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FL-390 SUPERIOR COURT OF CALIFORNIA, COUNTY OF (California)

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NOTICE OF MOTION AND MOTION FOR SIMPLIFIED
MODIFICATION OF ORDER FOR CHILD, SPOUSAL, OR FAMILY SUPPORT
ATTORNEY OR PARTY WITHOUT ATTORNEY OR GOVERNMENTAL AGENCY (pursuant to
FC §§ 17400, 17406) (Name, State Bar Number, and Address):
TELEPHONE NO.:
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT:
NOTICE OF MOTION AND MOTION FOR SIMPLIFIED MODIFICATION OF ORDER
CASE NUMBER:
FAMILY SUPPORTSPOUSAL SUPPORTCHILD SUPPORTFOR
TO (name):
1. A hearing on this motion for the relief requested below will be held as follows:
Time: Dept.:
Room:
a. Date:
other (specify):
same as noted above
b. Address of court:
2. I am requesting the court to change the amount currently payable by
other parent to the following:
respondent/defendantpetitioner/plaintiff
a.
child support pursuant to the California child support guideline commencing (date):
per month beginning (date):
per month beginning (date):
b. spousal support of: $
family support of: $
c.
or such other sums as may be appropriate pursuant to applicable guidelines.
3. I am requesting issuance of modified earnings assignment.
other parentrespondent/defendant
4.
petitioner/plaintiff
I am requesting the court to order the
to provide health insurance coverage for the children as obligated by law, and to issue a Health Insurance Coverage
Assignment (form FL-470).
5 . (Check whichever statements are true, if any)
County.
An application for public assistance (TANF) for the children is pending in (county name):
a.
County.
The children are receiving public assistance from (county name):
b.
This request is made by the governmental agency providing support enforcement services in this action.
c.
6. This request is based on
a. the attached completed Financial Statement (Simplified) (form FL-155) or Income and Expense Declaration (form FL-150)
for the applicant.
other parent
a significant change in the income of
petitioner/plaintiff
respondent/defendantb.
the attached guideline support calculation sheet.
other (specify):
c.
d.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(SIGNATURE OF DECLARANT)
(TYPE OR PRINT NAME)
Form Adopted for Mandatory Use
Judicial Council of California
FL-390 [Rev. January 1, 2003]
Family Code, § 3680
STREET ADDRESS:
MAILING ADDRESS:
FL-390
Page 1 of 2
www.courtinfo.ca.gov.
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CASE NUMBER:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT:
PROOF OF SERVICE
The Notice of Motion and Motion must be served on the other party. If the action was brought by the local child
support agency, the local child support agency is enforcing the order, or the children are receiving TANF, the
Notice of Motion and Motion must also be served on the local child support agency of the county where the action
is filed. Service of the motion on the local child support agency and other party may be made by anyone at least
18 years EXCEPT you. Service is made in one of the following ways:
(1) Personally delivering it to the office of the local child support agency and to the other party.
OR
(2) Mailing it, postage prepaid, to the office of the local child support agency, and to the last known address of
the other party.
Anyone at least 18 years of age EXCEPT A PARTY in this action may personally serve or mail the motion. Be sure
whoever served the motion fills out and signs this proof of service. The Notice of Motion and Motion cannot be filed
with the court until the local child support agency and the other party (or attorney) are served and this proof of service is
properly completed. If this motion is brought after judgment has been entered in the case, service must be made on the
party and not the attorney for the party.
At the time of service I was at least 18 years of age and not a party to the legal action.
1.
I served a copy of the foregoing Notice of Motion and Motion as follows (check either a. or b. below for each person served):
2.
Personal service. I personally delivered a copy of the Notice of Motion and Motion for Simplified Modification of Order
for Child, Spousal, or Family Support and all attachments as follows:
a.
(2) Name of local child support agency served:(1) Name of party or attorney served:
(a) Address where delivered: (a) Address where delivered:
(b) Date of delivery:
(c) Time of delivery:
(b) Date of delivery:
(c) Time of delivery:
Mail. I deposited a copy of the Notice of Motion and Motion for Simplified Modification of Order for Child, Spousal,
or Family Support (form FL-390) and all attachments in the United States mail, in a sealed envelope with postage
fully prepaid, addressed as follows:
b.
(2) Name of local child support agency served:
(1) Name of party or attorney served:
(a) Address:
(a) Address:
(b) Date of mailing:
(c) Time of mailing:
(b) Date of mailing:
(c) Time of mailing:
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 WHO SERVED MOTION)
FL-390 [Rev. January 1, 2003]
NOTICE OF MOTION AND MOTION FOR SIMPLIFIED
MODIFICATION OF ORDER FOR CHILD, SPOUSAL, OR FAMILY SUPPORT
Page 2 of 2
www.courtinfo.ca.gov
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FL-390 SUPERIOR COURT OF CALIFORNIA, COUNTY OF (California)

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Completed 14 March 2021

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