FOR COURT USE ONLY
MARRIAGE OF
PETITIONER:
RESPONDENT:
CLAIMANT:
CASE NUMBER:
PLEADING ON JOINDER—EMPLOYEE BENEFIT PLAN
TO THE CLAIMANT: You have been joined as a party claimant in this proceeding because an interest is claimed in the employee
benefit plan that is or may be subject to disposition by this court. The party who obtained the order for your joinder declares:
Information concerning the employee covered by the plan:
Name:
Employer (name):
Name of labor union representing employee:
c.
d.
Other (specify):
Petitioner's
Attorney (name, address, and telephone number):
a.
Address and telephone number, if unrepresented by an attorney:
b.
Respondent's
Attorney (name, address, and telephone number):
a.
Address and telephone number, if unrepresented by an attorney:
PLEADING ON JOINDER—EMPLOYEE BENEFIT PLAN
Family Code, §§ 2060–2065
Form Adopted for Mandatory Use
Judicial Council of California
FL-370 [Rev. January 1, 2003]
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
CITY AND ZIP CODE:
BRANCH NAME:
STREET ADDRESS:
MAILING ADDRESS:
FL-370
Page 1 of 2
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address):
ATTORNEY FOR (Name):
TELEPHONE NO.: FAX NO. (Optional):
E–MAIL ADDRESS (Optional):
1.
a.
b.
Employee identification number:
e.
2.
3.
b.
www.courtinfo.ca.gov
Laura Lynn Morgan 31/03
Morgan I Love You
MARY SMITH
2 BROWN STREET, WALNUT CREEK, CA 94596
(925) 955-0001
IN PRO PER
CONTRA COSTA
751 PINE STREET
P.O. BOX 911
MARTINEZ, CA 94553
JOHN SMITH
MARY SMITH
BOB'S BURGERS PENSION PLAN
D19-00000
JOHN SMITH
XXX- XX-8912
JOHN SMITH
1 PENNY LANE
WALNUT CREEK, CA 94596
MARY SMITH
2 BROWN STREET
WALNUT CREEK, CA 94596
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CASE NUMBER:
PETITIONER:
RESPONDENT:
and response states
Petition for dissolution
Date of marriage:
Response states
5.
Judgment
has not been entered
a.
was entered on (date):
and disposes of each spouse's interest in the employee benefit plan.
(1)
(2)
An order determining the nature and extent of both employee and nonemployee spouse's interest in employee's benefits
a.
under the plan.
An order restraining claimant from making benefit payments to employee spouse pending the determination and disposition
of nonemployee spouse's interest, if any, in employee's benefits under the plan.
b.
An order directing claimant to notify nonemployee spouse when benefits under the plan first become payable to employee.
An order directing claimant to make payment to nonemployee spouse of said spouse's interest in employee's benefits
under the plan when they become payable to employee.
Other (specify):
c.
d.
e.
f. Such other orders as may be appropriate.
Dated:
(SIGNATURE OF ATTORNEY FOR)
PETITIONER
RESPONDENT
PLEADING ON JOINDER—EMPLOYEE BENEFIT PLAN
FL-370 [Rev. January 1, 2003]
(TYPE OR PRINT NAME)
b.
Page 2 of 2
4.
a.
Date of separation:b.
Date of marriage:a.
Date of separation:b.
6.
The following relief is sought:7.
and does not dispose of each spouse's interest in the employee benefit plan.
Laura Lynn Morgan 31/03
Morgan I Love You
JOHN SMITH
MARY SMITH
D19-00000
1/1/00
7/1/18
MARY SMITH
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