SPOUSAL SUPPORT QUESTIONNAIRE Page 1 of 4 Form Adopted - Local Rules of the Superior Court of California, County of Tuolumne TUO-CV-225 (Revised March 1, 2017) TUO-CV-225 I, (insert name) , the [ ] petitioner or [ ] respondent, request spousal support commencing (date) , in an amount TO BE DETERMINED by the court based upon the following facts: EARNING CAPACITY/MARITAL STANDARD OF LIVING I have the following job skills: Job market for those skills: I am currently employed with (employer's name) , and have been since (date) . My position there is as a (position title) , earning $ per hour/week/month. I am currently unemployed. I am making the following attempts to seek employment: Peti ti oner or Respondent: Name: Address: City, State & Zip: Telephone: , Petitioner, and , Respondent. Case Number: SPOUSAL SUPPORT QUESTIONNAIRE (Complete if requesting a permanent spousal support order) Space below for use of Court Cler k only American LegalNet, Inc. www.FormsWorkFlow.com SPOUSAL SUPPORT QUESTIONNAIRE Page 2 of 4 Form Adopted - Local Rules of the Superior Court of California, County of Tuolumne TUO-CV-225 (Revised March 1, 2017) I have been unable to find employment that utilizes my marketable job skills for the following reasons (describe the possible need for retraining or education to get more marketable skills or employment, the time and expense to get education/training to develop skills, and if your earning ability was impaired by periods of unemployment during the marriage devoted to domestic duties): CONTRIBUTIONS TO SUPPORTING SPOUSE During the marriage I contributed to the education, training, career, or license of my spouse or partner as follows: ABILITY TO PAY/EARNING CAPACITY The other party has the ability to pay spousal support because (describe his or her current employment and earning capacity, all other sources of income other than employment, and current standard of living): NEEDS OF EACH PARTY/MARTIAL STANDARD OF LIVING During the marriage I was able to do the following, which I am currently unable to do without an order for spousal support (describe whether you were able to buy property, vehicles, or other assets; if you took vacations, had club memberships, etc.; and, if you were able to build a savings or incurred debt): American LegalNet, Inc. www.FormsWorkFlow.com SPOUSAL SUPPORT QUESTIONNAIRE Page 3 of 4 Form Adopted - Local Rules of the Superior Court of California, County of Tuolumne TUO-CV-225 (Revised March 1, 2017) OBLIGATIONS AND ASSETS I currently have the following assets and obligations: The other party has the following assets and obligations: DURATION OF MARRIAGE We were married on , and separated on , which is year(s) and month(s) of marriage. GAINFUL EMPLOYMENT/INTERESTS OF CHILDREN My ability to work will will not unduly interfere with the interests of the dependent child(ren) in my custody because: AGE AND HEALTH I am years old, and my health is as follows: The other party is years old, and his her health is as follows: American LegalNet, Inc. www.FormsWorkFlow.com SPOUSAL SUPPORT QUESTIONNAIRE Page 4 of 4 Form Adopted - Local Rules of the Superior Court of California, County of Tuolumne TUO-CV-225 (Revised March 1, 2017) HISTORY OF DOMESTIC VIOLENCE There is is not a history of domestic violence between me and the other party which has been documented by the following (describe any restraining orders, arrests, convictions and any emotional distress and consequences of such violence against you by the other party): TAX CONSEQUENCES I understand that any award of spousal support to me will be tax deductible to the other party and will be taxable to me. BALANCE OF HARDSHIPS I understand that the court will be considering the status of both parties based upon the information contained herein. GOAL OF BECOMING SELF-SUPPORTING I understand that it is the goal of the State of California that a supported party will be self-supporting within a "reasonable period of time" and except in a marriage of long duration (10 years or more, or as determined by the court), a "reasonable period of time" to be self-supporting may be one-half the length of the marriage (calculated from the date of marriage to the date of separation), or determined by the court. JUST AND EQUITABLE In considering this request, I ask the court to consider the following additional factors (describe any other factors you would like the court to know in making its order): DATED: (Signature) American LegalNet, Inc. www.FormsWorkFlow.com