SUPCV 1103 ATTORNEY OR PARTY WITHOUT AN ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO: EMAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional) SUPERIOR COURT OF CALIFORNIA COUNTY OF SANTA CRUZ 1 Second Street, Room 300 Watsonville, CA 95076 Watsonville Branch PLAINTIFF/PETITIONER: vs. DEFENDANT/RESPONDENT: REQUEST AND ORDER FOR DEFAULT HEARING Family Law CASE NUMBER: 1. I am the Petitioner in the above entitled matter. The Petition was filed on _____________________________. 2. I have filed a request for default which was entered on ____________________________________________. 3. I seek a dissolution of marriage, but: a. Have community property to be divided and/or confirmed by the Court. b. __________________________________________________________. 4. The Respondent has not participated in this action. 5. I request the Court set a Default Hearing under Family Code §2336. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: __________________________________________ Print Name ________________________________________ Signature of Petitioner IT IS ORDERED: The Parties are required to appear at the following court hearing Date: Time: Dept: Date: Room: ________________________________________ Judicial Officer Clerk's Certificate of Mailing I certify that I am not a party to this cause and that a true copy of this Request and Order for Default Hearing was mailed first class, postage fully paid, in a sealed envelope addressed as shown below, and that is was mailed: From (place): ,California on (date): Date: Clerk, by _____________________________________, deputy Address of Petitioner Address of Respondent Form Adopted for OPTIONAL USE Superior Court of Santa Cruz County SUPCV 1103 Rev 01/24/18 REQUEST AND ORDER FOR DEFAULT HEARING Family Law Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com