Form Adopted for Mandatory Use Santa Barbara Superior Court SC-4029 [ New Januar y 2019 ] FINANCIAL DOCUMENT EXCHANGE COMPLIANCE DECLARATION (Self Employed/Business Owner Party) Page 1 ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS): TELEPHONE NO.: SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA BARBARA Santa Barbara226Anacapa 1100 Anacapa Street Santa Barbara, CA 93101 Santa Maria-Cook 312-C East Cook Street Santa Maria, CA 93454 Lompoc Division PETITIONER: RESPONDENT: FINANCIAL DOCUMENT EXCHANGE COMPLIANCE DECLARATION (Self Employed/Business Owner Party) CASE NUMBER: *If you have no self-employment income or business ownership you may be able use form SC-4028 for wage A case management conference, family centered case resolution conference, status conference, trial setting conference, or other Court Conference that is scheduled for (date) at (time). A request for order, order to show cause, or other Motion that will be or has been filed by I previously filed form SC-4029 on (date) and all information on that form is complete and current as of the date stated below. (If you check this box, skip to the end of this form, fill in your name and the date, and sign this form.) (b) I have good cause not to complete this form at all and request to be excused from complying with Local Rule 1419 because or All tax returns for the two prior years were served on the date stated in item 3. All tax returns for the two prior years were served on the date stated in item 3, except tax returns for tax served as part of a previous Local Rule 1419 document exchange on (date) served as an attachment to an Income and Expense Declaration (Form FL-150) served on (date) served with a Declaration of Disclosure (Form FL-140) served on (date) received from the other party see attachment 4. American LegalNet, Inc. www.FormsWorkFlow.com Form Adopted for Mandatory Use Santa Barbara Superior Court SC-4029 [ New Januar y 2019 ] FINANCIAL DOCUMENT EXCHANGE COMPLIANCE DECLARATION (Self Employed/Business Owner Party) Page 2 Insert Case Name: CASE NUMBER: 5. Personal bank account statements and corresponding check registers for all accounts for the prior 12 months: (check and complete all that apply) All bank account statements and check registers for all accounts for the prior 12 months were served on the date stated in item 3. All bank account statements and check registers for all accounts for the prior 12 months were served on the date stated in item 3, except (list each document by type and dates or state 223all224) which were not served because these documents were: served as part of a previous Local Rule 1419 document exchange on (date) served as an attachment to an Income and Expense Declaration (Form FL-150) served on (date) served with a Declaration of Disclosure (Form FL-140) served on (date) received from the other party (explain other reason) see attachment 5. 6. Pay stubs for the last 2 months: (check and complete all that apply) All pay stubs for the last 2 months were served on the date stated in item 3. All pay stubs for the last 2 months were served on the date stated in item 3, except (list dates or state 223all224) which were not served because these documents were: served as part of a previous Local Rule 1419 document exchange on (date) served as an attachment to an Income and Expense Declaration (Form FL-150) served on (date) served with a Declaration of Disclosure (Form FL-140) served on (date) received from the other party (explain other reason) see attachment 6. 7. IRS W-2 and 1099 forms not attached to federal tax returns for the prior year: (check and complete all that apply) There are no IRS W-2 and 1099 forms that were not attached to federal tax returns. All IRS W-2 and 1099 forms that were not attached to federal tax returns forms for tax were served on the date stated in item 3. All IRS W-2 and 1099 forms that were not attached to federal tax returns forms for tax were served on the date stated in item 3, except (list form number and tax years from tax forms) were not served because these tax forms were: served as part of a previous Local Rule 1419 document exchange on (date) served as an attachment to an Income and Expense Declaration (Form FL-150) served on (date) served with a Declaration of Disclosure (Form FL-140) served on (date) received from the other party (explain other reason) see attachment 7. Business Financial Documents 8. During the previous two years (check all that apply): (a) I am, or was, self-employed. (b) I am, or was, the beneficial owner of thirty percent (30%) or more of a business entity. (c) If either box 8(a) or 8(b) is checked, identify each self-employed business or business entity: (d) I was not and am not now either self-employed or a beneficial owner of thirty percent (30%) or more of any business entity. If this box is checked, do not complete items 9, 10, or 11. American LegalNet, Inc. www.FormsWorkFlow.com Form Adopted for Mandatory Use Santa Barbara Superior Court SC-4029 [ New Januar y 2019 ] FINANCIAL DOCUMENT EXCHANGE COMPLIANCE DECLARATION (Self Employed/Business Owner Party) Page 3 Insert Case Name: CASE NUMBER: 9. Periodic profit and loss statements and balance sheets prepared in the ordinary course of business for the prior 12 months: (for each business identified in item 8(c), check and complete all that apply, using additional copies of this page as necessary) (a) Periodic profit and loss statements and balance sheets have been prepared for (name of business) for each of the following time periods: (list each by type of statement, time period covered, and year) (b) All periodic profit and loss statements and balance sheets for the business identified in item 8(c) were served on the date stated in item 3. (c) All periodic profit and loss statements and balance sheets for the business identified in item 8(c) were served on the date stated in item 3, except (list by type of statement, time period covered, and year) which were not served because these documents were: served as part of a previous Local Rule 1419 document exchange on (date) served as an attachment to an Income and Expense Declaration (Form FL-150) served on (date) served with a Declaration of Disclosure (Form FL-140) served on (date) received from the other party (explain other reason) see attachment 9. 10. Loan applications submitted to financial institutions or third persons for the prior 12 months: (check and complete all that apply) Within the prior 12 month, no loan applications were submitted to a financial institution or to another person on my behalf or on behalf of a business identified in item 8(c). Within the prior 12 month, one or more loan applications were submitted to a financial institution or to a another person on my behalf or on behalf of a business identified in item 8(c) and All such loan applications were served on the date stated in item 3. All such loan applications were served on the date stated in item 3, except (list each loan application by name of applicant, date of application, and institution or person to whom submitted or state 223all224) which were not served because these applications were: served as part of a previous Local Rule 1419 document exchange on (date) served as an attachment to an Income and Expense Declaration (Form FL-150) served on (date) served with a Declaration of Disclosure (Form FL-140) served on (date) received from the other party (explain other reason) see attachment 10. 11. Business books and records. (check all that apply) Subject to further control by the court, I agree to serve copies of the books and records of the businesses identified in item 8(c) as requested by the other party in this proceeding upon five (5) days222 written notice. Subject to further control by the court, I agree to permit inspection of the books and records of the businesses identified in item 8(c), during regular business hours, by the other party in this proceeding or by that party222s attorney upon five (5) days222 written notice. I am unable to agree to serve or to permit inspection of business books and records or my agreement to serve or to permit inspection of business books and records is qu