IN RE THE MARRIAGE OF No. Petitioner, STIPULATION FOR JUDGMENT and Respondent. (MUST BE PRINTED WITH BLACK BALLPOINT PEN OR TYPED - PRESS HARD, YOU'RE MAKING FOUR COPIES) It is hereby stipulated between the above-named parties that: 1. 2. The Court acquired jurisdiction on (Please be sure original Summons with proof of service is filed with the Court.) CUSTODY CUSTODY of the minor child/ren Names and Birth Dates shall be awarded as follows: JOINT LEGAL CUSTODY of the minor child/ren shall be awarded to both parties, with BOTH PARTIES TO SHARE the physical care, custody and control of the minor child/ren reasonably between them in such a manner as to insure that the minor child/ren maintain frequent and continuing contact with both parents. PRIMARY RESPONSIBILITY for the care, custody and control of the minor child/ren to be with shall also have the physical care, custody ; however, and control of the minor child/ren during REASONABLE times and for reasonable periods so that the minor child/ren are assured of maintaining frequent and continuing contact with both parents. PRIMARY RESPONSIBILITY for the care, custody and control of the minor child/ren to be with shall have the physical care, custody and ; however, control of the minor child/ren during the SPECIFIC periods set forth on the attached Exhibit A, incorporated herein by reference. SOLE CUSTODY of the minor child/ren shall be awarded to . REASONABLE visitation is ordered for . SPECIFIC visitation is ordered for as set forth on the attached Exhibit A, incorporated herein by reference. . 13-13986-360 Rev. 9/94 Page 1 of 7 DISTRIBUTION: White - File Pink - Respondent Green -System Goldenrod - FSPD Canary - Petitioner SB-13986 2000 (C) American LegalNet, Inc. STIPULATION FOR JUDGMENT (MUST BE PRINTED WITH BLACK BALLPOINT PEN OR TYPED - PRESS HARD, YOU’RE MAKING FOUR COPIES) Date Title Dept. Case No. ACIS No. 3. RESTRAINING ORDERS RE MINOR CHILDREN Neither party shall remove the minor child/ren from written consent of the other party or prior order of the Court first having been obtained (except for vacation periods). without prior Neither party shall use or make, nor allow any other persons to use or make any disparaging or derogatory remarks about the absent parent in the presence of said child/ren. Each party shall keep the other party informed of his and her current address and telephone number and those of the child/ren and shall notify the other within days of any change of address or telephone number. shall not consume any alcoholic beverages, narcotic, or restricted dangerous drug (except upon prescription) within hours prior to or during visitation with minor child/ren. Party receiving physical custody shall be responsible for the child’s/ren’s transportation on the custody exchanges. 4. CHILD SUPPORT is ordered to pay child support in the amount of $ each month, commencing and continuing until each child dies, marries, becomes emancipated, reaches the age of 18 or reaches the age of 19 and is a full-time high school student, or until further order of the Court, whichever first occurs. Support payments ordered paid by wage assignment. Special Orders re CHILD SUPPORT: As additional support for the minor child/ren, the shall maintain them on a medical, hospitalization and dental insurance plan (as is available through his/her employment) for so long as said beneficiaries are legally eligible; and shall cooperate in the presentation, collection and reimbursement of any claims. Petitioner shall pay % and Respondent shall pay orthodontia expense incurred on behalf of the minor child/ren. 13-13986-360 Rev. 9/94 Page 2 of 7 % of any unreimbursed medical, dental, and DISTRIBUTION: White - File Pink - Respondent Green - System Goldenrod - FSPD Canary - Petitioner 2000 (C) American LegalNet, Inc. STIPULATION FOR JUDGMENT (MUST BE PRINTED WITH BLACK BALLPOINT PEN OR TYPED - PRESS HARD, YOU’RE MAKING FOUR COPIES) Case No. Title Date Dept. ACIS No. As additional support for the minor child/ren, the insurance policies naming the child/ren as the irrevocable beneficiaries until each child reaches majority, dies, marries, becomes self-supporting or until further order of court, whichever first occurs: 5. SPOUSAL SUPPORT The Court reserves jurisdiction over spousal support for the benefit of until . The is ordered to pay to the of $ per week/month for SPOUSAL SUPPORT, payable for his/her support the sum on the and days of each month, commencing on the and continuing until . knowingly and intelligently waives SPOUSAL SUPPORT. The Special Orders re SPOUSAL SUPPORT: Support payments ordered paid by wage assignment. 