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Fill and Sign the Declaration Modification Form

Fill and Sign the Declaration Modification Form

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FL-392 ATTORNEY OR PARTY WITHOUT ATTORNEY OR GOVERNMENTAL AGENCY TELEPHONE AND FAX NOS.: (under Family Code, §§17400, 17406) (Name, state bar number, and address): ––––– ––––– ––––– ––––– ––––– ––––– FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF ––––– STREET ADDRESS: ––––– MAILING ADDRESS: ––––– CITY AND ZIP CODE: ––––– BRANCH NAME: ––––– PETITIONER/PLAINTIFF: ––––– ––––– RESPONDENT/DEFENDANT: ––––– ––––– OTHER PARENT: ––––– RESPONSIVE DECLARATION TO MOTION FOR SIMPLIFIED MODIFICATION OF ORDER FOR CHILD, SPOUSAL, OR FAMILY SUPPORT HEARING DATE: TIME: DEPT., ROOM, OR DIVISION: ––––– ––––– ––––– CASE NUMBER: ––––– 1. I consent to the request contained in the Notice of Motion and Motion for Simplified Modification of Order of Order for Child, Spousal, or Family Support (form FL-390). 2. I object to the request contained in the Notice of Motion and Motion for Simplified Modification of Order for Child, Spousal, or Family Support (form FL-390).for the following reasons ( check one or more ) a. My income is incorrectly stated. b. The other parent's income is incorrectly stated. c. I am entitled to the hardship deductions as shown in my attached Financial Statement (Simplified) (form 1285.52) or my Income and Expense Declaration (form 1285.50). d. The other parent is not entitled to hardship deductions as claimed. e. The amount of support is not computed correctly. f. OTHER ( specify ): ––––– ––––– ––––– ––––– ––––– 3. I have attached the following: a. A completed copy of my Financial Statement (Simplified) (form 1285.52) or my Income and Expense Declaration (form 1285.50). b. A guideline support calculation sheet. c. OTHER (specify): ––––– ––––– ––––– ––––– NOTICE TO BOTH PARENTS You must bring copies of your three most recent pay stubs and your two most recent federal and state tax returns (whether individual or joint) to the hearing. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: ––––– ––––– (TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT) page 1 of 2 Form Adopted by for Manditory Use Judicial Council of California [Rev. January 1, 2003 RESPONSIVE DECLARATION TO MOTION FOR SIMPLIFIED MODIFICATION OF ORDER FOR CHILD, SPOUSAL, OR FAMILY SUPPORT Family Code § 3680electronic form ã 2002 WWW.LawCA.com Law Publishers PETITIONER/PLAINTIFF: ––––– RESPONDENT/DEFENDANT: ––––– OTHER PARENT: ––––– CASE NUMBER: ––––– = PROOF OF SERVICE The Responsive Declaration must be served on the other party. If the action was brought by the district attorney, the district attorney is enforcing the order, or the children are receiving AFDC (or TANF), the Responsive Declaration must also be served on the district attorney of the county where the action is filed. Service of the Responsive Declaration on the district attorney and other party may be made by anyone at least 18 years EXCEPT you. Service is made in one of the following ways: (1) Personally delivering it to the office of the district attorney and to the other party. OR (2) Mailing it, postage prepaid, to the office of the district attorney, and to the other party. Anyone at least 18 years of age EXCEPT A PARTY in this action may personally serve or mail the Responsive Declaration . Be sure whoever served the motion fills out and signs this proof of service. The Responsive Declaration cannot be filed with the court until the district attorney and the other party are served and this proof of service is properly completed. 1. At the time of service I was at least 18 years of age and not a party to the legal action. 2. I served a copy of the foregoing Responsive Declaration as follows (check either a. or b. below for each person served) : a. Personal service . I personally delivered a copy of the Responsive Declaration and all attachments as follows: (1) Name of party or attorney served: (2) Name of district attorney's office served ––––– ––––– ––––– ––––– ––––– ––––– (a) Address where delivered: (a) Address where delivered: ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– (b) Date of delivery: ––––– (b) Date of delivery: ––––– (c) Time of delivery: ––––– (c) Time of delivery: ––––– b. Mail . I deposited a copy of the Responsive Declaration n the United States mail, in a sealed envelope with postage fully prepaid, addressed as follows: (1) Name of party or attorney served: (2) Name of district attorney's office ––––– ––––– ––––– ––––– (a) Address (a) Address ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– (b) Date of delivery: ––––– (b) Date of delivery: ––––– (c) Time of delivery: ––––– (c) Time of delivery: ––––– I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: ––––– ––––– (TYPE OR PRINT NAME) (SIGNATURE OF PERSON WHO SERVED RESPONSIVE DECLARATION) FL-392 [New January 1, 2003[ RESPONSIVE DECLARATION TO MOTION FOR SIMPLIFIED MODIFICATION OF ORDER FOR CHILD, SPOUSAL, OR FAMILY SUPPORT page 2 of 2 electronic form ã 2002 WWW.LawCA.com Law Publishers

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