Placer — Response to Petition for Private CCRC

Source: https://www.placer.courts.ca.gov/sites/default/files/PL-FCS009%20-%20Response%20to%20Petition%20for%20Private%20CCRC_July%201%2C%202023%20%28Final%29.pdf

SUPERIOR COURT OF THE STATE OF CALIFORNIA, COUNTY OF PLACER

ATTORNEY OR PARTY WIHOUT ATTORNEY FOR COURT USE ONLY (Name, State Bar Number, and Address):

TELEPHONE NO.: Superior Court of California, County of Placer 10820 Justice Center Drive 2501 N. Lake Blvd. P. O. Box 619072 P.O. Box 5669 Roseville, CA 95661-9072 Tahoe City, CA 96145 Petitioner/Plaintiff:

Respondent/Defendant: RESPONSE TO PETITION FOR PRIVATE CHILD CUSTODY CASE NUMBER: RECOMMENDING COUNSELING

1. The Petition for Private Child Custody Recommending Counseling was served to me on _______

2. I consent to the request in the Petition for Private Child Custody Recommending Counseling.

3. I object to the Petition for Private Child Custody Recommending Counseling for the following

   reason(s):

I declare under penalty of perjury that the foregoing information is true and correct.

Date: _____________________ Signature of Declarant:_____________________________________

Type or Print Name: ______________________________________

PROOF OF SERVICE

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. I served a copy of this document by: Enclosing it in a sealed envelope and depositing it with the U.S. Postal Service with the postage fully prepaid.

   The envelope was addressed and mailed as follows: Name of person served:____________________________________________________ Address: ________________________________________________________________ Date mailed: _____________ Place of mailing (city and state):___________________ Personally delivering a copy to the person served, as follows: Name of person served:____________________________________________________ Date served: ______________________ Time served: _________________________

I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: ______________________ Signature of Declarant: _________________________________

Type or Print Name: ___________________________________

---

Form Adopted for Mandatory Use www.placer.courts.ca.gov Superior Court of California, County of Placer Form No. PL-FCS009 Effective 07-01-2023