Fillable ChangeChildSupportAmount FL-300 REQUEST FOR ORDER

Fill Online, Printable, Fillable, Blank ChangeChildSupportAmount FL-300 REQUEST FOR ORDER Form

Use Fill to complete blank online SUPERIOR COURT OF CALIFORNIA pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

ChangeChildSupportAmount FL-300 REQUEST FOR ORDER

On average this form takes 110 minutes to complete

The ChangeChildSupportAmount FL-300 REQUEST FOR ORDER form is 34 pages long and contains:

  • 0 signatures
  • 63 check-boxes
  • 410 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your Superior Court of California forms online.

BROWSE SUPERIOR COURT OF CALIFORNIA FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
WARNING to the person served with the Request for Order: The court may make the requested orders without you if you do
not file a Responsive Declaration to Request for Order (form FL-320), serve a copy on the other parties at least nine court days
before the hearing (unless the court has ordered a shorter period of time), and appear at the hearing. (See form FL-320-INFO for
more information.)
Form Adopted for Mandatory Use
Judicial Council of California
FL-300 [Rev. July 1, 2016]
7.
JUDICIAL OFFICER
COURT ORDER
(FOR COURT USE ONLY)
6.
A COURT HEARING WILL BE HELD AS FOLLOWS:
Time:Date:
Address of court
(specify):
Page 1 of 4
REQUEST FOR ORDER
Family Code, §§ 2045, 2107, 6224,
6226, 6320–6326, 6380–6383;
Government Code, § 26826
Cal. Rules of Court, rule 5.92
www.courts.ca.gov
8.
2.
(date):
(date):
TEMPORARY EMERGENCY ORDERS
REQUEST FOR ORDER
CHANGE
Domestic Violence OrderChild Support
Child Custody
Attorney's Fees and Costs
Visitation (Parenting Time) Spousal or Partner Support
Property Control
Other (specify):
FOR COURT USE ONLY
FOR COURT USE ONLY
TELEPHONE NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
FAX NO.:
STATE: ZIP CODE:CITY:
STREET ADDRESS:
FIRM NAME:
NAME:
STATE BAR NO.:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
BRANCH NAME:
CITY AND ZIP CODE:
STREET ADDRESS:
MAILING ADDRESS:
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
CASE NUMBER:
FL-300
1.
a.
b. same as noted above
Dept.: Room.:
other
4.
A Responsive Declaration to Request for Order (form FL-320) must be served on or before
Time for service until the hearing is shortened. Service must be on or before
The parties must attend an appointment for child custody mediation or child custody recommending counseling as follows
(specify date, time, and location):
Other (specify):
Date:
It is ordered that:
The orders in Temporary Emergency (Ex Parte) Orders (form FL-305) apply to this proceeding and must be personally
served with all documents filed with this Request for Order.
(Forms FL-300-INFO and DV-400-INFO
provide information about completing this form.)
NOTICE OF HEARING
3.
5.
Other Parent/PartyRespondentPetitioner
TO (name(s)):
PARTY WITHOUT ATTORNEY OR ATTORNEY:
Other (specify):
To keep other people from
seeing what you entered
on your form, please press
the Clear This Form button
at the end of the form
when finished.
Self-Represented
San Bernardino
655 W. Second Street, 2nd Flr.
San Bernardino, CA 92415
Child Support
✔
✔
✔
The visitation (parenting time) order was filed on
The order for legal or physical custody was filed on
(date):
(2)
.
The court ordered (specify):
. The court ordered (specify):
(1)
(date):
Attachment 2d.
visitation (parenting time).child custodyThis is a change from the current order for
The orders that I request are in the best interest of the children because (specify):
Attachment 2a.
a.
Form FL-311 Form FL-312
Form FL-341(D)
Form FL-341(C)
Form FL-341(E)
Form FL-305
(specify):
Other
(2)
As follows (specify):
Specified in the attached forms:
(1)
Attachment 2b.
visitation (parenting time) are:child custody
The orders I request forb.
Child's Name
Date of Birth
Legal Custody to (person who
decides: health, education, etc):
Physical Custody to (person
with whom child lives):
I request that the court make orders about the following children (specify):
c.
Attachment 2c.
d.
REQUEST FOR ORDER
FL-300
Page 2 of 4
FL-300 [Rev. July 1, 2016]
REQUEST FOR ORDER
CASE NUMBER:
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
2.
CHILD CUSTODY
VISITATION (PARENTING TIME)
I request temporary emergency orders
The orders are from the following court or courts (specify county and state):
(specify):
(specify):
(specify):
(specify):
Case No. (if known):
Case No. (if known):
Case No. (if known):
Case No. (if known):
Petitioner
Respondent
Other Parent/Party (Attach a copy of the orders if you have one.)
a.
b.
c.
d.
Criminal: County/state
Family: County/state
Juvenile: County/state
Other: County/state
One or more domestic violence restraining/protective orders are now in effect between (specify):
1.
Note:
Place a mark in front of the box that applies to your case or to your request. If you need more space, mark the box for
“Attachment.” For example, mark “Attachment 2a” to indicate that the list of children's names and birth dates continues on a paper
attached to this form. Then, on a sheet of paper, list each attachment number followed by your request. At the top of the paper, write
your name, case number, and “FL-300” as a title. (You may use Attached Declaration (form MC-031
) for this purpose.)
X
RESTRAINING ORDER INFORMATION
FL-300 [Rev. July 1, 2016]
Page 3 of 4
REQUEST FOR ORDER
4.
a. $
Amount requested (monthly):
The court should should make, change, or end the support orders because (specify):
I have completed and filed a current Income and Expense Declaration (form FL-150) in support of my request.
d.
e.
(date):
end the current support order filed onchange b.
I want the court to
Attachment 4e.
The court ordered $
c.
This request is to modify (change) spousal or partner support after entry of a judgment.
I have completed and attached Spousal or Partner Support Declaration Attachment (form FL-157) or a declaration
that addresses the same factors covered in form FL-157.
