LK-100 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) Telephone Number FOR COURT USE ONLY BAR NUMBER: ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF LAKE 255 North Forbes Street, Lakeport, CA 95453 PETITIONER RESPONDENT FAMILY LAW CASE STATUS REPORT CASE NUMBER: COURT DATE: Use this form to let the Court know what is going on in your case. 1. Reconciled: No Yes, please dismiss the case. We are seeing if we can reconcile. Put case on hold for : 2. Service: Respondent has been served I need more time for service. I need more time for service, I am not sure I want to serve Respondent. I cannot find Respondent, I will ask for an order for service by Publication or Posting. 3. Default: If it has been more than 30 days since the Respondent was served, have you filed the Request to enter Default? Yes. If yes, Judgment will be filed on or before ___________________________________ No. If no, why not? Response filed. We are working together to settle the case and/or are in mediation. I have given Respondent more time to file a Response. Other: ___________________________________________________________________________ 4. Settled: Has the case settled? No Yes. If yes, Judgment will be filed on or before: ____________________________________ 6 months 12 months Have the parties reconciled? Mandatory Form LK-100 New 01/12 FAMILY LAW STATUS REPORT Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com 5. Issues: What are the things you do not have agreement about? Child Custody and Visitation Dividing Interest in Home Attorney's Fee and Costs Child Support Dividing Pensions Spousal Support Dividing Debts Other: _________________________________________ 6. Family Mediation: Have the parties completed Family Mediation? Petitioner Respondent No No Yes Yes 7. Exchange of Information: (Dissolution or Legal Separation only.) Were the Declarations of Disclosure served? Preliminary Petitioner Respondent Petitioner Respondent No No No No Yes Yes Yes Yes Filed Declaration re Service (FL-141) No No Yes Yes Filed and Served current Income and Expense forms? If, yes, date filed:________________________ If, yes, date filed: ________________________ 8. Case Progress: The case is moving along fine. I do not know what to do next. I need more time to work out an agreement. I need more time because of financial issues. (for example, selling house, bankruptcy) I need more time because of my health or the other person's health. Other reasons for not moving forward: ___________________________________________________________ ____________________________________________________ ______________________________________________ ____________________________________________________________________________________________ ___ 9. Mandatory Settlement Conference/Trial Date: If a Response has been filed, the Court will schedule a Mandatory Settlement Conference and Trial date, when the Court deems the case at-issue and/or a party files a Request for Mandatory Settlement Conference and Trial. When do you think it should be scheduled? Month: __________________________ 10. Dates you are not able to come to Court: __________________________________________________________________ _____________________________________________________________________________________________________ I declare under penalty of perjury under the laws of the State of California that he foregoing is true and correct. Date: Petitioner Date: Respondent Mandatory Form LK-100 New 01/12 FAMILY LAW STATUS REPORT Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com