EXHIBIT "A" IN THE SUPERIOR COURT OF THE STATE OF CALIFORNIA IN AND FOR THE COUNTY OF CONTRA COSTA In Re the Marriage of: Case No. SHORT FORM SETTLEMENT CONFERENCE STATEMENT Petitioner: and Respondent: / THE UNDERSIGNED DECLARES, UNDER PENALTY OF PERJURY, THAT THE REQUIRED FOUR-WAY MEETING BETWEEN PARTIES AND COUNSEL HAS OCCURRED. THE FOLLOWING ISSUES REMAIN UNRESOLVED AFTER SAID MEETING (CHECK ONLY THOSE ISSUES WHICH HAVE NOT BEEN SETTLED): SEPARATION DATE CHILD CUSTODY AND VISITATION (PRIOR MEDIATION REQUIRED) CHILD SUPPORT (BRING CURRENT I & E AND LAST THREE MONTH'S PAY STUBS) FAMILY RESIDENCE CHARACTERIZATION, INCLUDING SEPARATE PROPERTY CLAIMS (BRING DOCUMENTATION) DISPOSITION VALUE BUSINESS VALUATION PERSONAL PROPERTY CHARACTERIZATION (BRING DOCUMENTATION OF SEPARATE CLAIMS) DIVISION VALUATION DEBT ALLOCATION (BRING DOCUMENTATION) EPSTEIN CREDITS/WATTS CHARGES (BRING DOCUMENTATION) ATTORNEYS FEES/COSTS (BRING CURRENT I&E AND LAST THREE MONTHS' PAY STUBS) THE COURT ENCOURAGES THAT THIS STATEMENT BE FILED AS A JOINT STATEMENT, BUT DOES NOT REQUIRE THE SAME. I declare under penalty of perjury that the foregoing is true and accurate to the best of my knowledge. Petitioner in Pro Per (Represented parties need not sign) Counsel for Petitioner Respondent in Pro Per (Represented parties need not sign) Counsel for Respondent 2000 (C) American LegalNet, Inc.