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Mandatory Settlement Conference Statement Form. This is a California form and can be use in Imperial Local County.
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Tags: Mandatory Settlement Conference Statement, FL-04, California Local County, Imperial
Name of Self-Represented Party or Attorney
Address:
Telephone:
Attorney for:
Petitioner
Respondent
SUPERIOR COURT OF CALIFORNIA, COUNTY OF IMPERIAL
939 Main Street, El Centro, CA. 92243
In re the Marriage of:
Petitioner:
and
Respondent:
Case No.:
MANDATORY SETTLEMENT CONFERENCE STATEMENT
Date:
Time:
Dept.:
Judge:
I.
MEET AND CONFER STATEMENT:
A. Date of Conference:
B. In Person/By Phone:
C. Issues Settled Are: (Be Specific)
1.
2.
3.
D. Issues to be Litigated Are: (Be Specific)
1.
2.
3.
E.
If the parties failed to meet and confer, explain reasons in detail:
__________________________________________________
__________________________________________________
__________________________________________________
II. STATISTICAL DATA:
A. For Dissolution of Marriage or Domestic Partnership/Legal Separation/Annulment ONLY:
1. Date of Marriage or Registration: _______________________.
Date of Separation: __________________________________.
2. If marital status already terminated, date of termination: ________________.
Form Approved for Optional Use
FL-04 (Adopted 07/01/07, Revised 01/01/11)
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Case No.: __________________________
MANDATORY SETTLEMENT CONFERENCE STATEMENT
B.
Petitioner’s Age: (
), Occupation:_________________________________
C.
Petitioner’s Gross Monthly Income: $__________________________________
D.
Respondent’s Age: (
E.
Respondent’s Gross Monthly Income: $________________________________
F.
Minor Children of this Relationship:___________________________________
), Occupation:________________________________
Name
Birthdate
Age
Gender
Residing
With
To list any other minor children, attach form MC-020 or attach a sheet of paper and write Additional Minor
Children with name and date of birth of each child. Check here if you attach another page
III. HISTORY OF PROCEEDINGS: (Summarize All Prior Court Proceedings)
DATE
EVENT
IV. ATTACHMENTS AND EXHIBITS:
A. Where issues include division of assets and debts, counsel/parties shall attach completed:
Community,
Quasi-Community and/or
Separate Property Declarations.
B. Other relevant attachments may be included.
Dated: ___________________
Form Approved for Optional Use
FL-04 (Adopted 07/01/07, Revised 01/01/11)
______________________________________________
Signature
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