FL-141 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): TELEPHONE NO.: E-MAIL ADDRESS: ATTORNEY FOR (Name): FAX NO. : SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PETITIONER: RESPONDENT: OTHER PARENT/PARTY: DECLARATION REGARDING SERVICE OF DECLARATION OF DISCLOSURE AND INCOME AND EXPENSE DECLARATION Petitioner's Respondent's 1. I am the 2. attorney for petitioner Preliminary Final respondent in this matter. CASE NUMBER: Respondent's Preliminary Declaration of Disclosure (form FL-140), current* Income and Expense Petitioner's Declaration (form FL-150), completed Schedule of Assets and Debts (form FL-142) or Community and Separate Property Declarations (form FL-160) with appropriate attachments, all tax returns filed by the party in the two years before service of the preliminary disclosures, and all other required information under Family Code section 2104 were served on: the other party Other (specify): on (date): the other party's attorney by personal service mail 3. Respondent's Final Declaration of Disclosure (form FL-140), current* Income and Expense Declaration Petitioner's (form FL-150), completed Schedule of Assets and Debts (form FL-142) or Community or Separate Property Declarations (form FL-160) with attachments, and the material facts and information required by Family Code section 2105 were served on: the other party Other (specify): on (date): other party's attorney by personal service mail 4. a. Petitioner's Respondent's preliminary final Service of declaration of disclosure current income and expense declaration has been waived as follows: The parties agreed to waive final declaration of disclosure requirements under Family Code section 2105(d.) was filed on (date): (Form FL-144 may be used for this purpose.) The waiver is being filed at the same time as this form. The party has failed to comply with disclosure requirements, and the court has granted the request for voluntary waiver of receipt under Family Code section 2107 on (date): This is a default proceeding that does not include a stipulated judgment or settlement agreement. Petitioner waives final disclosure requirements under Family Code section 2110. b. c. *Current is defined as completed within the past three months providing no facts have changed. (Cal. Rules of Court, rule 5.260.) 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) SIGNATURE NOTE: File this document with the court. Do not file a copy of the Preliminary or Final Declaration of Disclosure or any attachments to either declaration of disclosure with this document. Page 1 of 1 Form Adopted for Mandatory Use Judicial Council of California FL-141 [Rev. July 1, 2013] DECLARATION REGARDING SERVICE OF DECLARATION OF DISCLOSURE AND INCOME AND EXPENSE DECLARATION (Family Law) Family Code, §§ 2102, 2104, 2105, 2106, 2112 www.courts.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com