Free LOCAL FORMS - California


File Size: 15.3 kB
Pages: 3
Date: February 10, 2009
File Format: PDF
State: California
Category: Court Forms - Local
Author: jacortez
Word Count: 245 Words, 2,456 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.imperial.courts.ca.gov/Forms/FL-04.pdf

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Superior Court of California, County of Imperial

Name & Address: ________________________________ ________________________________ ________________________________ Telephone: _______________________ Attorney for or Self-Represented Petitioner/Respondent

SUPERIOR COURT OF THE STATE OF CALIFORNIA COUNTY OF IMPERIAL Petitioner: ) ) _________________________ ) ) vs. ) ) Respondent: ) ) _________________________ ) ) _________________________________)

Case No. _____________ Petitioner's/Respondent's Mandatory Settlement Conference Statement

Date: ______________ Time: ______________ Dept: ______________

I. MEET AND CONFER STATEMENT: A. Date of Conference:_______________ B. Method of Conference: In person/telephone/letter/email C. Issues Settled Are: (Be very specific) 1.

2.

3.

4.
Form Approved for Optional Use FL-04 (1 of 3) (adopted 7/1/07)

Superior Court of California, County of Imperial

D. Issues Not Settled Are: (Be very specific) 1. 2. 3. 4. E. If the parties failed to meet and confer, explain why in detail. _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ II. STATISTICAL DATA: A. For Dissolution of Marriage or Domestic Partnership/Legal Separation/Annulment ONLY: 1. Date of Marriage or Registration:______________ 2. Date of Separation:_____________ 3. If marital status already terminated, date of termination_________. B. Petitioner's Age ____, Occupation ____________ and Gross Monthly

Income_________. C. Respondent's Age _____, Occupation ___________ and Gross Monthly

Income__________. D. Minor Children of this Relationship. For each state: Name/Date of Birth/Sex/Residing With: 1. 2. 3. 4. III. HISTORY OF THE PROCEEDINGS: (Briefly summarize prior court proceedings) ________________________________________________________________ ________________________________________________________________ ________________________________________________________________
Form Approved for Optional Use FL-04 (2 of 3) (adopted 7/1/07)

Superior Court of California, County of Imperial

IV. ATTACHMENTS AND EXHIBITS: A. Where issues include the division of assets and debts, counsel/parties shall attach completed Community, Quasi-Community and/or Separate Property Declarations B. (FL-160). C. Other relevant attachments may be included.

Instructions FL-04 (3 of 3) (adopted 7/1/07)