6. COLLECTION OF SUPPORT PAYMENTS All support payments are ordered to be paid through the San Bernardino County Family Support Payments, 175 West Fifth Street, Third Floor, San Bernardino, CA 92415-0499, together with the service fee. The District Attorney is ordered to enforce the support order. The following information is required for the use of the Family Support Payment Division of the District Attorney's Office. Name of Payee Address Name of Payor Address Payor's Social Security No. 13-13986-360 Rev. 9/94 Page 3 of 7 Payor’s D.O.B. DISTRIBUTION: White - File Pink - Respondent Green - System Goldenrod - FSPD Canary - Petitioner 2000 (C) American LegalNet, Inc. STIPULATION FOR JUDGMENT (MUST BE PRINTED WITH BLACK BALLPOINT PEN OR TYPED - PRESS HARD, YOU’RE MAKING FOUR COPIES) Case No. Date 7. Title Dept. ACIS No. DIVISION OF COMMUNITY PROPERTY The Petitioner shall be awarded as his/her sole and separate property: The Respondent shall be awarded as his/her sole and separate property: 13-13986-360 Rev. 9/94 Page 4 of 7 DISTRIBUTION: White - File Pink - Respondent Green - System Goldenrod - FSPD Canary - Petitioner 2000 (C) American LegalNet, Inc. STIPULATION FOR JUDGMENT (MUST BE PRINTED WITH BLACK BALLPOINT PEN OR TYPED - PRESS HARD, YOU'RE MAKING FOUR COPIES) Case No. Date 8. Title ACIS No. Dept. DIVISION OF COMMUNITY OBLIGATIONS The shall pay the following community obligations and hold the free and harmless therefrom: The free and harmless therefrom: 13-13986-360 Rev. 9/94 Page 5 of 7 shall pay the following community obligations and hold the DISTRIBUTION: White - File Pink - Respondent Green - System Goldenrod - FSPD Canary - Petitioner 2000 (C) American LegalNet, Inc. STIPULATION FOR JUDGMENT (MUST BE PRINTED WITH BLACK BALLPOINT PEN OR TYPED - PRESS HARD, YOU’RE MAKING FOUR COPIES) Date 9. Title Case No. ACIS No. Dept. ATTORNEY’S FEES, LITIGATION EXPENSES AND COURT COSTS counsel as attorney’s The shall pay directly to fees, expenses of litigation and court costs the sum of $ , payable in installments of per payable on the and days of each month $ commencing and continuing until paid in full. If any installment payments are not paid when due, the entire unpaid balance will become immediately due and payable and shall bear interest at the legal rate from the date of default. Each of the parties shall pay his/her own attorney’s fees, expenses of litigation and court costs, excepting those previously ordered. 10. OTHER ORDERS Petitioner/Respondent is enjoined and restrained from: Contacting, molesting, attacking, striking, threatening, sexually assaulting, battering, telephoning, or otherwise disturbing the peace of the other party. and the following family or household members: Exceptions is ordered to STAY AWAY at least ’s residence and yards from: place of work and the children's school. Other Exceptions Personal conduct restraints shall expire . Upon entry of the final decree in this case, the former name of shall be restored her Each of the parties shall execute forthwith all of the documents necessary to carry out the terms of this agreement. Counsel for shall prepare the Judgment of Dissolution and submit same to opposing counsel for approval as to form and content before presenting same to court for signature. Parties waive Statement of Decision and any right to appeal. 13-13986-360 Rev. 9/94 Page 6 of 7 DISTRIBUTION: White - File Pink - Respondent Green - System Goldenrod - FSPD Canary - Petitioner 2000 (C) American LegalNet, Inc. STIPULATION FOR JUDGMENT (MUST BE PRINTED WITH BLACK BALLPOINT PEN OR TYPED - PRESS HARD, YOU’RE MAKING FOUR COPIES) Case No. Date Title Dept. ACIS No. This stipulation shall be deemed incorporated in and made a part of the minute order by reference thereto, and as though the same were fully set forth therein. Dated Attorney for Petitioner Petitioner Attorney for Respondent Respondent IT IS SO ORDERED THIS day of . , 19 Judge of the Superior Court 13-13986-360 Rev. 9/94 Page 7 of 7 Distribution: White - File Pink - Respondent Green - System Goldenrod - FSPD Canary - Petitioner 2000 (C) American LegalNet, Inc.