the period from: to: . I provided all of their support during that period. I am attaching a detailed declaration explaining these facts and supporting documentation, including any proof that the children were living with me.

c. I could not pay child support because on or after September 27, 2022, I was confined against my will for more than 90
days in a row in jail, prison, juvenile detention, a mental health facility, or other institution (attach proof).
(1) I was confined during the following dates:
(a) Start date: (b) Release date:
Additional dates of confinement are listed on an attached page. (Form MC-025 may be used for this purpose.)

(2) I had no ability to pay child support while I was confined.

d. I could not pay child support because from October 8, 2015, through December 31, 2019, or January 1, 2021, through
September 26, 2022, my child support order was entered or modified, and I was confined against my will for more than
90 days in a row in jail, prison, juvenile detention, a mental health facility, or other institution (attach proof).
(1) I was confined during the following dates:
(a) Start date: (b) Release date:
Additional dates of confinement are listed on an attached page. (Form MC-025 may be used for this purpose.)

(2) I had no ability to pay child support while I was confined.
(3) I was not confined for
(a) Domestic violence against the other parent or our child; or
(b) Failing to pay a child support order.
e. Other (specify):

2. I have previously asked the other parent for payment and provided the other parent with an itemized statement of the
   unreimbursed childcare expense medical expense. (Attach copies of all bills being claimed and proof of any
   payments that you have made on these bills.)

3. I request the other person pay my attorney's fees and costs. My Income and Expense Declaration (form FL-150) is attached.

4. I have attached (check all that apply):

a. a Declaration of Payment History (form FL-420). b. a Payment History Attachment (form FL-421). c. Other (specify):

5. Facts in support of the relief requested are (specify):

   contained in the attached declaration.

I declare under penalty of perjury under the laws of the State of California that the information above is true and correct.

Date:

(TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT)
NOTICE: This form must be attached to Request for Order (form FL-300).
For help completing this form, talk to the family law facilitator or self-help center in your county.
NOT A COURT ORDER Page _____ of _____

Form Adopted for Mandatory 4720–4732 Use APPLICATION TO DETERMINE ARREARS Family Code, §§ 4007.5,Judicial Council of California www.courts.ca.gov FL-490 [Rev. January 1, 2024]

FL-420

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state Bar number, and address) or FOR COURT USE ONLY GOVERNMENTAL AGENCY (under Family Code, §§ 17400, 17406):

TELEPHONE NO.: FAX NO. (Optional):

E–MAIL ADDRESS (Optional): ATTORNEY FOR (Name): Self-Represented SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE STREET ADDRESS: 341 The City Drive MAILING ADDRESS: P.O. Box 14170 CITY AND ZIP CODE: Orange, CA 92863-1570 BRANCH NAME: LAMOREAUX JUSTICE CENTER

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:

OTHER PARENT:

CASE NUMBER:

DECLARATION OF PAYMENT HISTORY

1. Declaration of (name):

2. Based on my records or my recollection, I declare that the information on the attached pages showing the amounts ordered and the amounts paid are true and correct for the following obligations (check all that apply):

   a. Child support d. Medical support g. Other (specify): b. Spousal support e. Unreimbursed medical expenses c. Family support f. Unreimbursed child care expenses

3. 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:

(TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT)

SUPPORT ARREARAGE SUMMARY

This summary is for arrearage for the periods specified in the attached pages. Interest is calculated through (specify date):

Principal: Interest (optional): Total Arrearage:

CHILD SUPPORT: $ $ $ SPOUSAL SUPPORT: $ $ $ FAMILY SUPPORT: $ $ $ MEDICAL SUPPORT: $ $ $ UNREIMBURSED MEDICAL EXPENSES: $ $ $ UNREIMBURSED CHILD CARE EXPENSES: $ $ $ OTHER (specify): $ $ $

NOTICE: Interest that is not calculated is not waived

Date: Submitted by:

(TYPE OR PRINT NAME) (SIGNATURE)

Details of the arrearage statement, consisting of (specify number) pages, are attached. Page 1 of 1

Form Adopted for Mandatory Use DECLARATION OF PAYMENT HISTORY Family17524(a),Code, §§17526(c)5230.5, Judicial Council of California FL-420 [Rev. January 1, 2003] (Family Law—Governmental—Uniform Parentage Act) www.courtinfo.ca.gov