(Note: An Earnings Assignment Order For Spousal or Partner Support (form FL-435
) may be issued.)
per month for support.
I have completed and filed with this Request for Order a current Income and Expense Declaration (form FL-150
) or I filed
a current Financial Statement (Simplified) (form FL-155
) because I meet the requirements to file form FL-155.
c.
(date):
I want to change a current court order for child support filed on
b.
d.
The court should make or change the support orders because (specify):
Attachment 3d.
The court ordered child support as follows (specify):
Monthly amount ($) requested
(if not by guideline)
Child's name and age
a.
I request support for each child
based on the child support guideline.
Attachment 3a.
I request that the court order child support as follows:
(Note: An earnings assignment may be issued. See Income Withholding for Support (form FL-195
)
FL-300
SPOUSAL OR DOMESTIC PARTNER SUPPORT
3.
CHILD SUPPORT
a.
control of the following property that we
The petitioner respondent other parent/party be given exclusive temporary use, possession, and
b.
and liens coming due while the order is in effect:
The petitioner respondent other parent/party be ordered to make the following payments on debts
own or are buying
lease or rent (specify):
c. This is a change from the current order for property control filed on
(date):
Specify in Attachment 5d
the reasons why the court should make or change the property control orders. d.
For: Pay to: Amount: $ Due date:
Pay to: For: Amount: $ Due date:
Pay to: For: Amount: $ Due date:
Pay to: For: Amount: $ Due date:
5.
PROPERTY CONTROL
I request temporary emergency orders
CASE NUMBER:
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
✔
✔
I want the court to change or end the orders because (specify):
The Restraining Order After Hearing (form DV-130) was filed on (date):
a.
endchange
I request that the court the personal conduct, stay-away, move-out orders, or other
protective orders made in Restraining Order After Hearing (form DV-130). (If you want to change the orders, complete 7c.)
b.
Attachment 7c.
I request that the court make the following changes to the restraining orders (specify):
c.
Attachment 7d.
d.
10.
I declare under penalty of perjury under the laws of the State of California that the information provided in this form and all attachments
is true and correct.
Page 4 of 4
FL-300 [Rev. July 1, 2016]
REQUEST FOR ORDER
Requests for Accommodations
Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are available if
you ask at least five days before the proceeding. Contact the clerk's office or go to www.courts.ca.gov/forms for Request
for Accommodations by Persons With Disabilities and Response (form MC-410
). (Civ. Code, § 54.8.)
FACTS TO SUPPORT the orders I request are listed below. The facts that I write in support and attach to this request
cannot be longer than 10 pages, unless the court gives me permission.
The hearing date and service of the the Request for Order to be sooner.
I need the order because (specify):
b.
(number):
court days before the hearing.
To serve the Request for Order no less than
a.
c.
Attachment 9c.
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF APPLICANT)
OTHER ORDERS REQUESTED (specify):
8.
FL-300
7.
DOMESTIC VIOLENCE ORDER
Attachment 8.
6.
A current Income and Expense Declaration (form FL-150
).
b.
A Supporting Declaration for Attorney's Fees and Costs Attachment (form FL-158
) or a declaration that addresses the
factors covered in that form.
c.
A Request for Attorney's Fees and Costs Attachment (form FL-319
) or a declaration that addresses the factors covered
in that form.
a.
I request attorney's fees and costs, which total (specify amount):
$ . I filed the following to support my request:
ATTORNEY'S FEES AND COSTS
Do not use this form to ask for domestic violence restraining orders! Read form DV-505-INFO, How Do I Ask for a
Temporary Restraining Order, for forms and information you need to ask for domestic violence restraining orders.
Read form DV-400-INFO, How to Change or End a Domestic Violence Restraining Order for more information.
TIME FOR SERVICE / TIME UNTIL HEARING
9.
I urgently need:
•
•
Attachment 10.
CASE NUMBER:
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
For your protection and privacy, please press the Clear
This Form button after you have printed the form.
For your protection and privacy, please press the Clear This Form
button after you have printed the form.
Print This Form
Clear This Form
Declaration of _________________
Page 1 of 2
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
SUPERIOR COURT OF CALIFORNIA
COUNTY OF SAN BERNARDINO
I ______________________________, do hereby declare as follows:
I am the PETITIONER RESPONDENT OTHER PARENT in this case. I am
requesting that the court ESTABLISH RAISE LOWER my child support based on
the following material circumstances/ change of circumstances:
My gross monthly income is $ ____________._____.
My income has changed since the last child support order. Following are the facts
regarding this change: __________________________________________________________
____________________________________________________________________________
I have a permanent disability and I do not have the present ability to pay child support.
Following are the facts regarding this circumstance: __________________________________
____________________________________________________________________________
In re Matter of:
__________________________,
Petitioner,
and
__________________________,
Respondent.
Case No.: _______________________
Declaration in Support of Request
for Child Support
Modification
Name: ____________________________
Street: ____________________________
City, State: ________________________
_
________________________________
, other party
✔
Declaration of _________________
Page 2 of 2
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
I am/was incarcerated and I do not have a job that would enable me to pay child support.
Following are the facts regarding this circumstance: __________________________________
____________________________________________________________________________
The income of the other parent has changed substantially. The facts supporting this
statement are set forth as follows: ________________________________________________
____________________________________________________________________________
The following custody/visitation schedule of the minor children is presently in effect
for the named minor child(ren): (Write the names and date of birth for the child(ren) of this
case): _____________________________ ____________________________________
__________________________________ ____________________________________
The custody/visitation arrangements are as follows: __________________________________
____________________________________________________________________________
There are child care cost and expenses for the minor child(ren) in the amount of:
$________. These costs are presently paid as follows: _______________________________
____________________________________________________________________________
Extreme hardship / additional child support orders exist. The facts supporting these
hardships are set forth as follows: _________________________________________________
____________________________________________________________________________
Father Mother is presently paying a health insurance premium of $ _________.
