Fill and Sign the 497298875 Form

––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– –– –– –– ––––– –– ––––– ––––– ––––– ––––– –– ––––– –– –– –– –– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– –– –– –– –– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– FL-1 03ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: FAX NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: DOMESTIC PARTNERSHIP OF PETITIONER: RESPONDEN T: PETITION FOR CASE NUMBER: Dissolution of Domestic Partnership Legal Separation of Domestic Partnership Nullity of Domestic Partnership AMENDE D 1. STATISTICAL FACTS a. Date of registration of domestic partnership or equivalent: b. Date of separation: c. Time from date of registration of domestic partnership to date of separation (specify) : Yea rs Mont hs 2. RESIDENCE (Partnerships established out of state only) a . Our domestic partnership was established in another state (specify state) : b . Petition er Respondent has been a resident of this state of California for at least six months and of this county for at least three months immediately preceding the filing of this Petition for Dissolution of Domestic Partnership . 3. DECLARATION REGARDING MINOR CHILDREN (include children of this relationship born prior to or during this domestic partnership or adopted during this domestic partnership) : a . There are no minor children. b . The minor children are: Child's name Birthdat e A,q e S ex Continued on Attachment 3b. c. If there are minor children of the petitioner and respondent, a completed Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) (form FL-105) must be attached. 4. SEPARATE PROPERTY Petitioner requests that the assets and debts listed in Property Declaration (form FL-160) in Attachment 4 below be confirmed as separate property. Ite m Confirm to NOTICE: You may redact (black out) social security numbers from any written material filed with the court in this case other than a form used to collect child or partner support. Page 1 of 2 Form Adopted for Mandatory Use Judicial Council of California FL-1 03 [New January 1, 2005] PETITION-DOMESTIC PARTNERSHIP (Family Law) Family Code, §§ 299, 2330; Cal. Rules of Court, rule 5.28el ectr onic form ã 2005 WWW.LawCA.co m L a w P u b l i s h e r s ––––– ––––– ––––– –– –– –– –– –– ––––– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– ––––– ––––– –– ––––– ––––– ––––– –––––DOMESTIC PARTNERSHIP OF (Last name, first name of each party): CASE NUMBER 5. DECLARATION REGARDING COMMUNITY AND QUASI-COMMUNITY ASSETS AND DEBTS AS CURRENTLY KNOWN a . There are no such assets or debts subject to disposition by the court in this proceeding. b . All such assets and debts are listed in Property Declaration (form FL-1 60) in Attachment 5b. below (specify): 6. Petitioner requests a . dissolution of the domestic partnership based on d . nullity of voidable domestic partnership based on ( 1 ) irreconcilable differences. (Fam. Code, § 2310(a).) incurable insanity. (Fam. Code, § 2310(b).) ( 1 )( 2 )b . legal separation of the domestic partnership based on ( 2 )( 1 ) irreconcilable differences. (Fam. Code, § 2310(a).) incurable insanity. (Fam. Code, § 2310(b).) ( 2 ) ( 3 )c . nullity of void domestic partnership based on ( 4 ) petitioner's age at time of registration of domestic partnership. (Fam. Code, § 2210(a).) prior existing marriage or domestic partnership. (Fam. Code, § 2210(b).) unsound mind. (Fam. Code, § 2210(c).) fraud. (Fam. Code, § 2210(d).) ( 1 ) incest. (Fam. Code, § 2200.) bigamy. (Fam. Code, § 2201.) ( 5 ) force. (Fam. Code, § 2210(e).) ( 2 ) ( 6 ) physical incapacity. (Fam. Code, § 2210(f).) 7. Petitioner requests that the court grant the above relief and make injunctive (including restraining) and other orders as follows: Petitioner Respondent Joint Other a. Legal custody of children to b. Physical custody of children to c. Child visitation granted to As requested in form: F L-31 1 FL- 312 FL-341 (C) FL-341 (D) FL-341 (E) Attachment 7c. d . Determination of parentage of any children born to the Petitioner and Respondent prior to the domestic partnership. e. Attorney fees and costs payable by f. Partner support payable to g . Terminate court's jurisdiction (ability) to award partner support to respondent. h . Property rights be determined. i . j . Petitioner's former name be restored to (specify): Other (specify): Continued on Attachment 7j. 8. Child support-If there are minor children who were born to or adopted by the petitioner and respondent before or during this domestic partnership, the court will make orders for the support of the children upon request and submission of financial forms by the requesting party. An earnings assignment may be issued without further notice. Any party required to pay support must pay interest on overdue amounts at the ''legal'' rate, which is currently 10 percent. 9. I HAVE READ THE RESTRAINING ORDERS ON THE BACK OF THE SUMMONS, AND I UNDERSTAND THAT THEY APPLY TO ME WHEN THIS PETITION IS FILED. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Dat e: (TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER) Dat e: (TYPE OR PRINT NAME) (SIGNATURE OF ATTORNEY FOR PETITIONER) NOTICE: Dissolution or legal separation may automatically cancel the rights of a domestic partner under the other domestic partner's will, trust, retirement plan, power of attorney, pay-on-death bank account, survivorship rights to any property owned in joint tenancy, and any other similar thing. It does not automatically cancel the right of a domestic partner as beneficiary of the other partner's life insurance policy. You should review these matters, as well as any credit cards, other credit accounts, insurance polices, retirement plans, and credit reports, to determine whether they should be changed or whether you should take any other actions. However, some changes may require the agreement of your partner or a court order (see Fam. Code, §§ 231-235). FL-103 [New January 1, 2005] PETITION-DOMESTIC PARTNERSHIP (Family Law) Page 2 of 2elec troni c form ã 2005 WWW.LawCA.co m L a w P u b l i s h e r s