PETITIONER: ____________________________________________ CASE NUMBER: _______________________ RESPONDENT: ________________________________________________ ADDENDUM TO JUDGMENT CUSTODY/VISITATION Primary and secondary physical custody of the minor child/ren shall be as follows: Child’s Name Birth Date Legal Custody to: Primary Physical Custody to: The other parent shall have the following secondary physical custody rights: Reasonable right of visitation as agreed between the parties. As contained in the Recommendation and Order After Mediation, consisting of filed on and which is reproduced in its entirety herein. pages, which was Other: _________________________________________________________________________________ _____________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Pursuant to Family Code Section 3048 (a): (1) This Court exercises jurisdiction under Family Code Sections 3421-3424. (2) Notice and opportunity to be heard were given under Family Code Section 3425 (3) A clear description of the custody and visitation rights of each party is set forth herein. (4) Violation of the order may subject the party in violation to civil or criminal penalties, or both. (5) The habitual residence of the child/ren is the United States of America. CHILD SUPPORT  CHILD SUPPORT PAYMENTS.  Petitioner  Respondent shall pay to the other party as and for child support the sum of $___________ per month due one-half on the first and one-half on the fifteenth day of each month commencing . The duty of support continues until each child has attained the age of 18 years and is no longer a full-time high school student, attains the age of 19 years, dies, marries, is emancipated, written agreement of the parties or further order of the court which ever first occurs. Support shall be allocated between the minor children as follows: $ for the support of the first (oldest) child; $ for the support of the second child; $ for the support of the third child; for the support of the fourth child. $ ‰ The Department of Child Support Services is collecting support for these children. ‰ RESERVED. The issue of child support is reserved for later determination upon noticed motion. ADDENDUM TO JUDGMENT Page ___ of ___ American LegalNet, Inc. www.FormsWorkFlow.com PETITIONER: ____________________________________________ CASE NUMBER: _______________________ RESPONDENT: ________________________________________________ ADDENDUM TO JUDGMENT  CONSOLIDATE: That this case shall be consolidated with Case number __________________. This case shall be the Master File  GUIDELINE CHILD SUPPORT FINDINGS.  Gross monthly incomes are as follows: Petitioner’s $ ; Respondent’s $ Percentage of time each parent has primary responsibility for the children: Petitioner: . % Respondent: % Petitioner Respondent is experiencing a statutory hardship of $ ___________________________per month. Petitioner is paying: Medical Insurance: $_______ Union Dues:________ Mandatory Pension $________ Respondent is paying: Medical Insurance: $______ Union Dues: ________ $________ Mandatory Pension The amount of child support payable by  Petitioner  Respondent as calculated under the guideline is $ per month.  WE AGREE TO NON-GUIDELINE CHILD SUPPORT AS FOLLOWS: The Parties acknowledge that: (i.) they are fully informed of their rights concerning guideline child support; (ii) they have agreed to the child support provisions of this Agreement without coercion or duress; (iii) this Agreement is in the best interests of the child involved; (iv) the needs of the child will be adequately met by this agreed-upon child support; and they have not assigned the right to support to the county and no public assistance application is pending, except as set forth below.  ARREARS.  Petitioner  Respondent owes to the other parent child support arrears in the principal sum of $ for the period of / / to / / . These arrears shall be paid as follows: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ MEDICAL/DENTAL/VISUAL INSURANCE. As and for additional child support,  Petitioner  Respondent shall obtain and/or maintain for the minor child/ren medical, dental and visual insurance if available at reasonable cost through an employment or union affiliation. Any health expenses not paid by insurance shall be shared: Petitioner 50 % and Respondent 50 %. Any request for reimbursement of uncovered expenses must be made within 30 days of the date the expense is incurred and should be presented with a copy of the bill or receipt of payment. Payment should thereafter be made within 30 days of receipt of request. PAYMENT OF SUPPORT An Income Withholding Order for the above support shall issue.  The right to support has been assigned to the county or a public assistance application is pending.  The Department of Child Support Services approves of the forgoing support order. Date: Signature of DCSS Attorney:_____________________________________________ ADDENDUM TO JUDGMENT Page ___ of ___ American LegalNet, Inc. www.FormsWorkFlow.com PETITIONER: ____________________________________________ CASE NUMBER: _______________________ RESPONDENT: ________________________________________________ ADDENDUM TO JUDGMENT The parties were married or registered as domestic partners on and were separated on __________.  There are no minor child/ren of the marriage/domestic partnership. SPOUSAL/PARTNER SUPPORT  WAIVER.  Petitioner  Respondent knowingly and intelligently waive(s) spousal/partner support forever. Jurisdiction shall be terminated over spousal/partner support. When a court has no jurisdiction over support, no support can be ordered regardless of the hardship that this might cause.  TERMINATION. The court’s jurisdiction to award spousal/partner support to the Respondent is terminated.  RESERVED. The issue of spousal/partner support is reserved for later determination upon noticed motion.  SPOUSAL/PARTNER SUPPORT PAYMENTS.  Petitioner  Respondent shall pay to the other Party for spousal/partner support, the sum of $ per month, payable one-half on the first and one-half on the fifteenth day of each month commencing , and continuing until the earliest of (i) the death of Payor, (ii) the death of Payee, (iii) the remarriage of Payee, (iv) further order of the Court, or (v) the termination date of: _______________________________. NOTICE: It is the goal of the State of California that each party must make reasonable good faith efforts to become self-supporting as provided in Family Code § 4320. The failure to make reasonable good faith efforts may be one of the factors considered by the court as a basis for modifying or terminating spousal/partner support. PROPERTY DIVISION  There are no property issues before the court, thus the court hereby terminates jurisdiction over property issues.  