This amount was not included in the last child support calculation.
Other circumstances exist that I am requesting the court to take into consideration in
calculating child support. These circumstances are: __________________________________
____________________________________________________________________________
____________________________________________________________________________
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Dated ______________ Signature: _________________________________
Print Name: ________________________________
(If you need more space to answer any questions on this form, attach an 8 1/2-by-11-inch sheet of paper and write the
question number before your answer.)
1.
Employment (Give information on your current job or, if you're unemployed, your most recent job.)
Form Adopted for Mandatory Use
Judicial Council of California
FL-150 [Rev. January 1, 2019]
INCOME AND EXPENSE DECLARATION
Family Code, §§ 2030–2032, 2100–2113,
3552, 3620–3634, 4050–4076, 4300–4339
www.courts.ca.gov
Page 1 of 4
Employer:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
BRANCH NAME:
CITY AND ZIP CODE:
STREET ADDRESS:
MAILING ADDRESS:
PETITIONER:
RESPONDENT:
OTHER PARTY/PARENT/CLAIMANT:
FOR COURT USE ONLY
CASE NUMBER:
INCOME AND EXPENSE DECLARATION
PARTY WITHOUT ATTORNEY OR ATTORNEY
STATE: ZIP CODE:CITY:
STREET ADDRESS:
FIRM NAME:
NAME:
TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
STATE BAR NUMBER:
FL-150
Attach copies
of your pay
stubs for last
two months
(black out
Social
Security
numbers).
a.
Employer's address:
b.
Employer's phone number:
c.
Occupation:
d.
Date job started:
e.
If unemployed, date job ended:
f.
g. I work about hours per week.
h. I get paid $ gross (before taxes)
(If you have more than one job, attach an 8 1/2-by-11-inch sheet of paper and list the same information as above for your other
jobs. Write "Question 1—Other Jobs" at the top.)
2.
Age and education
My age is (specify):
a.
b.
I have completed high school or the equivalent:
Yes
No
If no, highest grade completed (specify):
Number of years of college completed (specify):
c.
Degree(s) obtained
(specify):
Number of years of graduate school completed (specify):
d.
Degree(s) obtained
(specify):
e. I have: professional/occupational license(s)
(specify):
vocational training
(specify):
3.
Tax information
a.
I last filed taxes for tax year
(specify year):
b.
My tax filing status is
single
head of household married, filing separately
married, filing jointly with
(specify name):
c.
I file state tax returns in
California other
(specify state):
I claim the following number of exemptions (including myself) on my taxes (specify):
d.
Other party's income. I estimate the gross monthly income (before taxes) of the other party in this case at (specify): $
4.
This estimate is based on (explain):
Number of pages attached:
I declare under penalty of perjury under the laws of the State of California that the information contained on all pages of this form and
any attachments is true and correct.
(SIGNATURE OF DECLARANT)
Date:
(TYPE OR PRINT NAME)
per month per week
per hour.
Self-Represented
San Bernardino
655 W. Second Street, 2nd Flr.
Same
San Bernardino, CA 92415
Child Support
To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
end of the form when finished.
Spousal support
Spousal support that I pay by court order from a different marriage ..........................
Attach copies of your pay stubs for the last two months and proof of any other income. Take a copy of your latest federal tax
return to the court hearing. (Black out your Social Security number on the pay stub and tax return.)
Income (For average monthly, add up all the income you received in each category in the last 12 months
and divide the total by 12.)
FL-150 [Rev. January 1, 2019]
Page 2 of 4
INCOME AND EXPENSE DECLARATION
FL-150
CASE NUMBER:
PETITIONER:
RESPONDENT:
OTHER PARTY/PARENT/CLAIMANT:
5.
Salary or wages (gross, before taxes).....................................................................................................a.
Overtime (gross, before taxes)................................................................................................................b.
Commissions or bonuses.........................................................................................................................c.
Public assistance (for example: TANF, SSI, GA/GR) ..................................d.
e.
Partner supportf.
currently receiving
f
rom this marriage
from a different marriage
from this domestic partnership from a different domestic partnership
Pension/retirement fund payments..........................................................................................................g.
Social Security retirement (not SSI).........................................................................................................h.
Disability:i. Social Security (not SSI)
State disability (SDI) Private insurance
Unemployment compensation.................................................................................................................j.
Workers' compensation............................................................................................................................k.
l.
Other (military allowances, royalty payments) (specify):
Investment income (Attach a schedule showing gross receipts less cash expenses for each piece of property.)
6.
Dividends/interest....................................................................................................................................a.
Rental property income...........................................................................................................................b.
Trust income............................................................................................................................................c.
d.
Other (specify):
Income from self-employment, after business expenses for all businesses.........................................7.
I am the owner/sole proprietor
business partner other
(specify):
Number of years in this business (specify):
Name of business (specify):
Type of business (specify):
Attach a profit and loss statement for the last two years or a Schedule C from your last federal tax return. Black out your
Social Security number. If you have more than one business, provide the information above for each of your businesses.
Additional income. I received one-time money (lottery winnings, inheritance, etc.) in the last 12 months (specify source and
amount):
8.
Change in income. My financial situation has changed significantly over the last 12 months because (specify):
9.
10.
Deductions
Required union dues....................................................................................................................................................a.
Required retirement payments (not Social Security, FICA, 401(k), or IRA)..................................................................b.
Medical, hospital, dental, and other health insurance premiums (total monthly amount).............................................
c.
Child support that I pay for children from other relationships.......................................................................................d.
e.
Partner support that I pay by court order from a different domestic partnership..........................................................f.
Necessary job-related expenses not reimbursed by my employer (attach explanation labeled "Question 10g").........
g.
11.
Assets
Cash and checking accounts, savings, credit union, money market, and other deposit accounts...............................a.
Stocks, bonds, and other assets I could easily sell.......................................................................................................b.
