Fill and Sign the Dissolution of Marriage Status Only Form

FL-190 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address): TELEPHONE NO.: FAX NO.: ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PETITIONER:RESPONDENT: FOR COURT USE ONLY NOTICE OF ENTRY OF JUDGMENT CASE NUMBER: You are notified that the following judgment was entered on (date):1. Dissolution of Marriage 2. Dissolution of Marriage — Status Only3. Dissolution of Marriage — Reserving Jurisdiction Over Termination of Marital Status4. Legal Separation5. Nullity 6. Parent-Child Relationship7. Judgment on Reserved Issues8. Other (specify): Date: Clerk, by_______________________________________, Deputy — NOTICE TO ATTORNEY OF RECORD OR PARTY WITHOUT ATTORNEY — Under the provisions of Code of Civil Procedure section 1952, if no appeal is filed the court may order the exhibits destroyed or otherwise disposed of after 60 days from the expiration of the appeal time. STATEMENTS IN THIS BOX APPLY ONLY TO JUDGMENTS OF DISSOLUTION Effective date of termination of marital status (specify):WARNING: NEITHER PARTY MAY REMARRY UNTIL THE EFFECTIVE DATE OF THE TERMINATION OFMARITAL STATUS AS SHOWN IN THIS BOX. CLERK'S CERTIFICATE OF MAILING I certify that I am not a party to this cause and that a true copy of the Notice of Entry of Judgment was mailed first class, postage fully prepaid, in a sealed envelope addressed as shown below, and that the notice was mailedat (place): , California,on (date): Date: Clerk, by_______________________________________, Deputy Form Adopted for Mandatory UseJudicial Council of CaliforniaFL-190 [Rev. January 1, 2003] NOTICE OF ENTRY OF JUDGMENT (Family Law—Uniform Parentage—Custody and Support) Family Code, §§ 2338, 7636, 7637 www.courtinfo.ca.gov