ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS : ATTORNEY FOR : FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF PLUMAS STREET ADDRESS: 520 Main St., Room 104 MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: Quincy, CA 95971 Petitioner Respondent CASE MANAGEMENT CONFERENCE STATEMENT This document must be served on the other party (or attorney), and filed with the Court at least 10 days before the Case Management Conference CASE NUMBER: Hearing Date: This report is submitted by: Petitioner Respondent Jointly Please answer all questions below as either "Yes" or "No" by putting an "X" YES in the appropriate column to the right. NO 1) Have you and your spouse reconciled? 2) Has a Response to the Petition been served? 3) Are there children involved in this case? a. Is there a written agreement regarding custody and visitation? i. Have you attended mediation? ii. Is progress being made towards an agreement? b. Has child support been agreed upon or ordered by the court? 4) Are you asking for spousal support? 5) Are there assets or debts that need to be divided? 6) Disclosures and Discovery a. Have both parties served the Preliminary Declaration of Disclosure? b. Have both parties served the Final Declaration of Disclosure or filed a Waiver? c. Do you need to complete additional discovery? d. If yes, how much time is needed to complete discovery? __________ month(s) 7) Have both parties reached an agreement regarding all outstanding issues? a. If yes, is your agreement in writing? Case Management Conference Statement PL-001 American LegalNet, Inc. www.FormsWorkFlow.com b. If no, is progress being made towards an agreement? 8. Are you requesting this matter proceed to trial? If you answered yes to question 8 above regarding trial, please answer questions a and b below. If your case is not expected to go to trial, please go on to question 9. a. This case is expected to take ______ days/ hours to complete. b. The following pretrial motions are anticipated pending ____________________________ _____________________________________________________________________________ 9. Any further information regarding the progress of your case: _______________________________ ________________________________________________________________________________ ________________________________________________________________________________ (Attach additional pages if necessary) This statement accurately reflects the present status of the case. Dated: _____________ _____________________________________________ Self-represented Attorney for or Respondent Petitioner Dated: _____________ _____________________________________________ Self-represented Attorney for or Respondent Petitioner Proof of Service I hereby certify that I am not a party to this cause and that copies of the foregoing document were mailed (first class postage pre-paid) in sealed envelopes at _____________, California on this date. Date:______________ Signature: Print: _________________________________ _________________________________ Case Management Conference Statement PL-001 American LegalNet, Inc. www.FormsWorkFlow.com