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Stipulation And Order On Request For Order-Long Form D-036 - California
| Stipulation And Order On Request For Order-Long Form Form. This is a California form and can be used in Family San Diego Local County . |
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ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: ATTORNEY FOR (Name): FAX NO.(Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL DIVISION, FAMILY COURT, 1555 6TH AVE., SAN DIEGO, CA 92101 CENTRAL DIVISION, MADGE BRADLEY, 1409 4TH AVE. SAN DIEGO, CA 92101 CENTRAL DIVISION, COUNTY COURTHOUSE, 220 W. BROADWAY, SAN DIEGO, CA 92101 EAST COUNTY DIVISION, 250 E. MAIN ST., EL CAJON, CA 92020 NORTH COUNTY DIVISION, 325 S. MELROSE DR., VISTA, CA 92081 SOUTH COUNTY DIVISION, 500 3RD AVE., CHULA VISTA, CA 91910 PETITIONER RESPONDENT CASE NUMBER STIPULATION AND ORDER ON REQUEST FOR ORDER - LONG FORM Hearing Date: Petitioner: Respondent: Third Party: Time: Not present, represented by: Not present, represented by: Not present, represented by: a.m. p.m. Department: Present Present Present THE PARTIES STIPULATE AND AGREE THAT THE FOLLOWING CHECKED ITEMS ARE: Temporary orders pending the trial of this action or further order of the court. 1. 2. 3. (a) (b) LEGAL CUSTODY: Legal custody of the minor child(ren) is awarded VISITATION: The petitioner jointly Orders of modification. to the petitioner petitioner to the respondent. respondent. PHYSICAL CUSTODY: Physical custody of the minor child(ren) is awarded to the respondent is awarded the following visitation rights: Reasonable visitation with the minor child(ren) as mutually agreed upon between the parties. Specific visitation with the minor child(ren): (state specific visitation) See attachment ____ for additional visitation. The child(ren) will be picked up at, and returned to, their residence by the party having visitation. The party with physical custody is required to have the child(ren) ready at the designated time, with appropriate clothing provided. However, if the party with visitation fails to appear within hour(s) of the designated time, visitation rights for that specific visitation period are relinquished. The child(ren) must be fed before being returned and all clothing provided must be returned with the child(ren). Jurisdiction. This court has jurisdiction to make child custody orders in this case under the Uniform Child Custody Jurisdiction and Enforcement Act (part 3 of the Fam. Code, commencing with § 3400). Notice and opportunity to be heard. The responding party was given notice and an opportunity to be heard, as provided by the laws of the State of California. County of habitual residence. The country of habitual residence of the child in this case is the United States. The proper venue is the County of San Diego, State of California Other _____ ____________________________ . Penalties for violating this order. If you violate this order, you may be subject to civil or criminal penalties, or both. 4. (a) CHILD SUPPORT: Base child support must be paid by petitioner respondent beginning and continuing until further order of the court, or until the child marries, dies, is emancipated, reaches age 19, or reaches age 18 and is not a full-time high school student, whichever occurs first, as follows: Child's Name Date of Birth Monthly Amount Payable to (name) See attachment ____ for additional child support information. Due: (b) on the 1st of the month ½ on the 1st and ½ on the 15th of the month other: petitioner respondent Child care costs related to employment or reasonably necessary job training must be paid by the $ per month or % of the total incurred to be paid as follows: in sum of SDSC D-036 (Rev. 7/12) STIPULATION AND ORDER ON REQUEST FOR ORDER LONG FORM Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com SHORT TITLE CASE NUMBER (c) This stipulated amount is in compliance with Fam. Code § 4050 et seq., and § 4053. This stipulated amount is below guideline. The parties declare all the provisions of Fam. Code § 4065(a)(1) through (5) to be true. An Income Withholding Order is issued pursuant to Fam. Code § 5230. Stipulation to waive service of an Incoming Withholding Order is made. 5. (a) (b) 6. 7. Child support payments made pursuant to an Income Withholding Order are to be made payable to the State Disbursement Unit (SDU) and sent to: P.O. Box 989067, West Sacramento, CA 95798. In the event that there is a contract between a party receiving support and a private child support collector, the party ordered to pay support must pay the fee charged by the private child support collector. This fee must not exceed 33 1/3 percent of the total amount of past due support nor may it exceed 50 percent of any fee charged by the private child support collector. The money judgment created by this provision is in favor of the private child support collector and the party receiving support, jointly. (a) SPOUSAL SUPPORT: The petitioner respondent will pay to the month commencing month. (b) other: , payable petitioner respondent spousal support of $ per week 8. on the 1st of the month. ½ on the 1st and ½ on the 15th of the . Jurisdiction reserved until trial. 9. PAYMENTS: Pursuant to Fam. Code §§ 2023 and 2620, each party will pay installments to the following creditors as they become due: PETITIONER RESPONDENT Amount Creditor Amount Creditor See attachment ____ for additional payment information. 10. MEDICAL AND DENTAL: Petitioner Respondent is ordered to maintain all medical and dental benefits available through employment and/or union affiliation, pay the premiums, and cooperate in the presentation, collection, and reimbursement of any claims under such policy for the minor child(ren) and petitioner respondent. ATTORNEY'S FEES: Petitioner Respondent will directly pay the attorney for costs (on account) payable in installments of $ petitioner respondent $ on the of each month, contribution toward fees and $ until paid in full. 11. 12. The exclusive use of the residence and furnishings located at is awarded to the petitioner and of the respondent. 13. OTHER ORDERS: See attachment ____ for other orders. 14. 15. All other issues are reserved until the time of the next hearing date or trial. This matter is continued to for further hearing on all issues. at the following issues only: . a.m. p.m. in Department 16. Attorney for Petitioner Respondent to prepare formal order. This stipulation covers all matters in dispute in the Request for Order. This order, when signed by the court, is the formal order. No further documents are necessary. Signature of Petitioner Attorney for Petitioner Date: Date: Signature of IT IS SO ORDERED. Fee waiver considered and no repaymen
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