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               F L-5 75ATTO RNEY O R P AR TY W IT H O UT A TTO RNEY ( N am e, s ta te b ar n um ber, a nd a ddre ss):F O R C O URT U SE O NLYT E LE PH O NE N O .FA X N O .ATTO RNEY F O R ( N am e):S U PER IO R C O URT O F C ALIF O RNIA , C O UNTY O FSTR EET A D DR ESSM AIL IN G A D D RESSC IT Y A N D Z IP C O DEBR AN CH N AM EP ETIT IO NER /P LA IN TIF F:R ESPO NDEN T/D EFE N DAN T:O TH ER P AR EN T:R EQ UEST F O R H EA RIN G R EG ARDIN G R EG IS TR ATIO N O FCASE N UM BERC alif o rn ia S upport O rd erO ut-o f-S ta te S up port O rd er N O TIC E O F H EA RIN G 1. A h earin g o n t h is a pplic a tio n w ill b e h eld a s f o llo w s ( s e e in str u ctio n s o n h ow t o g et a h earin g d ate ): a. Date:Tim e:D ept:D iv :R oom :b. T he a ddre ss o f t h e c o urt:s a m e a s n ote d a b oveo th er ( s p ecif y ):2 . 1 r e qu est t h at s e rv ic e o f t h e r e gis tr a tio n o f s u pport b e v a ca te d ( c a n ce le d) b eca use :a.I a m n ot t h e O blig or n am ed in t h e R egis tr a tio n S ta te m ent.b .T he c o urt o r t r ib u nal t h at is su ed t h e o rd er d id n ot h ave p ers o nal ju ris d ic tio n o ve r m e.C.T he s u pport o rd er w as o bta in ed b y f r a ud.d.T he s u pport o rd er h as b een v a ca te d, s u sp ended, o r m odif ie d b y a la te r o rd er. ( P le ase a tta ch a c o py o f t h e la te r o rd er.)e .T he o rd er h as b een s ta ye d p endin g a ppeal.f.T he a m ount o f a rre ars in s e ctio n 1 o f t h e R egis tr a tio n S ta te m ent is in co rre ct. T he c o rre ct a m ount o f a rre ars is( s p ecif y a m ount) : $S upportin g d ocu m ents a tta ch ed.g.S om e o r a ll o f t h e a rre ars a re n ot e nfo rc e able .h.O th er ( s p ecif y ):I d ecla re u nder p e nalt y o f p erju ry u nder t h e la w s o f t h e S ta te o f C alif o rn ia t h at t h e f o re goin g is t r u e a nd c o rre ct.D ate :(T Y PE O R P R IN T N AM E)(S IG NATU RE O F D EC LA R AN T)Page one of fourR EQ UEST F O R H EA RIN G R EG ARDIN G REG IS TR ATIO N O F S U PPO RT O RDERFamily Code §§49554656,560~Form Adopted by for Optional Use Judicial Council of California FL-575 [Rev. July 1, 2007]e le ctr o nic f o rm  2 002 WWW.LawCA.com La w P ublis h ers P ETIT IO NER /P LA IN TIF F:CASE N UM BERR ESPO NDEN T/D EFE N DAN T:O TH ER P AR EN T:C LE R K'S C ER TIF IC ATE O F M AIL IN GI c e rtif y t h a t I a m n ot a p arty t o t h is c a use a nd t h at a t r u e c o py o f t h e R equest f o r H earin g R egard in g R egis tr a tio n o f S upport O rd er w as maile d f ir s t c la ss, p osta ge f u lly p re paid , in a s e ale d e nve lo pe a ddre sse d a s s h ow n b elo w , a nd t h at t h e n otic e w as m aile dat ( p la ce ):, C alif o rn ia ,on ( d ate ):D ate :C le rk , b y, D eputyR EQ UEST F O R H EA RIN G R EG ARDIN G REG IS TR ATIO N O F S U PPO RT O RDERPage two of fourFL-575 [Rev. July 1, 2007]e le ctr o nic f o rm  2 002 WWW.LawCA.com La w P ublis h ers IN FO RM ATIO N S H EET F O R R EQ UES T F O R H EA RIN G REG ARDIN G R EG IS TR ATIO N O F C ALIF O RNIA S U PPO RT O RDER / OUT-O F-S TA TE S U PPO RT O RDER (D o N O T d eliv e r t h is I n fo rm atio n S heet t o t h e c o urt c le rk .)P le ase f o llo w t h ese i n str u ctio ns t o c o m ple te t h e R eq uest f o r H earin g R eg ard in g R eg is tr a tio n o f S upport O rd er ( fo rm F L -5 75) i