Fill and Sign the California Domestic Partnership Form

––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– –– –– –– –– ––––– –– ––––– ––––– ––––– ––––– –– ––––– –– –– –– –– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– –– –– –– –– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– FL- 123 ATTORNEY 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: RESPONS E and REQUEST 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: 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 ge S ex Continued on Attachment 3b. c. If there are minor children of the petitioner and the respondent, a completed Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) (form FL-1 05) must be attached. 4. SEPARATE PROPERTY Respondent requests that the assets and debts listed in Property Declaration (form FL-1 60) 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-123 [New January 1, 2005] RESPONSE-DOMESTIC PARTNERSHIP (Family Law) Family Code, §§ 299, 2020elec troni c 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- 160) in Attachment 5b. below (specify): 6 . Respondent contends that there is not a valid domestic partnership or equivalent. 7 . Respondent denies the grounds set forth in item 6 of the petition. 8. Respondent 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 ) respondent's age at time of domestic partnership. (Fam. Code, § 2210(a).)b . legal separation of the domestic partners 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 ) 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).) 9. Respondent 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: FL- 311 FL- 312 FL-341 (C) FL-341 (D) FL-341 (E) Attachment 9c. 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 the petitioner. h . Property rights be determined. i . j . Respondent's former name be restored to (specify): Other (specify): Continued on Attachment 9j. 10. Child support -If there are minor children who were born to or adopted by the petitioner and the 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. 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 RESPONDENT) Dat e: (TYPE OR PRINT NAME) (SIGNATURE OF ATTORNEY FOR RESPONDENT) The original response must be filed in the court with proof of service of a copy on petitioner. FL-123 [New January 1, 2005] RESPONSE-DOMESTIC PARTNERSHIP (Family Law) Page 2 of 2el ectr onic form ã 2005 WWW.LawCA.co m L a w P u b l i s h e r s