MFL-153 SUPERIOR COURT OF CALIFORNIA, COUNTY OF MENDOCINO UKIAH Courthouse, State and Perkins Streets 100 North State Street, Ukiah, CA 95482-0337 TEN MILE Branch 700 South Franklin Street, Fort Bragg, CA 95437 For Court Use Only Petitioner/Plaintiff: Respondent/Defendant: MANDATORY SETTLEMENT CONFERENCE STATEMENT CASE NUMBER: I, , am the Petitioner / Respondent / Attorney for Petitioner / Attorney for Respondent in the above entitled matter. Pursuant to Local Rule of Court 15.3.c, the following information/documents have been prepared and/or filed with the court in preparation of the mandatory Settlement at a.m. p.m. Conference currently set for hearing on Check all that apply (documents not filed with the court should be attached): Financial Information (documentation required by Local Rule 15.4(E)): filed with the court on Declaration re: Property (form FL-160): attached filed with the court on Declaration re: Spousal Support (attachment form FL-343): attached filed with the court on Declaration re: Child Support (attachment form FL-342): attached filed with the court on DCSS involved: Family Support case number is as attachment to as attachment to Declaration re: Visitation as applicable (Parenting Plan or attachment form FL-341): attached filed with the court on as attachment to Declaration re: Attorney Fees: filed with the court on Proposal for Resolution: attached I declare, under penalty of perjury, that the foregoing is true and correct. Dated: Signature American LegalNet, Inc. www.FormsWorkFlow.com MFL-153 (rev 010117)