Fillable FL-165 SUPERIOR COURT OF CALIFORNIA, COUNTY OF

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FL-165 SUPERIOR COURT OF CALIFORNIA, COUNTY OF

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FL-165
FOR COURT USE ONLY
CASE NUMBER:
REQUEST TO ENTER DEFAULT
To the clerk: Please enter the default of the respondent who has failed to respond to the petition.
is attached is not attached.
A completed Property Declaration (form FL-160) is attached is not attached
(a)
there have been no changes since the previous filing.
(b)
the issues subject to disposition by the court in this proceeding are the subject of a written agreement.
(c)
there are no issues of child, spousal, or partner support or attorney fees and costs subject to determination by the court.
(d)
(e)
Date:
(TYPE OR PRINT NAME) (SIGNATURE OF [ATTORNEY FOR] PETITIONER)
Declaration
A copy of this Request to Enter Default, including any attachments and an envelope with sufficient postage, was
provided to the court clerk, with the envelope addressed as follows (address of the respondent’s attorney or, if none,
the respondent’s last known address):
a.
b.
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 DECLARANT)
FOR COURT USE ONLY
Request to Enter Default mailed to the respondent or the respondent’s attorney on (date):
Clerk, by
, Deputy
Page 1 of 2
Code of Civil Procedure, §§ 585, 587;
REQUEST TO ENTER DEFAULT
(Family Law—Uniform Parentage)
Form Adopted for Mandatory Use
Judicial Council of California
FL-165 [Rev. January 1, 2005]
Family Code, § 2335.5
1.
2. A completed Income and Expense Declaration (form FL-150) or Financial Statement (Simplified) (form FL-155)
this is an action to establish parental relationship.
there are no issues of division of community property.
the petition does not request money, property, costs, or attorney fees. (Fam. Code, § 2330.5.)
(f)
No mailing is required because service was by publication or posting and the address of the respondent remains unknown.
Default not entered. Reason:
Default entered as requested on (date):
www.courtinfo.ca.gov
3.
PETITIONER:
RESPONDENT:
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
because (check at least one of the following):
TELEPHONE NO.:
ATTORNEY FOR (Name):
FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
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end of the form when finished.
CASE NUMBER:
Memorandum of costs
Costs and disbursements are waived.
Costs and disbursements are listed as follows:
Clerk’s fees
$
(1)
(2)
$Process server’s fees ...................................
Other (specify): ................................................................................................................... ...................................
(3)
$
$
$
$
TOTAL
$
I am the attorney, agent, or party who claims these costs. To the best of my knowledge and belief, the foregoing items of
cost are correct and have been necessarily incurred in this cause or proceeding.
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 DECLARANT)
Declaration of nonmilitary status. The respondent is not in the military service of the United States as defined in section 511 et
seq. of the Servicemembers Civil Relief Act (50 U.S.C. Appen. § 501 et seq.), and is not entitled to the benefits of such act.
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 DECLARANT)
FL-165 [Rev. January 1, 2005]
REQUEST TO ENTER DEFAULT
(Family Law—Uniform Parentage)
Page 2 of 2
4.
c.
5.
a.
b.
.............................................................................................................. ................................
...............................................................................................
........................................................................................................................................ ................................
........................................................................................................................................ ................................
........................................................................................................................................
................................................................................................................................... ................................
CASE NAME (Last name, first name of each party):
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FL-165 SUPERIOR COURT OF CALIFORNIA, COUNTY OF

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Completed 27 April 2021

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