COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FL-123 FOR COURT USE ONLY : FAX -against- NO. (Optional): Calendar No. : Plaintiff(s) TELEPHONE NO.: Index No. JUDICIAL SUBPOENA : E–MAIL ADDRESS (Optional): ATTORNEY FOR (Name): : SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: : MAILING ADDRESS: Defendant(s) : . . BRANCH NAME:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........ CITY AND ZIP CODE: DOMESTIC PARTNERSHIP OF PETITIONER: RESPONDENT: THE PEOPLE OF THE STATE OF NEW YORK RESPONSE CASE NUMBER: and REQUEST FOR TO Dissolution of Domestic Partnership Legal Separation of Domestic Partnership Nullity of Domestic Partnership 1. AMENDED STATISTICAL FACTS a. GREETINGS: Date of registration of domestic partnership: b. Date of separation: WE COMMAND of domestic all business date of separation (specify): c. Time from date of registration YOU, that partnership toand excuses being laid aside, you and each of you attend before Years Months , the Honorable at the Court 2. RESIDENCE (Partnerships established out of state only) located at County of Our domestic partnership was established in another state (specify state): a. in room , on the day of , 20 , at o'clock in the noon, and at any recessed b. Respondent has been a resident of this state of California for at least six months and of this county for Petitioner or adjourned months immediately preceding the filing of witness in thisDissolution of Domestic the date, to testify and give evidence as a this Petition for action on the part of Partnership. at least three 3. DECLARATION REGARDING MINOR CHILDREN (include children of this relationship born prior to or during this domestic partnership or adopted during this domestic partnership): a. There are no minor children. with this subpoena is punishable as a contempt of court and will make you liable to Your failure to comply b. the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a The minor children are: Birthdate Age Sex Child's failure result of yourname to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 Continued on Attachment 3b. c. If there are minor children of the petitioner and the respondent, a completed Declaration Under Uniform Child Custody (Attorney Jurisdiction and Enforcement Act (UCCJEA) (form FL-105) must be attached. must sign above and type name below) 4. SEPARATE PROPERTY Respondent requests that the assets and debts listed below be confirmed as separate property. Item in Property Declaration (form FL-160) Attorney(s) for in Attachment 4 Confirm to Office and P.O. Address NOTICE: You may redact (black out) social security numbers from any Telephone No.: filed with the court in this case written material other than a form used to collect child or partner support. Facsimile No.: E-Mail Address: Form Adopted for Mandatory Use Judicial Council of California FL-123 [New January 1, 2005] RESPONSE—DOMESTIC PARTNERSHIPNo.: Mobile Tel. (Family Law) Page 1 of 2 Family Code, §§ 299, 2020 www.courtinfo.ca.gov American LegalNet, Inc. www.USCourtForms.com DOMESTIC PARTNERSHIP OF (Last name, first name of each party): CASE NUMBER: 5. DECLARATION REGARDING COMMUNITY AND QUASI-COMMUNITY ASSETS AND DEBTS AS CURRENTLY KNOWN a. There are no such assets or debts subject to disposition by the court in this proceeding. All such assets and debts are listed in Property Declaration (form FL-160) in Attachment 5b. b. below (specify): 6. Respondent contends that there is not a valid domestic partnership or equivalent. 7. Respondent denies the grounds set forth in item 6 of the petition. 8. Respondent requests a. b. c. dissolution of the domestic partnership based on d. (1) irreconcilable differences. (Fam. Code, § 2310(a).) (2) incurable insanity. (Fam. Code, § 2310(b).) legal separation of the domestic partners based on (1) irreconcilable differences. (Fam. Code, § 2310(a).) (2) incurable insanity. (Fam. Code, § 2310(b).) nullity of void domestic partnership based on (1) incest. (Fam. Code, § 2200.) (2) bigamy. (Fam. Code, § 2201.) nullity of voidable domestic partnership based on (1) respondent's age at time of domestic partnership. (Fam. Code, § 2210(a).) (2) (3) (4) (5) (6) prior existing marriage or domestic partnership. (Fam. Code, § 2210(b).) unsound mind. (Fam. Code, § 2210(c).) fraud. (Fam. Code, § 2210(d).) force. (Fam. Code, § 2210(e).) physical incapacity. (Fam. Code, § 2210(f).) 9. Respondent requests that the court grant the above relief and make injunctive (including restraining) and other orders as follows: Petitioner Respondent Joint Other Legal custody of children to ................................................................................ a. b. Physical custody of children to ............................................................................. c. Child visitation granted to .................................................................................... As requested in form: FL-311 FL-312 FL-341(C) FL-341(D) FL-341(E) Attachment 9c. d. Determination of parentage of any children born to the petitioner and respondent prior to the domestic partnership. e. Attorney fees and costs payable by .............................................................................. f. Partner support payable to .......................................................................................... g. Terminate court's jurisdiction (ability) to award partner support to the petitioner. h. Property rights be determined. i. j. Respondent's former name be restored to (specify): Other (specify): Continued on Attachment 9j. 10. Child support –If there are minor children who were born to or adopted by the petitioner and the respondent before or during this domestic partnership, the court will make orders for the support of the children upon request and submission of financial forms by the requesting party. An earnings assignment may be issued without further notice. Any party required to pay support must pay interest on overdue amounts at the "legal" rate, which is currently 10 percent. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: (SIGNATURE OF RESPONDENT) (TYPE OR PRINT NAME) Date: (SIGNATURE OF ATTORNEY FOR RESPONDENT) (TYPE OR PRINT NAME) The original response must be filed in the court with proof of service of a copy on petitioner. FL-123 [New January 1, 2005] RESPONSE—DOMESTIC PARTNERSHIP (Family Law) Page 2 of 2