ATTORNEY OR PARTY WITHOUT AN ATTORNEY (Name and Address): TELEPHONE NUMBER:
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA
CITY AND ZIP COD
201 North First Street, San José, CA 95113
191 North First Street
San José, California 95113
Family Justice Center
RESPONSE TO CHILDREN’S COUNSEL’S APPLICATION FOR
PAYMENT OF ATTORNEY FEES AND COSTS
1. I, , declare the following:
I am the attorney for the Father/Mother of the minor children in this case.
I am the Father/Mother of the minor children in this case. I am self-represented.
A new Income and Expense Declaration is attached.
I am attaching a copy of the Income and Expense Declaration I have filed previously because I declare
that the information in it has not changed.
REQUEST FOR ALLOCATION OF FEES FOR CHILD(REN)’S COUNSEL
2. I propose the following allocation of payment:
Father to pay % and Mother to pay % of the ordered fees and costs. My reasons for
proposing that allocation are the following:
3. I ask that the Court pay my part of the fees and costs for the following reason(s):
4. I request monthly payments, I believe I can pay $ per month.
I declare under penalty of perjury under the laws of California that the foregoing is true and correct.
FM-1068 REV 08/01/16
RESPONSE TO CHILDREN’S COUNSEL’S APPLICATION
FOR PAYMENT OF ATTORNEY FEES
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