All other property, (estimate fair market value minus the debts you owe).....
c. real and
personal
$
$
$
$
$
$
$
$
$
$
$
$
Last month
Average
monthly
$
$
$
$
$
Last month
Total
federally taxable*
federally tax deductible*
* Check the box if the spousal support order or judgment was executed by the parties and the court before January 1, 2019, or if a court-ordered change
maintains the spousal support payments as taxable income to the recipient and tax deductible to the payor.
$
$
$
$
$
$
$
$
$
$
The following people live with me:
FL-150 [Rev. January 1, 2019]
Page 3 of 4
INCOME AND EXPENSE DECLARATION
FL-150
CASE NUMBER:
PETITIONER:
RESPONDENT:
OTHER PARTY/PARENT/CLAIMANT:
12.
Attorney fees (This information is required if either party is requesting attorney fees):
15.
a.
b.
c.
d.
My attorney's hourly rate is (specify):
I confirm this fee arrangement.
Average monthly expenses13. Estimated expenses
Actual expenses Proposed needs
Installment payments and debts not listed above14.
To date, I have paid my attorney this amount for fees and costs (specify): $
The source of this money was (specify):
I still owe the following fees and costs to my attorney (specify total owed): $
(SIGNATURE OF DECLARANT)
Date:
(TYPE OR PRINT NAME)
Name
Age
How the person is
related to me (ex: son)
That person's gross
monthly income
Pays some of the
household expenses?
a.
b.
c.
d.
e.
Yes
No
Yes No
Yes No
Yes No
Yes No
a.
Home:
(1) Rent or
mortgage..........
$
$
$
$
$
$
If mortgage:
(a) average principal:
$
(b) average interest:
$
(2) Real property taxes..................................
(3)
Homeowner's or renter's insurance
(if not included above)..............................
(4) Maintenance and repair...........................
b.
Health-care costs not paid by insurance........
c.
Child care.......................................................
$
d.
Groceries and household supplies.................
$
e.
Eating out.......................................................
$
f.
Utilities (gas, electric, water, trash)................
$
g.
Telephone, cell phone, and e-mail.................
$
$
h.
Laundry and cleaning.....................................
i.
Clothes...........................................................
$
j.
Education.......................................................
$
k.
Entertainment, gifts, and vacation..................
$
l.
Auto expenses and transportation
(insurance, gas, repairs, bus, etc.).................
$
m.
Insurance (life, accident, etc.; do not include
auto, home, or health insurance)...................
$
$
$
$
$
n.
Savings and investments...............................
o.
Charitable contributions..................................
p.
Monthly payments listed in item 14
(itemize below in 14 and insert total here).....
q.
Other (specify):
r.
TOTAL EXPENSES (a–q) (do not add in
the amounts in a(1)(a) and (b))
$
s.
Amount of expenses paid by others
Paid to For Amount Balance Date of last payment
$
$
$
$
$
$
$
$
$
$
$
$
CHILD SUPPORT INFORMATION
(NOTE: Fill out this page only if your case involves child support.)
FL-150 [Rev. January 1, 2019]
Page 4 of 4
INCOME AND EXPENSE DECLARATION
FL-150
CASE NUMBER:
PETITIONER:
RESPONDENT:
OTHER PARTY/PARENT/CLAIMANT:
a.
b.
d.
(Do not include the amount your employer pays.)
Number of children16.
I do
I do not
I have (specify number): children under the age of 18 with the other parent in this case.
a.
Name of insurance company:
The monthly cost for the children's health insurance is or would be (specify): $
The children spend percent of their time with me and percent of their time with the other parent.
b.
(If you're not sure about percentage or it has not been agreed on, please describe your parenting schedule here.)
Children's health-care expenses17.
have health insurance available to me for the children through my job.
Address of insurance company:c.
Additional expense for the children in this case18.
Childcare so I can work or get job training....................................................................a.
Children's health care not covered by insurance...........................................................b.
Travel expenses for visitation........................................................................................c.
Special hardships. I ask the court to consider the following special financial circumstances19.
Extraordinary health expenses not included in 18b...................................a.
Major losses not covered by insurance (examples: fire, theft, other
insured loss)...............................................................................................
b.
Expenses for my minor children who are from other relationships and
are living with me..................................................................................
c.
d.
Children's educational or other special needs (specify below):.....................................
(attach documentation of any item listed here, including court orders):
(1)
Names and ages of those children (specify):
(2)
Child support I receive for those children...............................................(3)
The expenses listed in a, b, and c create an extreme financial hardship because (explain):
Other information I want the court to know concerning support in my case (specify):
20.
Amount per month
Amount per month
For how many months?
$
$
$
$
$
$
$
$
Print this form
Save this form
Clear this form
For your protection and privacy, please press the Clear This Form button after you have printed the form.
Print This Form
For your protection and privacy, please press the Clear This Form
button after you have printed the form.
FL-335
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
FOR COURT USE ONLY
CASE NUMBER:
PROOF OF SERVICE BY MAIL
NOTICE: To serve temporary restraining orders you must use personal service (see form FL-330).
I am at least 18 years of age, not a party to this action, and I am a resident of or employed in the county where the mailing took
place.
My residence or business address is:
I served a copy of the following documents (specify):
by enclosing them in an envelope AND
a. depositing the sealed envelope with the United States Postal Service with the postage fully prepaid.
b.
The envelope was addressed and mailed as follows:
Name of person served:
Date mailed:
Place of mailing (city and state):
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME) (SIGNATURE OF PERSON COMPLETING THIS FORM)
Page 1 of 1
Form Approved for Optional Use
Judicial Council of California
FL-335 [Rev. January 1, 2012]
PROOF OF SERVICE BY MAIL
Code of Civil Procedure, §§ 1013, 1013a
1.
2.
3.
placing the envelope for collection and mailing on the date and at the place shown in item 4 following our ordinary
business practices. I am readily familiar with this business’s practice for collecting and processing correspondence for
mailing. On the same day that correspondence is placed for collection and mailing, it is deposited in the ordinary course of
business with the United States Postal Service in a sealed envelope with postage fully prepaid.