f y ou d o n ot h av e a n atto rn ey r e p re se n tin g y ou. Y our a tto rn ey , i f y ou h av e o ne, s h ould c o m ple te t h is f o rm .This f o rm s h ould b e u sed i f y o u r e ceiv ed a n otic e o r s ta te m en t o f r e g is tr a tio n t e llin g y o u t h at a s u pport o rd er i s be in g r e g is te re d i n a C alif o rn ia c o urt, b ut y o u d o n ot w an t t h at s u pport o rd er r e g is te re d .Y ou m ust f ile y o ur c o m ple te d r e q uest f o r h earin g w it h t h e c o u rt c le rk . Y ou m ust a ls o g iv e t h e c o urt c le rk a ddre sse d e nve lo pe s wit h p osta ge p a id t o m ail c o pie s o f y o ur r e quest f o r h earin g t o t h e o th er p artie s. T he a ddre ss o f t h e c o urt c le rk is t h e s a m e a s th e o ne s h ow n f o r t h e s u perio r c o urt o n t h e n otic e o r s ta te m ent o f r e gis tr a tio n y o u r e ce iv e d. Y ou m ay h ave t o p ay a f ilin g f e e t o request a h earin g. I f y o u c a nnot a ffo rd t o p ay t h e f ilin g f e e, y o u m ust f ile a n A pplic a tio n f o r W aiv e r o f C ourt F ees a nd C osts ( fo rm FW -0 01). Y ou m ust g et t h is f o rm f r o m t h e c o urt c le rk .IN STR UCTIO NS F O R C O M PLE TIN G T H E R EQ UEST F O R H EA RIN G R EG ARDIN G R EG IS TR ATIO N F O RM ( T Y PE OR P R IN T I N I N K):F ir s t p age, f ir s t b ox, t o p o f f o rm , le ft s id e: P rin t y o ur n am e, a ddre ss, a nd p hone n um ber in t h is b ox.F ro nt p age, s e co nd b ox, le ft s id e: P rin t t h e n am e o f y o ur c o unty a nd t h e c o urt's a ddre ss in t h is b ox. U se t h e s a m e addre ss f o r t h e c o urt t h at is o n t h e n otic e o r s ta te m ent o f r e gis tr a tio n f o rm y o u r e ce iv e d.F ro nt r )a qe, t h ir d b ox, le ft s id e: P rin t t h e n am es o f P etit io ner/P la in tif f, R esp ondent/D efe ndant, a nd O th er P are nt in t h is bo x. U se t h e s a m e n am es lis te d o n t h e n otic e o r s ta te m ent o f r e gis tr a tio n y o u r e ce iv e d.F ro nt p age, f o urth b ox, le ft s id e : C heck t h e b ox b y ''C alif o rn ia S upport O rd er'' if t h e o rd er b ein g r e gis te re d w as e sta blis h ed in C alif o rn ia , o r c h eck t h e b ox b y ''O ut- o f- S ta te O rd er'' if t h e o rd er b ein g r e gis te re d w as N O T e sta blis h ed in C alif o rn ia .F ro nt r )a qe, f ir s t b ox, t o p o f f o rm , r iq ht s id e: L eave t h is b ox b la n k f o r t h e c o urt's u se .F ro nt p age, s e co nd b ox, r ig ht s id e: P rin t y o ur c a se n um ber in t h is b ox. T his n um ber is a ls o s h ow n o n t h e n otic e o r sta te m ent o f r e gis tr a tio n y o u r e ce iv e d.1. B efo re y o u f ile y o ur r e quest f o r h earin g w it h t h e c o urt c le rk y o u m ust a sk t h e c o urt c le rk t o s e t a h earin g d ate f o r y o u. The c o urt c le rk w ill g iv e y o u t h e in fo rm atio n y o u n eed t o c o m ple te t h is s e ctio n.2. I n t h is s e ctio n y o u a re t e llin g t h e c o urt w hy y o u d o n ot w ant t h e s u pport o rd er t o b e r e gis te re d. Y ou m ust c h eck t h e box b y y o ur r e aso n.a. C heck t h is b ox if y o u a re n ot a p ers o n n am ed in t h e n otic e o r s ta te m ent o f r e gis tr a tio n y o u r e ce iv e d.b. Y ou s h ould c h eck t h is b ox if t h e c o urt t h at is su ed t h e s u ppo rt o rd er d id n ot h ave ju ris