Page 205

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): SUPERIOR COURT OF CALIFORNIA, COUNTY OF IMPERIAL 939 W. Main Street El Centro, CA 92243

PETITIONER:

RESPONDENT: CITATION REGARDING PETITION FOR RELIEF OF DUTY CASE NUMBER: FOR PARENTAL SUPPORT

To: __________________________________ , and all interested Parties. (Name of supported Parent, Parent’s conservator, or representative of Parent’s estate)

You are notified that the court will set a hearing to terminate the current Parental Support order on Date:________________ Time:__am/pm Department at the Superior Court of California, County of Imperial, 939 W. Main Street, El Centro CA 92243.

If, upon hearing, the court determines that the requirements of Section 4411 are satisfied, the court shall make an order that the Adult Child is relieved from the obligation otherwise imposed by law to support the Parent.

An order under this section also releases the Adult child with respect to any state law under which a child is required to do any of the following: (1) Pay for the support, care, maintenance, and the like of a Parent. (2) Reimburse the state or a local public agency for furnishing the support, care, maintenance, or the like of a Parent.

Date: BY:_________________________________ Clerk of the Court

Form Approved for Optional Use PETITION FOR RELIEF FROM DUTY OF PARENTAL SUPPORT FL-27A (Adopted 01/01/13)