SUPERIOR COURT OF CALIFORNIA COUNTY OF YUBA 215 FIFTH STREET, SUITE 200 MARYSVILLE, CA 95901 (530) 749-7600 FOR COURT USE ONLY In the Matter of: _______________________________________________ Petitioner and _______________________________________________ Respondent FAMILY LAW STIPULATION AND ORDER Petitioner Respondent Claimant present present present not present not present not present present represented by Attorney: represented by Attorney: represented by Attorney: CASE NUMBER: Minor's Counsel not present THE PARTIES HEREBY STIPULATE AND AGREE as follows: 1. CHILD CUSTODY: This Court has jurisdiction to make child custody orders under the Uniform Child Custody Jurisdiction and Enforcement Act (California Family Code § 3400, et. seq.) The responding party was given notice and an opportunity to be heard as provided by the laws of the State of California. The country of habitual residence of the child(ren) is the United States of America or other: (Family Code § 3048.) The parties agree to the following custody arrangement: Legal custody: Physical custody: follows: joint joint sole to sole to petitioner petitioner respondent. respondent. is set as Parenting Time/Visitation is set forth in the Mediated Agreement which is attached hereto; Absent written agreement, a parent intending to change the residence of a child for more than 30 days will provide the other parent at least 45 days advance notice of the proposed change in residence. Neither party shall remove a child from the State of California for purposes of changing a child's residence without written agreement from the other party or court order. Both parties shall file with the Court, and serve on the other party within 10 days, an appropriate pleading advising of any changes in income, place of residence, and/or change in employment, including the new address and phone number. Yuba County Superior Court Adopted 3/12/07 Family Law Stipulation and Order FL07060 Page 1 of __ American LegalNet, Inc. www.FormsWorkflow.com Matter of: _______________________________ and __________________________________ CASE NUMBER: 2. CHILD SUPPORT: Petitioner Respondent will pay to the other party a total of $ per month as and for the support of the minor child(ren), allocated as follows: Name of Child Age Support Amount beginning on (date) , and payable on the day of each month by wage assignment and payable directly to the other party until wage assignment is effective. All child support payments shall continue until further order of the Court, or until the child marries, dies, is emancipated, reaches age 19, or reaches age 18 and is not a full-time high school student, whichever occurs first. The parties acknowledge that they are fully informed of their rights concerning child support, including the right to have child support awarded in accordance with legislatively determined guidelines. The parties declare that (i) this order is being agreed to without coercion or duress; (ii) the agreement is in the best interests of the child(ren) involved and (iii) the needs of the child(ren) will be adequately met by the stipulated amount. The right to support has not been assigned to a county pursuant to Welfare and Institutions Code §11477 and no public assistance application is pending. Computerized guideline support calculation attached. If a child support payment is made to the local child support agency (Yuba County Department of Child Support Services hereinafter "DCSS"), the parties also shall notify DCSS and the other parent of any change in the name and address of his or her current employer (Family Code § 4014.) Petitioner Respondent Both parents will maintain for the benefit of the minor child(ren) health care coverage available at reasonable cost through employment. The parties will pay equally all non-covered medical, dental, vision, and the following (check applicable boxes): prescription, orthodontic, mental health care charges reasonably incurred on behalf of the minor child(ren). As additional child support, the parties will pay costs of day care incurred to permit employment or reasonably necessary job training as follows: Petitioner must pay: % of total or $ per month child care costs. Respondent must pay: % of total or $ per month child care costs. The current cost is: $ . Costs to be paid as follows: payment made directly to provider; payment made through a wage and assignment order; payment made directly to petitioner respondent. Yuba County Superior Court Adopted 3/12/07 Family Law Stipulation and Order Page __ of __ American LegalNet, Inc. www.FormsWorkflow.com Matter of: _______________________________ and __________________________________ CASE NUMBER: 3. SPOUSAL/PARTNER SUPPORT: month payable on the day and one-half (½) on the payable by wage assignment. Petitioner Respondent will pay the other party $ payable one-half (½) on the per day of each month, (or day of each month) starting (date) This is a temporary spousal support order. Spousal/Partner Support is payable until the death of either party, the remarriage of the recipient, registration of new partnership, or further order of the Court. 4. ATTORNEY'S FEES AND COSTS. The parties agree that the other party and $ payable at the rate of $ the other party's attorney the sum of $ on account of costs, payable by (date) per month commencing (date) . petitioner respondent will pay to on account of attorney's fees The entire balance will become due if any payment is not made within ten days of the due date. 5. PROPERTY RESTRAINT. Each party is restrained from transferring, encumbering, hypothecating, concealing or in any way disposing of any property, real or personal, whether community, quasicommunity, or separate, except in the usual course of business or for the necessities of life. Each party is restrained from cashing, borrowing against, canceling, transferring, disposing of, or changing the beneficiaries of any insurance or other coverage (including life, health, automobile, and disability) held for the benefit of the parties or their minor child(ren). Neither party will incur any debts or liabilities on which the other may be held responsible, other than in the ordinary course of business or for the necessities of life. EXCLUSIVE USE OF PROPERTY. Petitioner Respondent will receive the exclusive temporary use and possession of the following described property subject to the following described conditions, if any: 6. 7. OTHER ORDERS OR STIPULATIONS: Yuba County Su