FL-421

PETITIONER/PLAINTIFF: CASE NUMBER:

RESPONDENT/DEFENDANT:

OTHER PARENT:

PAYMENT HISTORY FOR (check one):

Child Spousal Family Medical Unreimbursed child care
Unreimbursed medical Other (specify):

Year Year Year

AMOUNT AMOUNT AMOUNT AMOUNT AMOUNT AMOUNT
ORDERED PAID ORDERED PAID ORDERED PAID

January

February

March

April

May

June

July

August

September

October

November

December

TOTAL

Year Year Year

AMOUNT AMOUNT AMOUNT AMOUNT AMOUNT AMOUNT
ORDERED PAID ORDERED PAID ORDERED PAID

January

February

March

April

May

June

July

August

September

October

November

December

TOTAL

Page 1 of ________

Form Approved for Optional Judicial Council of California Use PAYMENT HISTORY ATTACHMENT Family17524Code,(a),§§17526(c)5230.5, FL-421 [Rev. July 1, 2003] (Family Law—Governmental—Uniform Parentage Act) www.courtinfo.ca.gov

INSTRUCTIONS FOR COMPLETING PAYMENT RECORD

You must complete a separate Payment History Attachment form for each type of support paid. Enter the year, list the amount ordered, and the amount paid for each month during that year. If the amounts repeat in a column, you can use an arrow as shown in the example below. Add the amounts in each column to get the yearly totals. Enter the totals at the bottom.

Attach additional sheets and supporting documents (bills, receipts, and other proof of expense) as necessary.

x Child x Spousal Year 2000 Year 2001

AMOUNT AMOUNT AMOUNT AMOUNT AMOUNT AMOUNT
ORDERED PAID ORDERED PAID ORDERED PAID

January 100 0 100 100 January 100 0

February 0 February

March March April 100 100 April 100 May 100 0 May 100

June 100 June 100

July 0 July 0

August 100 August

September 100 September

October 100 0 October 100

November November

December December

TOTAL 1,200 600 1,200 400 TOTAL 1,200 600

UNREIMBURSED CHILD CARE, MEDICAL, OR OTHER EXPENSES: You must complete a separate Payment History Attachment form for each type of unreimbursed expense. If you have more than one bill, receipt, and other proof of expense per month use an additional declaration page (form MC-031) or separate page. 1.) Itemize each expense; 2.) attach proof of bill or payment; 3.) mark each bill or payment with an Exhibit # _____; 4.) group the bills, receipts, and other proof of expense in chronological order for each month; and 5.) enter the total bills, receipts, and other proof of expense for each month. If your court order did not state a specific due date for reimbursement, then include that amount in the month that the expense was incurred.

x Unreimbursed child care expenses x Unreimbursed medical expenses Year 2001 Year 2001 Form MC-031 Petitioner/Plaintiff CASE NUMBER AMOUNT AMOUNT AMOUNT AMOUNT ORDERED PAID ORDERED PAID Defendant/Respondent I request reimbursement for 50% of these expenses, which January 50% ($200) 0 January 50% ($200) 0 are supported by copies of bills, receipts, and other proof of expense. February 50% ($200) 100 February 01/04/01 Dr. Adams $45.00 Exhibit A March 50% ($200) 0 March 50% ($200) 0 01/08/01 Dr. Lee, D.D.S. $155.00 Exhibit B April 50% ($200) 50 April 50% ($75) 0 02/15/01 AB X-ray Inc. $200.00 Exhibit C

May May 04/26/01 Kids Therapy $75.00 Exhibit D

June June Child care expenses:
01/02 ABC School 50% ($200)
July July 02/02 ABC School 50% ($200) Exhibit E
03/02 ABC School 50% ($200)
August August 04/02 ABC School 50% ($200)

Exhibit E 03/02 ABC School 50% ($200) August August 04/02 ABC School 50% ($200)

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

November November . . . . . . . . . . . . . . . . . . . . . . . . . . . December December (TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT)

TOTAL $400 150 TOTAL $237.50 0 Form MC-031 ATTACHED DECLARATION

FL-421 [Rev. July 1, 2003] PAYMENT HISTORY ATTACHMENT (Family Law—Governmental—Uniform Parentage Act)

MC-031

PLAINTIFF/PETITIONER: CASE NUMBER:

DEFENDANT/RESPONDENT:

Attachment 9: DECLARATION

(This form must be attached to another form or court paper before it can be filed in court.)