4.
Address:b.
a.
c.
d.
6.
www.courts.ca.gov
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT/PARTY:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
I served a request to modify a child custody, visitation, or child support judgment or permanent order which included an
5.
address verification declaration. (Declaration Regarding Address Verification—Postjudgment Request to Modify a Child
Custody, Visitation, or Child Support Order (form FL-334) may be used for this purpose.)
HEARING DATE:
DEPT.:
HEARING TIME:
FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
TELEPHONE NO.:
(If applicable, provide):
Self-Represented
To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
end of the form when finished.
JUDICIAL SUBPOENA
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
Courtat thethe Honorable
located at
County of
o'clock in theday of noon, and at any recessedin room , on the , 20 , at
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
I
Calendar No.
THE PEOPLE OF THE STATE OF NEW YORK
TO
Index No.
,
American LegalNet, Inc.
www.USCourtForms.com
Court in
Witness, Honorable , one of the Justices of the
day of , 20County,
COURT
COUNTY OF
Plaintiff(s)
-against-
Defendant(s)
:
:
:
:
:
:
:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mobile Tel. No.:
San Bernardino
655 W. Second Street, 2nd Flr.
San Bernardino, CA 92415
Child Support
Request for Order to modify child support; Income and Expense Declaration; Blank Responsive
Declaration to Request for Order; Income and Expense Declaration; Proof of Service by Mail.
FL-334
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY
CASE NUMBER:
Page 1 of 2
Form Approved for Optional Use
Judicial Council of California
FL-334 [New January 1, 2012]
Family Code, §§ 215, 17404, 17406
www.courts.ca.gov
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT/PARTY:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
petitioner1. I am the attorney for respondent
Code of Civil Procedure, §§ 1013, 1013a;
DECLARATION REGARDING ADDRESS VERIFICATION—
POSTJUDGMENT REQUEST TO MODIFY A CHILD CUSTODY,
VISITATION, OR CHILD SUPPORT ORDER
DECLARATION REGARDING ADDRESS VERIFICATION—
POSTJUDGMENT REQUEST TO MODIFY A CHILD CUSTODY,
VISITATION, OR CHILD SUPPORT ORDER
Before the request was served on the other party by mail, I verified in the previous 30 days that the other party’s current
current residence or office address is (specify):
FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
TELEPHONE NO.:
3.
2.
The request is to modify a judgment or permanent orders for child custody, visitation, or child support.
a.
Date:
(TYPE OR PRINT NAME) (SIGNATURE OF PERSON COMPLETING THIS FORM)
I declare under penalty of perjury under the laws of the State of California that the foregoing and all attachments are true and correct.
Note: If you cannot verify the other party’s current residence or office address, mail service may not be used. The other party
must be personally served. Proof of Personal Service (form FL-330) may be used for this purpose.
other party in this matter.
(1)
(5)
I sent the other party a letter by mail to the address in (2) with return receipt requested and the other party signed
and accepted the letter at that address within the past 30 days.
(6)
I confirmed by another method (specify):
I contacted the other party directly within the past 30 days and he or she gave me the above address.
I have been at that address in connection with a custody and visitation or other matter within the past 30 days.
It is the new address that the other party provided on Notice of Change of Address (form MC-040) or other
pleading and filed with the court on (specify date):
I can confirm that the above address is the other party’s current residence or office address because (specify):
(2)
(3)
Continued in Attachment 3b(6).
b.
It is the office address that he or she last gave on a document filed with the court in this case which was also
served on me as a party in the case.
(4)
other parent
providing services in the case. Service of the request solely to modify child support will be made on other party by serving
The request is to modify a judgment or permanent order only for child support and a local child support agency is
the local child support agency at least 30 days prior to the hearing as provided in Family Code sections 17404(e)(3) and
17406(f).
Self-Represented
Child Support
San Bernardino
655 W. Second Street, 2nd Flr.
San Bernardino, CA 92415
To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
end of the form when finished.
✔
NOTICE AND SERVICE INFORMATION
Page 2 of 2
FL-334 [New January 1, 2012]
CASE NUMBER:
DECLARATION REGARDING ADDRESS VERIFICATION—
POSTJUDGMENT REQUEST TO MODIFY A CHILD CUSTODY,
VISITATION, OR CHILD SUPPORT ORDER
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARTY:
FL-334
If you want to change a judgment or permanent order for child custody, visitation, or child support, a person at least 18
years of age or older must serve the request on the other party by (1) personal delivery or (2) first-class mail or airmail,
postage prepaid. Requests to modify a judgment or permanent order for matters other than child custody, visitation, or
child support must be served on the other party by personal service.
• If your request is to change a judgment or permanent orders only for child support and a local child support
agency is currently providing services, the other party may be served by mail at the office of the local child
support agency. Where service is made by mail on the local child support agency, the following apply:
1. The local child support agency must be served not less than 30 days before the hearing date.
2. Attach a copy of this completed form to the proof of service by mail; and
3. File this original form at the court clerk’s office.
• If your request is to change a judgment or permanent order for child custody, visitation, or child support and
you have verified the other party’s current residence or office address, you must:
1. Complete this form to provide the other party’s current residence or business address and indicate how you obtained
the other party’s current residence or office address.
2. Attach a copy of this completed form to the proof of service by mail; and
3. File this original form at the court clerk’s office.
• If you cannot verify the other party’s current residence or office address, mail service may not be used. The
other party must be personally served. Proof of Personal Service (form FL-330) may be used for this purpose.
For your protection and privacy, please press the Clear This Form
button after you have printed the form.
Print This Form
Clear This Form
FL-330
ATTORNEY OR PARTY WITHOUT ATTORNEY OR GOVERNMENTAL AGENCY (under Family Code, §§ 17400,17406
(Name, State Bar number, and address):
PROOF OF PERSONAL SERVICE
I am at least 18 years old, not a party to this action, and not a protected person listed in any of the orders.
