Calaveras — Settlement Conference Statement

Source: https://www.calaveras.courts.ca.gov/system/files/forms/local-form-settlement-conference-statement.pdf

SUPERIOR COURT OF CALIFORNIA, COUNTY OF CALAVERAS 400 Government Center Drive, San Andreas, California, 95249 LOCAL FORM A-7 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) FOR COURT USE ONLY

TELEPHONE NO.: FAX NO. (Optio nal):

E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

PETITIONER:

RESPONDENT: CASE NUMBER:

Hearing Date: Time: Department:

PETITIONER’S RESPONDENT’S
SETTLEMENT CONFERENCE STATEMENT

1. STATISTICAL INFORMATION: A. Date of Marriage or Registered Domestic Partnership: B. Date of Separation: Length of Marriage or Domestic Partnership: C. Date Respondent Served: or Date Response Filed: D. Marital/Domestic Partnership Status Terminated: Yes No If yes, date: E. Is the Department of Child Support Services involved in your case? Yes No If yes, Case No.: F. Good Faith Proposal Sent: _____________________ Counter Proposal Sent: G. Meet and Confer Dates: ______________________________ H. Petitioner’s Age: and Employment: I. Petitioner’s Gross Monthly Income: J. Respondent’s Age: and Employment: K. Respondent’s Gross Monthly Income: L. Minor Children: Name Date of Birth Age Sex Primary Physical Custodian (Attach an additional page to list more children)

2. DISCLOSURE DOCUMENTS Schedule of Assets and Debts Served (FL-142) Income and Expense Declaration Served (FL-150) Petitioner Preliminary Final Date Last Completed: Respondent Preliminary Final Date Last Completed: If a party’s Income and Expense Declaration is more than three months old, or if there have been significant changes since filing the last Income and Expense Declaration, a new Income and Expense Declaration must be prepared and filed with this document.

Form Approved for calaveras.courts.gov Optional Use SETTLEMENT CONFERENCE STATEMENT California Rule of LOCAL FORM A-7 Court 3.1380; Local Eff. 07/01/25 Rule 3.6.3

PETITIONER: CASE NUMBER:

RESPONDENT: 3. EXISTING STIPULATIONS AND COURT ORDERS A. Child Custody and Visitation Date of Last Stipulation: Date of Last Order: Accept Do Not Accept B. Child Support Date of Last Stipulation: Date of Last Order: Accept Do Not Accept C. Spousal Support Date of Last Stipulation: Date of Last Order: Accept Do Not Accept D. Other Describe: Date of Last Stipulation: Date of Last Order: Accept Do Not Accept

4. SETTLED and DISPUTED ISSUES A. Child Custody and Visitation Do the parties have an Agreement? Yes No Describe the Agreement. If there is no Agreement, describe what orders you want the judge to make:

   If you need more space, please attach an additional sheet of paper and label this section 4(A). B. Child Support Do the parties have an Agreement? Yes No Describe the Agreement. If there is no Agreement, describe what orders you want the judge to make:

   If you need more space, please attach an additional sheet of paper and label this section 4(B).

Form Approved for calaveras.courts.gov Optional Use SETTLEMENT CONFERENCE STATEMENT California Rule of LOCAL FORM A-7 Court 3.1380; Local Eff: 07/01/25 Rule 3.6.3

PETITIONER: CASE NUMBER:

RESPONDENT:

C. Division of Community Property Assets
I have completed and filed, or attached an up to date and current Property Declaration (FL-160)
Property Declaration: Attached or Date Filed:

Use the sections below to provide additional information that is not included on your Property Declaration.
i. Residence: Do the parties have an Agreement? Yes No
Describe the Agreement. If there is no Agreement, describe what orders you want the judge to make:

If you need more space, please attach an additional sheet of paper and label this section 4(C)(i).
ii. Vehicles: Do the parties have an Agreement? Yes No
Describe the Agreement. If there is no Agreement, describe what orders you want the judge to make:

If you need more space, please attach an additional sheet of paper and label this section 4(C)(ii).
iii. Retirement/Pension: Do the parties have an Agreement? Yes No
Describe the Agreement. If there is no Agreement, describe what orders you want the judge to make:

If you need more space, please attach an additional sheet of paper and label this section 4(C)(iii).

Form Approved For calaveras.courts.gov Optional Use SETTLEMENT CONFERENCE STATEMENT California Rule of LOCAL FORM A-7 Court 3.1380; Local Eff. 07/01/25 Rule 3.6.3

PETITIONER: CASE NUMBER:

RESPONDENT:

iv. Money/Investments: Do the parties have an Agreement? Yes No
Describe the Agreement. If there is no Agreement, describe the orders you want the judge to make:

If you need more space, please attach an additional sheet of paper and label this section 4(C)(iv).
v. Business/Self-Employment: Do the parties have an Agreement? Yes No
Describe the Agreement. If there is no Agreement, describe the orders you want the judge to make:

If you need more space, please attach an additional sheet of paper and label this section 4(C)(v).
vi. Remaining Assets: Do the parties have an Agreement? Yes No
Describe the Agreement. If there is no Agreement, describe the orders you want the judge to make:

If you need more space, please attach an additional sheet of paper and label this section 4(C)(vi).
D. Division of Community Debts

Use the sections below to provide additional information that is not included on your Property Declaration. i. Credit Cards: Do the parties have an Agreement? Yes No Describe the Agreement. If there is no Agreement, describe the orders you want the judge to make:

Form Approved For SETTLEMENT CONFERENCE STATEMENT calaveras.courts.gov Optional Use California Rule of LOCAL FORM A-7 Court 3.1380; Local Eff. 07/01/25 Rule 3.6.3

PETITIONER: CASE NUMBER:

RESPONDENT:

ii. Other Debts: Do the parties have an Agreement? Yes No
Describe the Agreement. If there is no Agreement, describe the orders you want the judge to make:

If you need more space, please attach an additional sheet of paper and label this section 4(D)(ii).
E. Separate Property Do the parties have an Agreement? Yes No
Describe the Agreement. If there is no Agreement, describe the orders you want the judge to make:

If you need more space, please attach an additional sheet of paper and label this section 4(E).
F. Spousal/Partner Support Do the parties have an Agreement? Yes No
Describe the Agreement. If there is no Agreement, describe the orders you want the judge to make:

If you need more space, please attach an additional sheet of paper and label this section 4(F).
G. Are there any other orders you want the judge to make? If so, please describe.

If you need more space, please attach an additional sheet of paper and label this section 4(G).

Form Approved For calaveras.courts.gov Optional Use SETTLEMENT CONFERENCE STATEMENT California Rule of LOCAL FORM A-7 Court 3.1380; Local Eff. 07/01/25 Rule 3.6.3

PETITIONER: CASE NUMBER:

RESPONDENT:

5. ATTACHMENTS Please indicate whether the documents listed below have been filed or are attached to this document. Attachment Date Filed Attached Income of Expense Declaration (FL-150)

   Schedule of Assets and Debts (FL-142)

   Separate Property Declaration (FL-160)

   Community Property Declaration (FL-160)

Dated this ______ day of ___, 20

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[PRINTED NAME] [SIGNATURE]

Form Approved For calaveras.courts.gov
Optional Use SETTLEMENT CONFERENCE STATEMENT California Rule of
LOCAL FORM A-7 Court 3.1380; Local
Eff. 07/01/25 Rule 3.6.3