Name, Address, Phone # & State Bar # of Attorney or Party without Attorney FOR COURT USE ONLY Attorney for: SUPERIOR COURT OF CALIFORNIA COUNTY OF YOLO 725 Court Street, #103 Woodland California 95695 530/406-6704 Petitioner: Case Number: Respondent: STIPULATION AND ORDER ON ORDER TO SHOW CAUSE/NOTICE OF MOTION Petitioner ? not ? present by/with Attorney: ________________________________ Respondent ? not ? present by/with Attorney: ________________________________ THE PARTIES HEREBY STIPULATE AND AGREE that as to the items checked below the court shall make the following orders: ? Temporary order pending trial or further order of the court. ? Order modifying existing order and/or judgment. ? 1. Legal Custody: ? The parties shall have joint legal custody of the minor child(ren). ? Mother ? Father shall have legal custody of the minor child(ren). ? 2. Physical Custody ? The parties shall joint physical custody of the minor child(ren). ? Mother ? Father shall have primary physical custody of the minor child(ren), and the ? Mother ? Father shall have secondary physical custody of the minor child(ren). ? 3. Parenting time with the child(ren) for each of the parents shall include: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ (Additional parenting time schedules noted in Item 8 and included herein) YOCV 0210 (Rev. 10/01/04) Page 1 of 3 Stipulation and Order on OSC/Notice of Motion (Family Law) American LegalNet, Inc. www.USCourtForms.com ? 4. CHILD SUPPORT: Any present medical coverage for a party and/or minor child(ren) shall be maintained in effect and ? Mother ? Father shall pay to the primary physical custody parent as and for support of the minor child(ren) the sum of $__________ per month per child, payable on the _________ day of each month commencing ________________________. ? 5. SPOUSAL SUPPORT: ? Petitioner ? Respondent shall pay spousal support of $____________ per month, payable on the _______ of each month commencing on ________________ to continue until death of receipient or further order of the Court. ? 6. ATTORNEY FEES: ? Petitioner ? Respondent shall pay to the Attorney for the other party $_____________________ fees and $____________ costs, payable ? forthwith ? within a reasonable time; $_____________ per month on the _____ of each month commencing _________________. ? 7. MUTUAL RESTRAINING ORDERS: Both parties are enjoined and restrained from: ? 7a. Transferring, selling, hypothecating, encumbering, concealing, or in any way disposing of any property, whether community, quasi-community, or separate, except in the usual course of business or for the necessities of life. ? 7b. Harassing, molesting, annoying or assaulting the other and from contacting the other at their residence of place of employment except regarding the exercise of parenting time or in any emergency. ? 7c. Removing the minor child(ren) from __________________________ except on order of the court or with prior written consent of the other party. ? 7d. Making derogatory remarks to or about the other in the presence of the minor child(ren). ? 8. OTHER ORDERS: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ? 9. The matter is referred to Mediation, ___________________________________ Mediator, to be heard again by the court on _________________________________ ? 10. The matter is referred to the Probation Department for an investigation and report on Parenting Plan recommendation, to be filed no later than 90 days from: _____________. Short Cause trial on the Parenting Plan is set for ___________ or as soon thereafter as is available. YOCV 0210 (Rev. 10/01/04) Page 2 of 3 Stipulation and Order on OSC/Notice of Motion (Family Law) American LegalNet, Inc. www.USCourtForms.com All other issues reserved for trial. SIGNATURE OF PARTIES We have read the entire foregoing stipulation. We understand it fully and agree. We request the court make our stipulation the court’s order. We understand that willful failure to comply with the provisions of this order will be a contempt of court and may be punished by a fine up to $1,000 and/or up to five days in the County jail for each contempt imprisonment. ________________________________ Petitioner signature ______________________________ Respondent signature ________________________________ Attorney for Petitioner signature ______________________________ Attorney for Respondent signature IT IS SO ORDERED. Date:_________________ ___________________________________ SUPERIOR COURT JUDGE (Items _______________ agreed in mediation) _______________________________________ Mediator Signature YOCV 0210 (Rev. 10/01/04) Page 3 of 3 Stipulation and Order on OSC/Notice of Motion (Family Law) American LegalNet, Inc. www.USCourtForms.com