ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address): TELEPHONE AND FAX NOS.: COURT USE ONLY ATTORNEY FOR (Name) : SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO FAMILY COURT, 1501 SIXTH, SAN DIEGO, CA 92101-1946 NORTH COUNTY BRANCH, 325 S. MELROSE, VISTA, CA 92083-6627 EAST COUNTY COURT, 250 E. MAIN, EL CAJON, CA 92020-3913 SOUTH BAY COURT, 500 THIRD, CHULA VISTA, CA 91910-5694 PETITIONER(S)/PLAINTIFF(S): Hearing Date ____________________________ RESPONDENT(S)/DEFENDANT(S): Time: ____________________ Dept ________ Judge __________________________________ STIPULATION AND ORDER ON ORDER TO SHOW CAUSE Petitioner/plaintiff present Respondent/defendant present Claimant present CASE NUMBER Attorney present (name): Attorney present (name): Attorney present (name): THE PARTIES STIPULATE AND AGREE TO THE ITEMS CHECKED BELOW AND THAT THE COURT SHALL MAKE THE FOLLOWING: Temporary order pending the trial of this action or further order of the Court Order of Modification 1A. LEGAL CUSTODY: Legal custody of the minor child(ren) is awarded 1B. PHYSICAL CUSTODY: Custody of the minor child(ren) is awarded to Husband Wife with right of reasonable visitation to the party not having custody. (Here list name and birthdate of each child.) _________________________________________________________________________________________________ _______________________________________________________________________________________ 1C SPECIFIC VISITATION: The child(ren) shall be picked up at, and returned to, their residence by the party having such visitation. The party having custody is required to have the child(ren) ready at the designated time, with appropriate clothing provided. However, if the party with visitation fails to appear within ______ hours of the designated time, such party is deemed to have relinquished visitation rights for the weekend. The child(ren) shall be fed before being returned and all clothing provided shall be returned with the child(ren). 2. CHILD SUPPORT : Husband Wife shall pay to Husband Wife for support of the minor child(ren) the sum of $__________________ per week month per child, for a total of $________________ per week month, payable as follows: _____________________________ commencing __________________________________. This stipulated amount is in compliance with Family Code Section 4050, et. seq., and particularly Section 4053. 3. Wage Assignment ordered under Section 5230 of the Family Code. Stipulation to waive service of wage assignment provided support duty is made. 4. Child support payments paid through District Attorney, Bureau of Child Support Enforcement, P O Box 2808, San Diego, CA 92112. 5. SPOUSAL SUPPORT: (a) Husband Wife shall pay to Husband Wife support of $_______________per week month payable as follows:_______________________________________________________ Commencing _________________. (b) Jurisdiction reserved until trial. PAYMENTS: (FC 2023 & 2620) Each party shall pay installments to the following creditors as they become due (itemize): (Husband) (Wife) 6. SUPCT D-36(Rev. 7-98) jointly to Husband STIPULATION AND ORDER ON ORDER TO SHOW CAUSE to Wife. Page one of two American LegalNet, Inc. www.FormsWorkflow.com CASE NUMBER 7. MEDICAL AND DENTAL: Husband Wife is ordered to maintain for the benefit of Husband Wife and minor children all medical, dental and hospital insurance available through employment and/or union affiliation, to pay the premiums, to maintain them as insureds and to cooperate in the presentation, collection and reimbursement of any claims under such policy. 8. ATTORNEY'S FEES: Husband Wife shall pay directly to attorney for Husband Wife $____________ contribution toward fees and $ _____________ costs (on account) payable in installments of $ ______________ on the _______________ of each month, until paid in full. 9. Husband Wife is awarded the exclusive use of the residence and furnishings located at ________________ ____________________________________________________________________________________________and of the____________________________________________________________________________________ ____________________________________________________________________________________________ 10. All other issues are reserved until time of trial/next hearing date. 11. STANDARD RESTRAINING ORDERS: (a) shall NOT contact, molest, attack, strike, threaten, sexually assault, batter, telephone, otherwise disturb the peace of the other party. Must stay at least 100 yards away from the other party's residence place of work other __________________ is restrained from transferring, selling, giving away, trading in, borrowing against, concealing, pledging as security or in any way disposing of any property, real or personal, whether community, quasi-community, or separate, except in the usual course of business or for the necessities of life. shall not contact the other at the residence or place of employment except regarding visitation or in an emergency. shall not incur any charges against the other's credit. shall not remove the minor child(ren) from __________________________________________________________, except on order of the Court or prior written consent of both parties. shall not make derogatory remarks to, or about, the other in the presence of the minor child(ren). THIS RESTRAINING ORDER EXPIRES _________________________. (b) (c) (d) (e) (f) (g) (h) Both parties Petitioner Respondent: Any person subject to restraining orders 11(a) and/or 11(b) is prohibited by Penal Code section 12021 from purchasing or receiving or attempting to purchase or receive a firearm. Such conduct may be punishable by a $1,000 fine, imprisonment up to one year, or both. Taking or concealing a child in violation of this order may be a felony and punishable by confinement in state prison, a fine, or both. Other violations of these orders may also be punishable by fines, imprisonment, or both. This order is effective when made. The law enforcement agency shall enforce it immediately upon receipt. It is enforceable anywhere in California by any law enforcement agency that has received the order, is shown a copy of it, or has verified its existence on the California Law Enforcement Telecommunications System. 12. 13. Counsel for Petitioner/Respondent to prepare a formal order. This Stipulation covers all matters in dispute in the Order to Show Cause. This Order, when signed by the Court, is the formal Order. No further documents are necessary. _______________________________________________ _______________________________________________ Printed name and signature of Attorney for Husband Printed name and signature of Attorney for Wife We have read the entire stipulation and agreement. We understand it fully and request the Court to make our stipulation and agreement the Court's order. We understand that willful failure to comply with the provisions of this Order shall be a contempt of Court and may be punished by fine and imprisonment. We waive all further notice of this Order. _______________________________________________ _______________________________________________ Printed name and signature of Husband Printed name and signature of Wife Ordered and Dated: ______________________________ SUPCT D-36(Rev. 7-98) _______________________________________________ Judge of the Superior Court STIPULATION AND ORDER ON ORDER TO SHOW CAUSE Page two of two