Person served (name):
I served copies of the following documents (specify):
By personally delivering copies to the person served, as follows:
Date: b. Time:
Address:
I am
registered California process server.
exempt from registration under Business & Profession a.
d.
a California sheriff or marshal.e.
My name, address, and telephone number, and, if applicable, county of registration and number (specify):
7. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
8.
Date:
(TYPE OR PRINT NAME OF PERSON WHO SERVED THE PAPERS) (SIGNATURE OF PERSON WHO SERVED THE PAPERS)
Page 1 of 1
Code of Civil Procedure, § 1011
www.courts.ca.gov
Form Approved for Optional Use
Judicial Council of California
FL-330 [Rev. January 1, 2012]
PROOF OF PERSONAL SERVICE
FOR COURT USE ONLY
CASE NUMBER:
1.
2.
3.
4.
a.
c.
5.
not a registered California process server.
a registered California process server.
an employee or independent contractor of a
b.
c.
Code section 22350(b).
6.
I am a California sheriff or marshal and I certify that the foregoing is true and correct.
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT/PARTY:
TELEPHONE NO.:
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
FAX NO.:
HEARING DATE:
DEPT.:
HEARING TIME:
(If applicable, provide):
To keep other people from
seeing what you entered
on your form, please press
the Clear This Form button
at the end of the form
when finished.
Self-Represented
San Bernardino
655 W. Second Street, 2nd Flr.
San Bernardino, CA 92415
Child Support
Request for Order to modify child support; Income and Expense Declaration; Blank Responsive
Declaration to Request for Order; Income and Expense Declaration; Proof of Service by Mail.
For your protection and privacy, please press the Clear This Form
button after you have printed the form.
Print This Form
Clear This Form
Do not write on the papers below!!!!
FYI:
This set of papers is meant to be given to the
other party. (You don’t need to copy)
Under the law, you are required to serve these
BLANK forms on the other person.
2.
CHILD CUSTODY
I consent to the order requested for child custody (legal and physical custody).a.
b.
I do not consent to the order requested for child custody
I consent to the order requested for visitation (parenting time).
visitation (parenting time)
but I consent to the following order:
c.
d.
b. I consent to the order requested.
I consent to guideline support.
I do not consent to the order requested
but I consent to the following order:
c.
a.
I have completed and filed a current Income and Expense Declaration (form FL-150
) or, if eligible, a current Financial
Statement (Simplified) (form FL-155
) to support my responsive declaration.
3.
CHILD SUPPORT
I consent to the order requested.
I do not consent to the order requested
I have completed and filed a current Income and Expense Declaration (form FL-150
) to support my responsive
declaration.
but I consent to the following order:
b.
c.
a.
Page 1 of 2
Form Adopted for Mandatory Use
Judicial Council of California
FL-320 [Rev. July 1, 2016]
RESPONSIVE DECLARATION TO REQUEST FOR ORDER
FL-320
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
FOR COURT USE ONLY
CASE NUMBER:
RESPONSIVE DECLARATION TO REQUEST FOR ORDER
HEARING DATE:
TIME: DEPARTMENT OR ROOM:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
BRANCH NAME:
CITY AND ZIP CODE:
STREET ADDRESS:
MAILING ADDRESS:
PARTY WITHOUT ATTORNEY OR ATTORNEY:
STATE: ZIP CODE:CITY:
STREET ADDRESS:
FIRM NAME:
NAME:
STATE BAR NO.:
TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
4. SPOUSAL OR DOMESTIC PARTNER SUPPORT
Read Information Sheet: Responsive Declaration to Request for Order (form FL-320-INFO) for more information about this form.
VISITATION (PARENTING TIME)
1.
No domestic violence restraining/protective orders are now in effect between the parties in this case.
I agree that one or more domestic violence restraining/ protective orders are now in effect between the parties in
this case.
a.
b.
RESTRAINING ORDER INFORMATION
Code of Civil Procedure, § 1005
Cal. Rules of Court, rule 5.92
www.courts.ca.gov
c. I consent to the order requested.
I do not consent to the order requestedd.
but I consent to the following order:
I have completed and filed a current Income and Expense Declaration
(
form FL-150
)
to support my responsive
declaration.
I have completed and filed with this form a Supporting Declaration for Attorney's Fees and Costs Attachment
(
form
FL-158
)
or a declaration that addresses the factors covered in that form.
b.
a.
a. I consent to the order requested.
I do not consent to the order requestedb.
but I consent to the following order:
5. PROPERTY CONTROL
a. I consent to the order requested.
I do not consent to the order requested
b. but I consent to the following order:
7. DOMESTIC VIOLENCE ORDER
a.
I consent to the order requested.
I do not consent to the order requestedb.
but I consent to the following order:
8.
OTHER ORDERS REQUESTED
CASE NUMBER:
I declare under penalty of perjury under the laws of the State of California that the information provided in this form and all attachments
is true and correct.
FL-320 [Rev. July 1, 2016]
Page 2 of 2
RESPONSIVE DECLARATION TO REQUEST FOR ORDER
u
(SIGNATURE OF DECLARANT)
(TYPE OR PRINT NAME)
Date:
ATTORNEY'S FEES AND COSTS
6.
a. I consent to the order requested.
I do not consent to the order requestedb.
but I consent to the following order:
9. TIME FOR SERVICE / TIME UNTIL HEARING
10.
FACTS TO SUPPORT my responsive declaration are listed below. The facts that I write and attach to this form cannot be
longer than 10 pages, unless the court gives me permission.
Attachment 10.
FL-320
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
American LegalNet, Inc.
www.FormsWorkflow.com
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
CASE NUMBER:
INCOME AND EXPENSE DECLARATION
Date:
(SIGNATURE OF DECLARANT)
Page 1 of 4
INCOME AND EXPENSE DECLARATION
Form Adopted for Mandatory Use
Judicial Council of California
FL-150 [Rev. January 1, 2007]
FL-150
Family Code, §§ 2030–2032,
2100–2113, 3552, 3620–3634,
4050–4076, 4300–4339
www.courtinfo.ca.gov
Employment 1.