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 DECLARANT)

Attorney for Plaintiff Petitioner Defendant
Respondent Other (Specify):

Form Approved for Optional Use ATTACHED DECLARATION Judicial Council of California MC-031 [Rev. July 1, 2005] Page 1 of 1

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): Self-Represented SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE STREET ADDRESS: 341 The City Drive MAILING ADDRESS: P.O. Box 14170 CITY AND ZIP CODE: Orange, CA 92863-1570 BRANCH NAME: LAMOREAUX JUSTICE CENTER

PETITIONER/PLAINTIFF: CASE NUMBER:

RESPONDENT/DEFENDANT: (If applicable, provide): HEARING DATE: OTHER PARENT/PARTY: HEARING TIME: PROOF OF PERSONAL SERVICE DEPT.:

1. I am at least 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. I served copies of the following documents (specify): Request for Order (FL-300), Application to Determine Arrears (FL-490), Declaration of Payment History (FL-420), Payment History Attachment (FL-421), Attached Declaration (MC-031)

4. By personally delivering copies to the person served, as follows: a. Date: b. Time: c. Address:

5. I am a. not a registered California process server. d. exempt from registration under Business & Profession b. a registered California process server. Code section 22350(b). c. an employee 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. I am a California sheriff or marshal and I 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 Judicial Council of California Use PROOF OF PERSONAL SERVICE Code of Civil www.courts.ca.govProcedure, § 1011 FL-330 [Rev. January 1, 2012]

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): Self-Represented SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE STREET ADDRESS: 341 The City Drive MAILING ADDRESS: P.O. Box 14170

CITY AND ZIP CODE: Orange, CA 92863-1570
BRANCH NAME: LAMOREAUX JUSTICE CENTER
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): Request for Order (FL-300), Application to Determine Arrears (FL-490), Declaration of Payment History (FL-420), Payment History Attachment (FL-421), Attached Declaration (MC-031)

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 Judicial Council of California Use PROOF OF SERVICE BY MAIL Code of Civil Procedure,www.courts.ca.gov§§ 1013, 1013a FL-335 [Rev. January 1, 2012]

'2 127 ZULWH RQ WKH IROORZLQJ EODQN IRUPV

These blank forms must be served on the Other Party so that the Other Party may respond to this action. These blank forms must accompany a conformed (stamped) copy of all the forms that you prepared and filed today.

12 HVFULED HQ ORV VLJXLHQWHV IRUPXODULRV HQ EODQFR

Estos formularios en blanco deben ser entregadas a la Otra Parte para que la Otra Parte podrá responder a esta acción. Estos formularios en blanco deberán acompañar una copia conforme (sellada) de todas las formas que ha preparado y archivado hoy.

FL-320-INFO Information Sheet: Responsive Declaration to Request for Order

1 If you received a Request for Order (form FL-300): • Carefully read the papers you received to make sure you understand what orders are being requested. • Note the date, time, and location of the court hearing. • Check to see if the court ordered a specific date for filing and serving your Responsive Declaration to Request for Order (form FL-320). • If you need more time before the hearing to prepare a responsive declaration or talk with a lawyer, you may ask the court to continue the hearing date. For more information, consult with a lawyer or contact the the Family Law Facilitator or Self-Help Center in your court (see item 16 ). 2 USE Responsive Declaration to Request for Order (form FL-320) Use form FL-320 to let the court and the other party know that you agree or disagree with each of the requests made in the Request for Order (form FL-300). • If you disagree, use form FL-320 to describe the orders you would like the court to make. • If you do not file and serve form FL-320, the court can still make orders without your input. 3 DO NOT USE Responsive Declaration to Request for Order (form FL-320) to: • Ask for court orders that were not requested in the Request for Order (form FL-300). Instead, file and serve your own Request for Order (form FL-300) to ask for orders about other issues. • Respond to Request for Domestic Violence Restraining Order (form DV-100). Instead, you must use Response to Request for Domestic Restraining Order (form DV-120). • Respond to Request to Change or End Restraining Order (form DV-300 or form JV-255 when the juvenile case is closed and the order was granted under the Domestic Violence Prevention Act). Instead, you must use Response to Request to End or Change Restraining Order (form DV-320). 4 Forms checklist a. Form FL-320, Responsive Declaration to Request for Order, is the basic form you need. Depending on the requests made in the Request for Order (form FL-300), you may need other forms. b. For 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. For child support, you need: A current form 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. Notice: • The court will order child support based on the income of the parents. • Child support normally continues until the child is 18 years and has graduated from high school. • You must give the court information about your finances. If you do not, the child support order will be based on information about your income that the court receives from other sources. d. For spousal or domestic partner support or orders about your finances, you need these forms: FL-150, Income and Expense Declaration FL-157, Spousal or Partner Support Declaration Attachment (if the request is to change a support judgment) e. For attorney’s fees and costs, you need these forms (except in Domestic Violence Prevention Act cases): FL-150, Income and Expense Declaration FL-158, Supporting Declaration for Attorney’s Fees and Costs (or provide the information in a declaration) FL-319, Request for Attorney’s Fees and Costs Attachment (or provide the information in a declaration) f. If you plan on having witnesses testify at the hearing, you need this form: FL-321, Witness List