d ic tio n o ve r y o u t o is su e t h eord er. Y ou m ay n eed le gal a dvic e t o f in d o ut if t h is is a v a lid r e a so n in y o ur c a se .c. C heck t h is b ox if y o ur s u pport o rd er w as o bta in ed b y f r a ud. Y ou m ay n eed le gal a dvic e t o f in d o ut if t h is is a v a lid r e aso n in y o ur c a se . d. Y ou s h ould c h eck t h is b ox if a c o urt h as s u sp ended o r v a ca te d y o ur s u pport o rd er. Y ou s h ould a ls o c h eck t h is b ox if y o ur s u pport o rd er w as m odif ie d b y a la te r o rd er. I f t h e o rd er w as m odif ie d , y o u m ust a tta ch a c o py o f y o ur m ost r e c en t s u p port o rd er t o y o ur r e q uest f o r h earin g.e. C heck t h is b ox if y o u h ave a lr e ady f ile d a n a ppeal t o y o ur s u pport o rd er a nd a c o urt h as s to pped t h e o rd er u ntil t h e appe al is d ecid ed.R EQ UEST F O R H EA RIN G R EG ARDIN G REG IS TR ATIO N O F S U PPO RT O RDERPage three of fourFL-575 [Rev. July 1, 2007]e le ctr o nic f o rm  2 002 WWW.LawCA.com La w P ublis h ers In fo rm atio n S heet f o r R eq uest f o r H earin g R eg ard in g R eg is tr a tio n o f Support O rd er ( c o ntin ued f. Y ou s h ould c h eck t h is b ox if y o u d is a gre e w it h t h e a m ount o f a rre ara ge s h ow n o n t h e r e gis tr a tio n s ta te m ent. Y ou must w rit e in t h e c o rre ct a m ount o f t h e a rre ara ge in t h e s p ace p ro vid ed.g. C heck t h is b ox o nly if y o ur s u pport o rd er c a nnot b e e nfo rc e d d ue t o t h e s ta tu te o f lim it a tio ns o r f o r o th er le gal reaso ns. T his is n ot a v a lid r e aso n t o u se f o r a s u pport o rd er e sta blis h ed in C alif o rn ia .h. C heck t h is b ox if y o u h ave a n oth er r e aso n t o o bje ct t o t h e r e gis tr a tio n o f t h e s u pport o rd er.Y ou m ust d ate t h e f o rm , p rin t y o ur n am e, a nd s ig n t h e f o rm u nd er p enalt y o f p erju ry . W hen y o u s ig n t h e f o rm , y o u are s ta tin g t h at t h e in fo rm atio n y o u h ave p ro vid ed is t r u e a nd c o rre ct.T op o f s e co nd p age, b ox o n le ft s id e: P rin t t h e n am es o f P etit io ner/P la in tif f, R esp ondent/D efe ndant, a nd O th er P are nt in th is b ox. U se t h e s a m e n am es a s o n t h e f r o nt p age.T op o f s e co nd p age, b ox o n r ig ht s id e: P rin t y o ur c a se n um be r in t h is b ox. U se t h e s a m e n um ber a s o n t h e f r o nt p age.T he c o u rt c le rk w ill s ig n a nd d ate t h e r e quest f o r h earin g f o rm b efo re m ailin g it t o t h e P etit io ner/ P la in tif f, Re sp ondent/D efe ndant, a nd O th er P are nt.Y ou m ust p rin t t h e n am e a nd a ddre ss o f t h e P etit io ner/P la in tif f, R esp ondent/D efe nd a nt, a nd O th er P are nt in t h e b ra cke ts . Th e n am es a re t h e s a m e a s t h o se a t t h e t o p o f t h e p age. Y ou a ls o m ust p ro vid e t h e c o urt c le rk w it h s ta m ped e nve lo pes addre sse d t o e ach o f t h e o th er p artie s.If y o u n eed a ssis ta nce w it h t h is f o rm , c o nta ct a n a tto rn ey o r t h e f a m ily la w f a cilit a to r in y o ur c o unty .R EQ UEST F O R H EA RIN G R EG ARDIN G REG IS TR ATIO N O F S U PPO RT O RDERPage four of fourFL-575 [Rev. July 1, 2007]e le ctr o nic f o rm  2 002 WWW.LawCA.com La w P ublis h ers

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