COMMUNITY PROPERTY AWARDED TO PETITIONER. Petitioner is awarded as his/her share of community property the following: All furniture and furnishings in his/her possession except as otherwise listed. 1.___________________________________________ 5.__________________________________________ 2.___________________________________________ 6.__________________________________________ 3. __________________________________________ 7.__________________________________________ 4.___________________________________________ 8.__________________________________________  COMMUNITY PROPERTY AWARDED TO RESPONDENT. Respondent is awarded as his/her share of community property the following: All furniture and furnishings in his/her possession except as otherwise listed. 1.___________________________________________ 5.___________________________________________ 2.___________________________________________ 6.___________________________________________ 3.___________________________________________ 7.___________________________________________ 4.___________________________________________ 8.___________________________________________ ADDENDUM TO JUDGMENT Page ___ of ___ American LegalNet, Inc. www.FormsWorkFlow.com PETITIONER: ____________________________________________ CASE NUMBER: _______________________ RESPONDENT: ________________________________________________ ADDENDUM TO JUDGMENT   COMMUNITY DEBTS: Each Party shall be responsible for paying any and all obligations secured by property awarded to that Party. Scheduled debts, liabilities, and obligations are to be paid as follows: DEBTS TO PETITIONER. Petitioner shall pay and hold Respondent harmless from the following obligations: 1.___________________________________________ 4.___________________________________________ 2.___________________________________________ 5.___________________________________________ 3.___________________________________________ 6.___________________________________________ DEBTS TO RESPONDENT: Respondent shall pay and hold Petitioner harmless from the following obligations: 1.___________________________________________ 4.___________________________________________ 2.___________________________________________ 5.___________________________________________ 3.___________________________________________ 6.___________________________________________  SEPARATE PROPERTY OF PETITIONER. The following is confirmed to Petitioner as his/her separate property: 1.___________________________________________ 5.___________________________________________ 2.___________________________________________ 6.___________________________________________ 3.___________________________________________ 7.___________________________________________ 4.___________________________________________ 8.___________________________________________  SEPARATE PROPERTY OF RESPONDENT. The following is confirmed to Respondent as his/her separate property: 1.___________________________________________ 5.___________________________________________ 2.___________________________________________ 6.___________________________________________ 3.___________________________________________ 7.___________________________________________ 4.___________________________________________ 8.___________________________________________ OTHER ORDERS: NOTICE: If the person who is to receive child support enters a contract with a private child support collector, the party ordered to pay support must pay the fee charged by the private support collector. The fee must not exceed 33 1/3 percent of the total amount in arrears 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. ADDENDUM TO JUDGMENT Page ___ of ___ American LegalNet, Inc. www.FormsWorkFlow.com PETITIONER: ____________________________________________ CASE NUMBER: _______________________ RESPONDENT: ________________________________________________ ADDENDUM TO JUDGMENT The Parties represent and agree that this is a full and final settlement of all issues presented in this matter, including division of all assets and debts specifically included on disclosures and filed in this matter, whether accounted for in this Judgment or not. The court shall retain jurisdiction to make rulings only on later-discovered assets and debts. The parties hereby further agree that they shall execute any and all documents required to carry out the terms of this Judgment. In the event a party fails to execute documents required to transfer property, the aggrieved party may file a Request for Order requesting that the Clerk of the Court be designated as Elisor to sign in place of the noncooperative party in order to accomplish the required transfer(s).  Petitioner Respondent, understanding that the distribution of assets and debts included herein may be unequal, hereby waives their right to an equal distribution.  As and for an equalization of the distribution of Community Assets & Debts, Petitioner Respondent shall pay to  Petitioner  Respondent the sum of $_______________. Said sum shall be paid as follows: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________  MISCELLANEOUS ORDERS: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ This Judgment may be signed by a Court Commissioner as a Judge Pro Tem. THE UNDERSIGNED PARTIES APPROVE AS TO FORM AND CONTENT: Date: Printed Name of Petitioner ___________________________________________ Signature of Petitioner Date: Printed Name of Respondent ___________________________________________ Signature of Respondent  Respondent was not present, thus his/her signature is not required THIS ADDENDUM TO JUDGMENT IS ORDERED INCORPORATED INTO AND MADE A PART OF THIS JUDGMENT AND THE PARTIES ARE ORDERED TO COMPLY WITH ALL OF THE EXECUTORY TERMS. _____________________________________ Judge/Commissioner ADDENDUM TO JUDGMENT Page ___ of ___ ___________ Date American LegalNet, Inc. www.FormsWorkFlow.com PETITIONER: ____________________________________________ CASE NUMBER: _______________________ RESPONDENT: ________________________________________________ ADDENDUM TO JUDGMENT (If this is a Marital or Domestic Partnership Settlement Addendum, check one) This Addendum is NOT pursuant to a Default, and NEITHER party’s signature must be notarized. This Addendum IS pursuant to a Default, and the DEFAULTING PARTY’S signature must be notarized. NOTARY ============================================================================================= STATE OF CALIFORNIA COUNTY OF RIVERSIDE On _______________ before me, (here insert name and title of the officer), personally appeared ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature __________________________________ (Seal) ============================================================================================= ADDENDUM TO JUDGMENT Page ___ of ___ American LegalNet, Inc. www.FormsWorkFlow.com