ATTORNEY OF RECORD OR PARTY WITHOUT ATTORNEY (Name and Address)
For Court Use Only
TELEPHONE NO: ATTORNEY FOR (Name):` SUPERIOR COURT OF CALIFORNIA, COUNTY OF SACRAMENTO STREET ADDRESS: 3341 Power Inn Road MAILING ADDRESS: Same CITY AND ZIP CODE: Sacramento, CA 95826 BRANCH NAME: William R. Ridgeway Family Relations Courthouse PETITIONER: RESPONDENT:
PETITION TO REGISTER OUT OF STATE CHILD CUSTODY ORDER
CASE NUMBER:
1. 2. 3.
Petitioner is the (indicate relationship) __________________________ of the minor child(ren) listed below. Respondent is the (indicate relationship)________________________ of the minor child(ren) listed below. The minor child(ren) are: Child's name Birthdate Age Sex
4.
Petitioner currently lives in the State of __________________________, County of _________________, and has lived in the above mentioned State and County since _____________________________. Petitioner resides at: Street Address: City and Zip Code: Respondent currently lives in the State of __________________________, County of _________________, and has lived in the above mentioned State and County since _____________________________. Respondent resides at: Street Address: City and Zip Code: Respondent's address is confidential. (Family Law Section 3429). The minor child(ren) live(s) with Petitioner and respondent above named child(ren). Petitioner Respondent Other:______________________
5.
6. 7. 8.
were married had a relationship which resulted in the birth of the
An action for/to Dissolution of marriage Establish paternity (UPA) Other: ________________ was filed in (specify name of court, county and state) ______________________________________________________. A judgment for child custody/visitation was entered on (specify date): ________________________________________.
FL/E-LP-610 (Rev. 1/29/09) Mandatory
Petition to Register Out of State Child Custody Order
Page 1 of 2 Family Code Section 3445
CASE NAME:
CASE NUMBER:
9.
Under the out of state decree (judgment) the care, custody, and control of the above name child(ren) was awarded to: Petitioner Respondent Joint with physical custody to ____________________ ________________________________ Under the out of state decree, visitation was awarded to __________________________________________ as follows: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________
10.
11. 12. 13.
A completed Declaration Under Uniform Child Custody Jurisdiction Act is attached and incorporated herein. Petitioner requests that the out of state child custody decree be registered with the Sacramento Superior Court. Petitioner's Statement: I, the petitioner to my best knowledge and belief that the out of state child custody order attached has not been modified, vacated or stayed. I have attached two copies, including one certified copy of the out of state child custody decree incorporated herein. 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)
14.
_______________________________
(Signature of Plaintiff)
FL/E-LP-610 (Rev. 1/29/09) Mandatory
Petition to Register Out of State Child Custody Order
Page 2 of 2 Family Code Section 3445