CASE NUMBER: EXPEDITED PROCESSING ATTACHMENT AND STIPULATION TO DISSOLUTION OR SEPARATION JUDGMENT WARNING: This Attachment only includes the minimum statutory requirements at the time of entry of judgment. It does not replace the stipulated judgment or other required documents. I. DISCLOSURE PURSUANT TO FC §§ 2104, 2105 The parties have fully complied with the disclosure requirements of FC §§2102, 2104 and 2105 a. Preliminary Declaration of Disclosures Pursuant to FC §2104 Petitioner filed the Preliminary Declaration of Service (FL-141) on: _____________________ Submitted with Judgment Respondent filed the Preliminary Declaration of Service (FL-141) on: ____________________ Submitted with Judgment b. Final Declaration of Disclosures Pursuant to FC §2105 Petitioner filed the Final Declaration of Service (FL-141) on: _______________________ Submitted with Judgment Respondent filed the Final Declaration of Service (FL-141) on: _____________________ Submitted with Judgment Mutually Waived by: use of Stipulation and Waiver of Final Declaration of Disclosure Form (FL-144) Filed on: _________________ Submitted with Judgment use of the statutory language in a separate stipulation, signed under penalty of perjury Stipulation submitted with Judgment See page _____ of Judgment II. SPOUSAL SUPPORT PURSUANT TO FC §4336 The parties had a marriage of 10 years or more, from the date of marriage to the date of separation, and spousal support has been addressed in the Marital Settlement Agreement/Stipulated Judgment. The parties had a marriage of less than 10 years, from the date of marriage to the date of separation, and spousal support has been addressed in the Marital Settlement Agreement/Stipulated Judgment. The Parties agree to terminate the court's jurisdiction (ability) to award spousal support. Both parties knowingly give up forever any right to receive spousal or partner support. L-1300 (Rev. 08/27/15) Approved for Optional Use Expedited Processing Attachment and Stipulation to Dissolution or Separation Judgment Page 1 of 5 American LegalNet, Inc. www.FormsWorkFlow.com IF THERE ARE MINOR OR DEPENDENT CHILDREN OF THE MARRIAGE, COMPLETE SECTIONS III AND IV, OTHERWISE PROCEED DIRECTLY TO SECTION V, ON PAGE 5 OF THIS FORM THERE ARE NO MINOR OR DEPENDENT CHILDREN OF THIS MARRIAGE. III. CHILD CUSTODY/VISITATION PURSUANT TO FC §3048 (1) This court has jurisdiction to make child custody orders in this case under the Uniform Child Custody Jurisdiction and Enforcement Act (part 3 of the California Family Code commencing with section 3400). (2) The responding party was given notice and an opportunity to be heard as provided by the laws of the State of California. (3) The country of habitual residence of the child(ren) is: The United States Other (specify country): _____________________________________ (4) If you violate this order you may be subject to civil or criminal penalties, or both. (5) The judgment contains a clear description of the custody and visitation rights of each party. IV. CHILD SUPPORT a. FINDINGS PURSANT TO FC §3901 and §4065 (1) The Parties are fully informed of their rights concerning child support. (2) The order is being agreed to without coercion or duress. (3) The agreement is in the best interests of the child(ren) involved (4) The needs of the child(ren) will be adequately met by the stipulated amount (5) Unless otherwise indicated, the right to support has not been assigned to the county pursuant to Section 11477 of the Welfare and Institutions Code and no public assistance application is pending. b. MONEY JUDGMENT IN COURT ORDER PURSUANT TO FC §5616 In the event that there is a contract between a party receiving support and a private child support collector, the party ordered to pay support must pay the fee charged by the private child support collector. This fee must not exceed 33 1/3 percent of the total amount of past due support nor may it exceed 50 percent of any fee charged by the private child support collector. The money judgment created by this provision is in favor of the private child support collector and the party receiving support, jointly. L-1300 (Rev. 08/27/15) Approved for Optional Use Expedited Processing Attachment and Stipulation to Dissolution or Separation Judgment Page 2 of 5 American LegalNet, Inc. www.FormsWorkFlow.com c. BASE CHILD SUPPORT Please check all appropriate boxes. At least one (1) box must be checked: CHILD SUPPORT IS RESERVED (If checked, skip directly to section V) CHILD SUPPORT SERVICES INVOLVED The parties currently have an open case with the Child Support Services (CSS) and a CSS representative has signed the proposed judgment. The parties currently have an open case with CSS, no child support orders are contained in this judgment, and the court reserves jurisdiction over the issue of child support, health insurance coverage, and additional child support. If checked, skip directly to section V. AGREED UPON SUPPORT Petitioner Respondent shall pay to Petitioner Respondent base child support of $ _________________ per week month, payable $ __________________ on_______________ and $ __________________ on ____________ of month, commencing _______________ and continuing until each week the child(ren) for whom support is payable: marries, dies, is emancipated, until further order of the court or, as to an unmarried child who has attained the age of 18 years old, is a full-time high school student, and who is not self-supporting, until the time the child completes the 12th grade or attains the age of 19 years old, whichever first occurs. d. MANDATORY ADDITIONAL CHILD SUPPORT PURSUANT TO FC §4062 Petitioner Respondent shall pay child care costs related to employment or reasonably necessary education/job training: month or in the amount of $___________________ per week ________ % of total. No child care costs orders are contained in this judgment and the court reserves jurisdiction over the issue of child care costs. Respondent shall pay the reasonable uninsured health care costs for the Petitioner child(ren): in the amount of $________________ per week month or _________ % of total. e. DISCRETIONARY ADDITIONAL CHILD SUPPORT PURSUANT TO FC §4062 Respondent shall pay costs related to ___________________________ Petitioner ______________________________________________________________________: in the amount of $ ___________ per _____ % of total. week month or L-1300 (Rev. 08/27/15) Approved for Optional Use Expedited Processing Attachmen