Form Approved for Optional Use Information Sheet: Responsive Declaration to FL-320-INFO, Page 1 of 3Judicial Council of California courts.ca.gov Request for Order Rev. July 1, 2025 (Family Law)

FL-320-INFO Information Sheet: Responsive Declaration to Request for Order

To respond to a Request for Order, you must:

5 Complete the top part (caption) of the form Complete the top portion including your name, address, and telephone number, the court address, the names of all the parties in the case, and the case number. Also, print or type the same hearing date, time, and department that appears on the Request for Order (form FL-300). 6 Specify a response to orders requested Items 1–8: Each item on the form matches the item numbers on the Request for Order (form FL-300). Complete item 1. Next, mark the same box that is marked on form FL-300. Then, specify if you consent (agree) or do not consent to (disagree with) the orders requested. If you disagree, describe the order you would like the court to make. Note: You may file one form FL-150 to respond to items 3, 4, and 6. Item 9: Use the space to explain your responses to items 1–8. Include the reasons why you do not agree with the orders requested by the other party and why the court should make the orders you described. If you need more space, write your responses on a separate sheet of paper and attach it to the form (Attached Declaration (form MC-031) may be used for this purpose). Sign and date: Print your name, sign, and write 8 Pay filing fees the date you signed form FL-320. Generally, you do not have to pay a fee to file the Responsive Declaration. However, if you have 7 Next steps: file or serve your paperwork never filed any papers in the case, you may have to You must file your paperwork with the court clerk pay a “first appearance fee,” which, in general, at least 9 court days before the hearing. If the court everyone has to pay when filing court papers in a orders a shorter time to file your papers, file them case for the first time. by the date specified in the order. If you cannot afford to pay the filing fee, you can Make 2 copies of your original paperwork. Then, ask the court to waive the fees. To do so, complete do one of the following before the filing deadline: and file form FW-001, Request to Waive Court • Take your paperwork and copies to the court Fees, and form FW-003, Order on Court Fee clerk to process (or e-file them, if available in Waiver. your county). The clerk will keep the original and 9 Serve your papers on the other party give you back copies with a court stamp on them. “Service” is the act of giving your legal papers to Have a stamped copy served; or all persons named as parties in the case so that they • Have an unstamped copy of your paperwork know what orders you want the court to make. served before you take (or e-file) the Note: If a party has a lawyer in the case, the papers originals and copies to the court clerk to file. should be served on that party’s lawyer. Be sure the original documents are not served.

Rev. July 1, 2025 Information Sheet: Responsive Declaration to FL-320-INFO, Page 2 of 3 Request for Order (Family Law)