Employer:
Employer's address:
Occupation:
Employer's phone number:
Number of years of college completed (specify):
I have completed high school or the equivalent:
Date job started:
If unemployed, date job ended:
I get paid
$ gross (before taxes)
I work about hours per week.
(If you have more than one job, attach an 8½-by-11-inch sheet of paper and list the same information as above for your other
jobs. Write "Question 1—Other Jobs" at the top.)
Number of years of graduate school completed (specify):
Degree(s) obtained (specify):
3. Tax information
I last filed taxes for tax year (specify year):
single head of household
married, filing separately
married, filing jointly with (specify name):
I file state tax returns in
I claim the following number of exemptions (including myself) on my taxes (specify):
This estimate is based on (explain):
I declare under penalty of perjury under the laws of the State of California that the information contained on all pages of this form and
any attachments is true and correct.
OTHER PARENT/CLAIMANT:
per month per week
California
4. Other party's income. I estimate the gross monthly income (before taxes) of the other party in this case at (specify): $
(Give information on your current job or, if you're unemployed, your most recent job.)
Age and education
2.
I have:
a.
c.
d.
My tax filing status is
other (specify state):
(If you need more space to answer any questions on this form, attach an 8½-by-11-inch sheet of paper and write the
question number before your answer.)
b.
Yes
No
b.
c.
d.
e.
Degree(s) obtained (specify):
My age is (specify):
a.
professional/occupational license(s) (specify):
vocational training (specify):
If no, highest grade completed (specify):
a.
b.
c.
d.
e.
f.
g.
h.
Attach copies
of your pay
stubs for last
two months
(black out
social
security
numbers).
per hour.
Number of pages attached:
(TYPE OR PRINT NAME)
TELEPHONE NO.:
ATTORNEY FOR (Name):
E-MAIL ADDRESS (Optional):
Disability: Social security (not SSI) State disability (SDI) Private insurance .
All other property,
CASE NUMBER:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT/CLAIMANT:
Income (For average monthly, add up all the income you received in each category in the last 12 months
and divide the total by 12.)
Page 2 of 4
INCOME AND EXPENSE DECLARATION
FL-150 [Rev. January 1, 2007]
Salary or wages (gross, before taxes). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Attach copies of your pay stubs for the last two months and proof of any other income. Take a copy of your latest federal
tax return to the court hearing. (Black out your social security number on the pay stub and tax return.)
5.
a.
c.
Last month
$
$
Commissions or bonuses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
My financial situation has changed significantly over the last 12 months because (specify):
9.
Assets11.
a.
b.
Total
$
$
$
Cash and checking accounts, savings, credit union, money market, and other deposit accounts . . . . . . . . . . . . . . . .
c.
Stocks, bonds, and other assets I could easily sell . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Average
monthly
Change in income.
Investment income
(Attach a schedule showing gross receipts less cash expenses for each piece of property.)
I received one-time money (lottery winnings, inheritance, etc.) in the last 12 months (specify source and
6.
7.
Rental property income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other (specify): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dividends/interest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
$
8.
$
Trust income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
Additional income.
Pension/retirement fund payments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Social security retirement (not SSI) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Workers' compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other (military BAQ, royalty payments, etc.) (specify): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
g.
h.
i.
j.
k.
l.
d.
e.
$
$
Public assistance (for example: TANF, SSI, GA/GR) currently receiving . . . . . . . . . . . . . . . . .
Spousal support from this marriage from a different marriage . . . . . . . . . . . . . . . . . .
$
$
$
$
$
$
$
b.
Overtime (gross, before taxes) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a.
c.
d.
b.
I am the
owner/sole proprietor business partner other (specify):
Number of years in this business (specify):
Attach a profit and loss statement for the last two years or a Schedule C from your last federal tax return. Black out your
social security number. If you have more than one business, provide the information above for each of your businesses.
Name of business (specify):
Type of business (specify):
Income from self-employment, after business expenses for all businesses. . . . . . . . . . . . . . . . . . . . .
$
Deductions
10.
a.
Last month
$
$
$
$
$
Required union dues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b.
Required retirement payments (not social security, FICA, 401(k), or IRA). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Medical, hospital, dental, and other health insurance premiums (total monthly amount). . . . . . . . . . . . . . . . . . . . . . . .
d.
Child support that I pay for children from other relationships. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e.
Spousal support that I pay by court order from a different marriage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
g.
$
Necessary job-related expenses not reimbursed by my employer (attach explanation labeled "Question 10g") . . . . .
Partner support from this domestic partnership from a different domestic partnership
f.
$
$
f.
Partner support that I pay by court order from a different domestic partnership . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
amount):
c.
real and personal (estimate fair market value minus the debts you owe) . . . .
FL-150
CASE NUMBER:
Name
Age
How the person is
related to me? (ex: son)
That person's gross
monthly income
Pays some of the
household expenses?
The following people live with me:
Average monthly expenses
Groceries and household supplies. . . . . . .
Rent or mortgage. . .
$
(1)
Eating out. . . . . . . . . . . . . . . . . . . . . . . . . .
If mortgage:
average principal:
Utilities (gas, electric, water, trash) . . . . . .
$
Telephone, cell phone, and e-mail . . . . . . .
average interest:
$
$
Laundry and cleaning . . . . . . . . . . . . . . . . .
$
Clothes . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
Education . . . . . . . . . . . . . . . . . . . . . . . . . .
Real property taxes . . . . . . . . . . . . . .
$
Entertainment, gifts, and vacation. . . . . . . .
$
Homeowner's or renter's insurance
(if not included above) . . . . . . . . . . . .
Auto expenses and transportation
$
$
Monthly payments listed in item 14
(itemize below in 14 and insert total here). .
Maintenance and repair . . . . . . . . . . .
$
$
Savings and investments. . . . . . . . . . . . . . .
