VN125 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) Telephone Number FOR COURT USE ONLY ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA 800 SOUTH VICTORIA AVE. VENTURA, CA 93009 PLAINTIFF/PETITIONER DEFENDANT/RESPONDENT PETITIONER'S / RESPONDENT'S STATEMENT OF AGREEMENT AND DISAGREEMENT 1. ORDERS RE: MINOR CHILDREN We have no minor children Regarding Custody, Visitation and Timeshare CASE NUMBER: We have a full agreement regarding custody, both legal and physical, visitation or timeshare. My understanding of that agreement is set forth on Attachment "A". We do not have an agreement regarding custody, both legal and physical, visitaion, or timeshare. My position regarding these issues is set forth on Attachment "A". Regarding Child Support We have a current order for child support and there has been no change of circumstances since that order was issued. We have a full agreement regarding child support. We do not have a full agreement regarding child support and I have attached a current Income and Expense Declaration. The Department of Child Support Services is involved in this case. 2. ORDERS RE: SPOUSAL OR PARTNER SUPPORT Neither party has requested spousal or partner support. We have a full agreement regarding spousal or partner support, as set forth on Attachment "B". We do not have a full agreement regarding spousal or partner support and I have attached a current Income and Expense Declaration and stated my position on Attachment "B". 3. ORDERS RE: DIVISION OF PROPERTY We have no property to divide. We have prepared a written agreement dividing all of our property. We have a full unwritten agreement regarding the division of property which is set forth on Attachment "C". We have no agreement regarding the division of property but my position is set forth on Attachment "C". Optional Form VN125 (Rev. 07/13) STATEMENT OF AGREEMENT AND DISAGREEMENT Page _____ of _____ American LegalNet, Inc. www.FormsWorkFlow.com VN125 4. ORDERS RE: DIVISION OF DEBTS We have no debts to divide. We have prepared a written agreement dividing all of our debts. We have a full unwritten agreement regarding the division of debts which is set forth on Attachment "D". We have no agreement regarding the division of debts but my position is set forth Attachment "D". 5. ORDERS RE: ATTORNEY FEES I have incurred no attorneys fees. We have a full agreement regarding the payment of attorney fees. We do not have an agreement regarding the payment of attorney fees. 6. OTHER ORDERS We have agreed that the following orders should be made in our case: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ We do not have an agreement on the following issues. I have listed the issues below along with my position: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Dated: _________________________ ___________________________________________ Petitioner / Respondent Optional Form VN125 (Rev. 07/13) STATEMENT OF AGREEMENT AND DISAGREEMENT Page _____ of _____ American LegalNet, Inc. www.FormsWorkFlow.com VN125 STATEMENT OF AGREEMENT AND DISAGREEMENT Attachment "A" Custody, Visitation, and Timeshare We have the following agreement regarding legal custody. We have no agreement and my position regarding legal custody is as follows: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ We have the following agreement regarding physical custody. We have no agreement and my position regarding physical custody is as follows: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ We have the following agreement regarding visitation / time share. We have no agreement and my position regarding visitation / time share is as follows: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____