FL-141 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address): FOR COURT USE ONLY FAX NO.: TELEPHONE NO.: ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PETITIONER: RESPONDENT: DECLARATION REGARDING SERVICE OF DECLARATION OF DISCLOSURE AND INCOME AND EXPENSE DECLARATION Petitioner's Respondent's 1. I am the 2. Attorney for Petitioner's Attorney for CASE NUMBER: Preliminary Final Petitioner Respondent in this matter. Respondent's Preliminary Declaration of Disclosure and Income and Expense Declaration was served on: Petitioner Respondent by: personal service mail other (specify): on (date): Petitioner's Attorney for 3. Respondent's Final Declaration of Disclosure and Income and Expense Declaration was served on: Petitioner Respondent by: personal service mail other (specify): on (date): 4. Service of the Final Declaration of Disclosure has been waived under Family Code section 2105, subdivision (d). 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 either the Preliminary or Final Declaration of Disclosure with this document. Page 1 of 1 Form Adopted for Mandatory Use Judicial Council of California FL-141 [Rev. January 1, 2003] DECLARATION REGARDING SERVICE OF DECLARATION OF DISCLOSURE (Family Law) Family Code, §§ 2104, 2106, 2112 www.courtinfo.ca.gov 2003 © American LegalNet, Inc.