FL-320-INFO Information Sheet: Responsive Declaration to Request for Order

10 How to “serve” 13 File the Proof of Service before your Server. You cannot serve the papers. Have hearing date someone else (who is at least 18 years old) do it. The Proof of Service shows the judge that the The “server” can be a friend, a relative who is not person received a copy of your Responsive involved in your case, a county sheriff, or a Declaration to Request for Order. Make three professional process server. copies of the completed Proof of Service. Take the original and copies to the court clerk as soon as Personal service. possible before your hearing. Your papers may be The clerk will keep the original and give you back served by “personal the copies stamped “Filed.” Bring a copy stamped service.” Personal “Filed” to your hearing. (If unstamped copies of service means that your paperwork were served, you can file the your server walks up to each person to be served, completed Proof of Service when you file the makes sure they are the right person, and then original Responsive Declaration.) gives a copy of all the papers to each person. 14 Participate in child custody mediation or Service by mail. child custody recommending counseling “Service by mail” If the Request for Order includes a court order for means that your you to attend mediation or child custody server places copies recommending counseling, the date, time, and of all the documents location is found on page 1 of the Request for in a sealed envelope Order. For more information, read Child Custody and mails them to the Information Sheet (form FL-313-INFO or form address of each party FL-314-INFO). being served (or to the party’s lawyer, if applicable.) 15 Get ready for your hearing The server must be 18 years of age or over and must live or work in the county where the • Take at least two copies of your documents and mailing took place. filed forms to the hearing. Include a filed Proof of Service form. 11 Deadline for service • Find more information about preparing for the Personal service or service by mail on the other hearing at the following web link: party must be completed at least 9 court days before selfhelp.courts.ca.gov/tips-your-day-court. the court hearing. If the court has ordered a shorter time to serve your responsive papers, be sure to 16 Still have questions or need help? have them served by the date specified in the court • Contact the Family Law Facilitator or Self-Help order. Center for information, local rules, and referrals 12 Server must complete a Proof of Service to local legal services providers. Go to After personal service, the server should complete a selfhelp.courts.ca.gov/court-based-self-help- form FL-330, Proof of Personal Service. Form services. FL-330-INFO, Information Sheet for Proof of • Talk to a lawyer if you want legal advice, Personal Service, has instructions to help the person someone to go to court with you, or other legal complete the form. help. Find an attorney through your local bar association, the State Bar of California at After service by mail, the server should complete www.calbar.ca.gov, or the Lawyer Referral form FL-335, Proof of Service by Mail. Form Service at 1-866-442-2529. FL-335-INFO, Information Sheet for Proof of Service by Mail, has instructions to help the person • For free and low-cost legal help (if you qualify), complete the form. go to www.lawhelpcalifornia.org.

Rev. July 1, 2025 Information Sheet: Responsive Declaration to FL-320-INFO, Page 3 of 3 Request for Order (Family Law)

FL-320 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): Self-Represented SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE STREET ADDRESS: 341 The City Drive South MAILING ADDRESS: Orange, CA 92868 CITY AND ZIP CODE: Lamoreaux Justice Center 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. I 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). c. I do not consent to the order requested for child custody visitation (parenting time) but I consent to the following order:

3. CHILD SUPPORT

   a. I 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. I consent to guideline support. d. I do not consent to the order requested but I consent to the following order:

4. SPOUSAL OR DOMESTIC PARTNER SUPPORT

   a. I have completed and filed a current Income and Expense Declaration (form FL-150 ) to support my responsive declaration. b. I consent to the order requested. c. I do 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, § 1005Judicial Council of California Cal. Rules of Court, rule 5.92 FL-320 [Rev. July 1, 2025] courts.ca.gov

FL-320 PETITIONER: CASE NUMBER: RESPONDENT: OTHER PARENT/PARTY:

5. PROPERTY CONTROL

   a. I consent to the order requested. b. I do not consent to the order requested but I consent to the following order:

6. ATTORNEY'S FEES AND COSTS

   a. I have completed and filed a current Income and Expense Declaration (form FL-150 ) to support my responsive declaration.

   b. I 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. d. I do not consent to the order requested but I consent to the following order:

7. OTHER ORDERS REQUESTED

   a. I consent to the order requested. b. I do not consent to the order requested but I consent to the following order:

8. TIME FOR SERVICE / TIME UNTIL HEARING

   a. I consent to the order requested. b. I do not consent to the order requested but I consent to the following order:

9. x FACTS TO SUPPORT my responsive declaration are listed below. The facts that I write and attach to this form cannot be longer than 10 pages, unless the court gives me permission. Attachment 9.

I 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): Self-Represented

SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE STREET ADDRESS: 341 The City Drive South

MAILING ADDRESS: CITY AND ZIP CODE: Orange, CA 92868 BRANCH NAME: Lamoreaux Justice Center

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): RESPONSIVE DECLARATION TO REQUEST FOR ORDER (FL-320)

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 Judicial Council of California Use PROOF OF SERVICE BY MAIL Code of Civil Procedure,www.courts.ca.gov§§ 1013, 1013a FL-335 [Rev. January 1, 2012]