ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY
COURT NO.: FAX COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ATTORNEY FOR (Name): ......... .. : SUPERIOR COURT OF CALIFORNIA, COUNTY OF
TELEPHONE NO.: STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:
Index No. Calendar No.
: Plaintiff(s) -against: : :
2. a. b. c. d. e. f.
This judgment modifies existing restraining orders. contains personal conduct restraining orders Defendant(s) : The restraining.orders . . . .contained. in.item(s): . . . . . . . . . . . . . . . . . . . . of. the. attachment. . . . . . . . . are . . . . . . . . . . . . . . . .. They expire on (date): A CLETS form must be attached. This matter proceeded as follows: Default or uncontested By declaration Contested Date: Dept.: Room: THE PEOPLE OF THE STATE OF NEW YORK Temporary judge Judicial officer (name): Petitioner present Attorney present (name): TO Respondent present Attorney present (name): The petitioner appeared without counsel and was advised of relevant rights. (1) Petitioner The petitioner signed Advisement and Waiver of Rights Re: Establishment of Parental Relationship (2) (form FL-235). GREETINGS: petitioner is married to the Respondent, and no other action is pending. (3) The
The petitioner signed Voluntary Declaration of Paternity. (4) WE COMMAND YOU,athat all business and excuses being laid aside, you and each of you attend before (5) There is a prior judgment of parentage in a family support, Court or adoption court case. juvenile, , the Honorable at the located at (1) g. RespondentCounty of The respondent appeared without counsel and was advised of relevant rights. in (2) room , on the day of , Waiver, of Rights Re: Establishment of Parental at any recessed at o'clock in the noon, and Relationship The respondent signed Advisement and 20 or adjourned date,FL-235). and give evidence as a witness in this action on the part of the (form to testify (3) The respondent is married to the Petitioner, and no other action is pending. (4) The respondent signed a Voluntary Declaration of Paternity. (5) There is a prior judgment of parentage in a family support, juvenile or adoption court case. or party on present (specify): h. Other parties the attorneys whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
result of your failure to comply.
3. THE COURT FINDS Witness, Honorable Name: Court in County, Name: are the parents of the following children: Child's name Mother , 20 Mother Date of birth
(Attorney must sign above and type name below)
Father , one of the Justices of the Father
4. THE COURT ORDERS a. Child custody and visitation are as specified in one or more of the attached forms: (1) Child Custody and Visitation Order Attachment (form FL-341) Office and FL-355) (2) Stipulation for Order for Child Custody and/or Visitation of Children (form P.O. Address (3) Other (specify):
Form Adopted for Mandatory Use Judicial Council of California FL-250 [Rev. January 1, 2004]
Telephone No.: Facsimile No.: E-Mail Address: JUDGMENT Mobile (Uniform Parentage--Custody and Support) Tel. No.:
Page 1 of 2 Family Code, §§ 3120, 3900, 7600 et seq. www.courtinfo.ca.gov
American LegalNet, Inc. www.USCourtForms.com
5. THE COURT FURTHER ORDERS a. Child support is as stated in one or more of the attached: (1) Child Support Information and Order Attachment (form FL-342) (2) Stipulation to Establish or Modify Child Support and Order (form FL-350) (3) Other (specify):
b. Both parties must complete and file with the court a Child Support Case Registry Form (form FL-191) within 10 days of the date of this judgment. Thereafter, the parents must notify the court of any change in the information submitted, within 10 days of the change. c. The form Notice of Rights and Responsibilities--Health Care Costs and Reimbursement Procedures and Information Sheet on Changing a Child Support Order (form FL-192) is attached. d. The last names of the children are changed to (specify): e. The birth certificates must be amended to conform to this court order by adding the father's name. (1) changing the last name of the children. (2) Attorney fees and costs are as stated in the attachment. Reasonable expenses of pregnancy and birth are as stated in the attachment. Other (specify):
f. g. h.
Continued on Attachment 3h. 6. Number of pages attached: _____
JUDICIAL OFFICER SIGNATURE FOLLOWS LAST ATTACHMENT
NOTICE: Any party required to pay child support must pay interest on overdue amounts at the "legal" rate, which is currently 10 percent.
FL-250 [Rev. January 1, 2004]
(Uniform Parentage--Custody and Support)
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