Fill and Sign the California Application Form

Form Adopted by Rule 1297.90 Judicial Council of California 1297.90 [Rev. January 1, 1990] APPLICATION FOR NOTICE OF SUPPORT ARREARAGE (Support Arrearage) Code of Civil Procedure section 708.730(d Electronic form (c) 1997-98 www.lawca.comATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) : TELEPHONE NO.: ––––– ––––– ––––– ––––– ––––– ATTORNEY FOR JUDGMENT CREDITOR FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF ––––– STREET ADDRESS: ––––– MAILING ADDRESS: ––––– CITY AND ZIP CODE: ––––– BRANCH NAME: ––––– Form Adopted by Rule 1297.90 Judicial Council of California 1297.90 [Rev. January 1, 1990] APPLICATION FOR NOTICE OF SUPPORT ARREARAGE (Support Arrearage) Code of Civil Procedure section 708.730(d Electronic Form Copyright ( c) 1995-97 Fresno LaserGraphics, Inc.)PETITIONER/PLAINTIFF: ––––– ––––– RESPONDENT/DEFENDANT: ––––– APPLICATION FOR NOTICE OF SUPPORT ARREARAGE CASE NUMBER: ––––– NOTE: Instead of using these forms, you may ask the district attorney to collect your support arrearages through the tax intercept program. 1. Judgment creditor (name) : ––––– applies for issuance of a Notice of Support Arrearage . 2. Attached to this application is an Abstract of Support Judgment OR certified copy of the judgment or order for support 3. The judgment or order requires payment of child support as follows: Form Adopted by Rule 1297.90 Judicial Council of California 1297.90 [Rev. January 1, 1990] APPLICATION FOR NOTICE OF SUPPORT ARREARAGE (Support Arrearage) Code of Civil Procedure section 708.730(d Electronic Form Copyright ( c) 1995-97 Fresno LaserGraphics, Inc.)Name of child Amount payable Date payable ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– 4. The judgment or order requires payment of spousal or family support as follows: Amount payable Date payable ––––– ––––– ––––– ––––– 5. The child support arrearage delinquent more than 30 days is computed as follows (state each month separately) : Date due Amount ordered Amount paid = Amount due Applicable interest ––––– ––––– ––––– = ––––– ––––– ––––– ––––– ––––– = ––––– ––––– Form Adopted by Rule 1297.90 Judicial Council of California 1297.90 [Rev. January 1, 1990] APPLICATION FOR NOTICE OF SUPPORT ARREARAGE (Support Arrearage) Code of Civil Procedure section 708.730(d Electronic Form Copyright ( c) 1995-97 Fresno LaserGraphics, Inc.)––––– ––––– ––––– = ––––– ––––– ––––– ––––– ––––– = ––––– ––––– 6. 6. The spousal or family support arrearage Date due Amount ordered Amount paid = Amount due Applicable interest ––––– ––––– ––––– = ––––– ––––– ––––– ––––– ––––– = ––––– ––––– ––––– ––––– ––––– = ––––– ––––– ––––– ––––– ––––– = ––––– ––––– Check this box and use an additional sheet if more space is required. 7. 7. The exact amount now required to satisfy the judgment or order is: $ = ––––– Form Adopted by Rule 1297.90 Judicial Council of California 1297.90 [Rev. January 1, 1990] APPLICATION FOR NOTICE OF SUPPORT ARREARAGE (Support Arrearage) Code of Civil Procedure section 708.730(d Electronic Form Copyright ( c) 1995-97 Fresno LaserGraphics, Inc.)8. No child receives or received Aid to Families with Dependent Children (AFDC) during the period computed above. There is no assignment to a government agency of any child's right to support. I certify on information and belief there is no action pending by a district attorney to enforce any child's right to support. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: ––––– ––––– 4 (TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT) See reverse for important instructions 1297.91 [Rev. January 1, 1990] PROOF OF SERVICE OF APPLICATION (Support Arrearage) Electronic form (c) 1997-98 www.lawca.comPETITIONER/PLAINTIFF: ––––– RESPONDENT/DEFENDANT: ––––– CASE NUMBER: ––––– INSTRUCTIONS 1. Complete the application on the reverse. 2. Serve copies of the completed application and the Abstract of Support Judgment or a certified copy of the judgment or order on the district attorney of the county where the judgment is entered AND the judgment debtor at his or her last known address. Service of the papers may be made by (a) personal delivery OR (b) mailing the papers by certified mail, return receipt requested, postage prepaid, to the last known address of the other party. Anyone at least 18 years of age EXCEPT A PARTY may personally serve or mail the papers. Be sure whoever serves the papers fills out and signs the proof of service below. 3. File the original application with the Abstract of Support Judgment or certified copy of the judgment or order with the court and keep three copies of each because you will need them later. 1297.91 [Rev. January 1, 1990] PROOF OF SERVICE OF APPLICATION (Support Arrearage) Electronic form (c) 1997-98 www.lawca.comPROOF OF SERVICE OF APPLICATION 4. At the time of service I was at least 18 years of age and not a party to this legal proceeding. 5. I served copies of the Application for Notice of Support Arrearage and Abstract of Support Judgment certified copy of the judgment or order in the manner shown below. 6. Manner of service on DISTRICT ATTORNEY a. Personal service. I personally delivered these papers to the district attorney as follows: (1) District attorney (name) : ––––– (2) Address where served: ––––– ––––– (3) Date delivered: ––––– (4) Time delivered: ––––– 1297.91 [Rev. January 1, 1990] PROOF OF SERVICE OF APPLICATION (Support Arrearage) Electronic form (c) 1997-98 www.lawca.comb. Certified mail, return receipt requested. I deposited these papers with the United States Postal Service, in a sealed envelope with postage fully prepaid. I am a resident of or employed in the county where the notice was mailed. I used certified mail and requested a return receipt. The envelope was addressed and mailed as follows: (1) District attorney (name) : ––––– (2) Address on envelope: ––––– ––––– (3) Date delivered: ––––– (4) Place of mailing (city, state) : ––––– I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: ––––– ––––– 4 (TYPE OR PRINT NAME) (SIGNATURE OF PERSON WHO SERVED THE NOTICE) 1297.91 [Rev. January 1, 1990] PROOF OF SERVICE OF APPLICATION (Support Arrearage) Electronic form (c) 1997-98 www.lawca.com7. Manner of service on the JUDGMENT DEBTOR a. Personal service. I personally delivered these papers as follows: (1) Address where served: ––––– ––––– (3) Date delivered: ––––– (4) Time delivered: ––––– b. Certified mail, return receipt requested. I deposited these papers with the United States Postal Service, in a sealed envelope with postage fully prepaid. I am a resident of or employed in the county where the notice was mailed. I used certified mail and requested a return receipt. The envelope was addressed and mailed as follows: (1) Judgment debtor (name) : ––––– (2) Address on envelope: ––––– ––––– (3) Date delivered: ––––– (4) Place of mailing (city, state) : ––––– 1297.91 [Rev. January 1, 1990] PROOF OF SERVICE OF APPLICATION (Support Arrearage) Electronic form (c) 1997-98 www.lawca.com I declare under penalty of perjury under the laws of the State of California that the foregoing items 4, 5, and 7 are true and correct. Date: ––––– ––––– 4 (TYPE OR PRINT NAME) (SIGNATURE OF PERSON WHO SERVED THE NOTICE) 8. Residence or business address and telephone number of the person who served the application a. on the district attorney (specify) : ––––– ––––– b. on the judgment debtor (specify) : ––––– –––––