1. To the clerk: Please enter the default of the respondent who has failed to respond to the petition.
(a)
2.
A completed Income and Expense Declaration (form FL-150) or Financial Statement (Simplified) (form FL-155)
Form Adopted for Mandatory Use
Judicial Council of California
FL-165 [Rev. January 1, 2005]
Code of Civil Procedure, §§ 585, 587;
Family Code, § 2335.5
www.courts.ca.gov
REQUEST TO ENTER DEFAULT
(Family Law—Uniform Parentage)
Page 1 of 2
there have been no changes since the previous filing.
the issues subject to disposition by the court in this proceeding are the subject of a written agreement.
(b)
the respondent’s last known address):
(c)
there are no issues of child, spousal, or partner support or attorney fees and costs subject to determination by the court.
A completed Property Declaration (form FL-160)
because (check at least one of the following):
ATTORNEY FOR (Name):
E-MAIL ADDRESS (Optional):
FAX NO. (Optional):
TELEPHONE NO.:
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
BRANCH NAME:
CITY AND ZIP CODE:
PETITIONER:
RESPONDENT:
REQUEST TO ENTER DEFAULT
FOR COURT USE ONLY
CASE NUMBER:
FL-165
is attached
is not attached.
is not attached.
is attached
(d)
the petition does not request money, property, costs, or attorney fees. (Fam. Code, § 2330.5.)
there are no issues of division of community property.
(e)
(f)
this is an action to establish parental relationship.
(SIGNATURE OF [ATTORNEY FOR] PETITIONER)
Date:
(TYPE OR PRINT NAME)
3. Declaration
(a)
No mailing is required because service was by publication or posting and the address of the respondent remains unknown.
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,
(b)
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
(SIGNATURE OF DECLARANT)
Date:
(TYPE OR PRINT NAME)
FOR COURT USE ONLY
Request to Enter Default mailed to the respondent or the respondent’s attorney on (date):
Default entered as requested on (date):
Default not entered. Reason:
, Deputy
Clerk, by
________________________________
a.
b.
Costs and disbursements are listed as follows:
FL-165 [Rev. January 1, 2005]
REQUEST TO ENTER DEFAULT
(Family Law—Uniform Parentage)
Page 2 of 2
Costs and disbursements are waived.
CASE NAME (Last name, first name of each party):
CASE NUMBER:
4. Memorandum of costs
(1)
Clerk’s fees
Process server’s fees
(2)
(3)
Other
(specify):
$
$
$
$
$
$
TOTAL
$
c.
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.
(SIGNATURE OF DECLARANT)
Date:
(TYPE OR PRINT NAME)
5. 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.
(SIGNATURE OF DECLARANT)
Date:
(TYPE OR PRINT NAME)
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