$
$
Other (specify): . . . . . . . . . . . . . . . . . . . . . .
$
Child care . . . . . . . .. . . . . . . . . . . . . . . . . .
$
TOTAL EXPENSES (a–q) (do not add in
$
the amounts in a(1)(a) and (b))
Page 3 of 4
INCOME AND EXPENSE DECLARATION
FL-150 [Rev. January 1, 2007]
$
$
$
$
Yes No
Yes No
Yes No
Yes No
a.
b.
c.
d.
Estimated expenses Actual expenses
Proposed needs
Installment payments and debts not listed above
(insurance, gas, repairs, bus, etc.) . . . . . . .
Charitable contributions. . . . . . . . . . . . . . . .
$
Date of last payment
Amount
For
Paid to
$
$
$
$
Home:
Balance
The source of this money was (specify):
I still owe the following fees and costs to my attorney (specify total owed): $
I confirm this fee arrangement.
(SIGNATURE OF ATTORNEY)
(TYPE OR PRINT NAME OF ATTORNEY)
Attorney fees (This is required if either party is requesting attorney fees.):
To date, I have paid my attorney this amount for fees and costs (specify): $
Insurance (life, accident, etc.; do not
include auto, home, or health insurance). . .
$
My attorney's hourly rate is (specify): $
12.
13.
14.
15.
a.
b.
c.
(2)
(3)
(4)
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.
n.
o.
p.
q.
r.
e.
Yes No
$
$
$
$
Amount of expenses paid by others
$
s.
a.
b.
c.
d.
Date:
Health-care costs not paid by insurance. . .
(a)
(b)
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT/CLAIMANT:
FL-150
$
$
$
$
CASE NUMBER:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT/CLAIMANT:
CHILD SUPPORT INFORMATION
I do not have health insurance available to me for the children through my job.
Children's health-care expenses
I do
a.
The monthly cost for the children's health insurance is or would be (specify): $
Additional expenses for the children in this case
Children's health care not covered by insurance . . . . . . . . . . . . . . . . . . . .
Travel expenses for visitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Children's educational or other special needs (specify below): . . . . . . . .
Page 4 of 4
INCOME AND EXPENSE DECLARATION
FL-150 [Rev. January 1, 2007]
Child care so I can work or get job training. . . . . . . . . . . . . . . . . . . . . . . . .
Name of insurance company:
Address of insurance company:
I have (specify number): children under the age of 18 with the other parent in this case.
The children spend percent of their time with me and percent of their time with the other parent.
(Do not include the amount your employer pays.)
Amount per month
$
Special hardships. I ask the court to consider the following special financial circumstances
Major losses not covered by insurance (examples: fire, theft, other
insured loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expenses for my minor children who are from other relationships and
are living with me . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Extraordinary health expenses not included in 18b. . . . . . . . . . . . . . . . . .
(attach documentation of any item listed here, including court orders):
$
$
$
$
$
$
Amount per month
For how many months?
(NOTE: Fill out this page only if your case involves child support.)
(If you're not sure about percentage or it has not been agreed on, please describe your parenting schedule here.)
b.
a.
c.
d.
16.
17.
18.
19.
a.
b.
b.
c.
d.
a.
b.
c.
Names and ages of those children (specify):
The expenses listed in a, b, and c create an extreme financial hardship because (explain):
Other information I want the court to know concerning support in my case (specify):
20.
Number of children
Child support I receive for those children. . . . . . . . . . . . . . . . . . . . . . .
$
(1)
(3)
(2)
FL-150
Print This Form
Clear This Form
For your protection and privacy, please
press the Clear This Form button after
you have printed the form.
FL-335
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
FOR COURT USE ONLY
CASE NUMBER:
PROOF OF SERVICE BY MAIL
NOTICE: To serve temporary restraining orders you must use personal service (see form FL-330).
I am at least 18 years of age, not a party to this action, and I am a resident of or employed in the county where the mailing took
place.
My residence or business address is:
I served a copy of the following documents (specify):
by enclosing them in an envelope AND
a. depositing the sealed envelope with the United States Postal Service with the postage fully prepaid.
b.
The envelope was addressed and mailed as follows:
Name of person served:
Date mailed:
Place of mailing (city and state):
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME) (SIGNATURE OF PERSON COMPLETING THIS FORM)
Page 1 of 1
Form Approved for Optional Use
Judicial Council of California
FL-335 [Rev. January 1, 2012]
PROOF OF SERVICE BY MAIL
Code of Civil Procedure, §§ 1013, 1013a
1.
2.
3.
placing the envelope for collection and mailing on the date and at the place shown in item 4 following our ordinary
business practices. I am readily familiar with this business’s practice for collecting and processing correspondence for
mailing. On the same day that correspondence is placed for collection and mailing, it is deposited in the ordinary course of
business with the United States Postal Service in a sealed envelope with postage fully prepaid.
4.
Address:b.
a.
c.
d.
6.
www.courts.ca.gov
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT/PARTY:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
I served a request to modify a child custody, visitation, or child support judgment or permanent order which included an
5.
address verification declaration. (Declaration Regarding Address Verification—Postjudgment Request to Modify a Child
Custody, Visitation, or Child Support Order (form FL-334) may be used for this purpose.)
HEARING DATE:
DEPT.:
HEARING TIME:
FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
TELEPHONE NO.:
(If applicable, provide):
JUDICIAL SUBPOENA
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
Courtat thethe Honorable
located at
County of
o'clock in theday of noon, and at any recessedin room , on the , 20 , at
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
I
Calendar No.
THE PEOPLE OF THE STATE OF NEW YORK
TO
Index No.
,
American LegalNet, Inc.
www.USCourtForms.com
Court in
Witness, Honorable , one of the Justices of the
day of , 20County,
COURT
COUNTY OF
Plaintiff(s)
-against-
Defendant(s)
:
:
:
:
:
:
:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mobile Tel. No.:
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

ChangeChildSupportAmount FL-300 REQUEST FOR ORDER

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 3 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document