ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number, and Address): FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF SONOMA STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OTHER: 3055 CLEVELAND AVENUE 3055 CLEVELAND AVENUE SANTA ROSA, CA 95403 CIVIL AND FAMILY LAW COURTHOUSE STIPULATION AND ORDER CASE NUMBER: 1. The parties agree to the following: a. Child Custody and Visitation: b. Child Support: c. Spousal, partner, or family support: d. Property orders: e. Attorney's Fees: f. Other orders: As attached on form FL-341 Not Applicable As attached on form FL-342 Not Applicable As attached on form FL-343 Not Applicable As attached on form FL-344 Not Applicable As attached As attached Not Applicable Not Applicable 2. All other issues are reserved until further order of the court. 3. All orders previously made in this action remain in full force and effect except as specifically modified herein. Date: __________________________________________ (TYPE OR PRINT NAME) _____________________________________________ SIGNATURE OF PETITIONER/PLAINTIFF Date: ___________________________________________ (TYPE OR PRINT NAME) _____________________________________________ SIGNATURE OF ATTORNEY FOR PETITIONER/PLAINTIFF Date: ___________________________________________ (TYPE OR PRINT NAME) _____________________________________________ SIGNATURE OF RESPONDENT/DEFENDANT Date: ___________________________________________ (TYPE OR PRINT NAME) _____________________________________________ SIGNATURE OF ATTORNEY FOR RESPONDENT/DEFENDANT Date: ___________________________________________ (TYPE OR PRINT NAME) _____________________________________________ SIGNATURE OF OTHER Date: ___________________________________________ (TYPE OR PRINT NAME) _____________________________________________ SIGNATURE OF ATTORNEY FOR OTHER IT IS SO ORDERED. Date: Local Form FL014 Form Adopted for Mandatory Use (Rev. 7/11) _____________________________________________ JUDICIAL OFFICER Stipulation and Order Page 1 of ________ American LegalNet, Inc. www.FormsWorkFlow.com