Fill and Sign the Fl 150 Income and Expense Declaration Form

                 F L-1 00ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):FOR COURT USE ONLYTELEPHONE NO.:FAX NO. (Optional):E-MAIL ADDRESS (Optional):ATTORNEY FOR (Name):SUPERIOR COURT OF CALIFORNIA, COUNTY OFSTREET ADDRESS:MAILING ADDRESS:CITY AND ZIP CODE:BRANCH NAME:MARRIAGE OFPETITIONER:RESPONDENT:PETITION FORCASE NUMBERDissolution of MarriageLegal SeparationNullity of MarriageAMENDED1. RESIDENCE (Dissolution only)PetitionerRespondent has been a resident of this state for at least six months andof this county for at least three months immediately preceding the filing of this Petition for Dissolution of Marriage.2. STATISTICAL FACTSa. Date of marriage: b. Date of separation:c. Time from date of marriage to date of separation (specify):Years:Months:3. DECLARATION REGARDING MINOR CHILDREN (include children of this relationship born prior to or during the marriage ora. adopted during the marriage): There are no minor children.b.The minor children are: Child's nameBirthdateAqeSexContinued on Attachment 3b.c. If there are minor children of the Petitioner and Respondent, a completed Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) (form FL-1 05) must be attached.d.A completed voluntary declaration of paternity regarding minor children born to the Petitioner and Respondent prior to the marriage is attached.4. SEPARATE PROPERTY Petitioner requests that the assets and debts listedin Property Declaration (form FL-160)in Attachment 4below be confirmed as separate property.ItemConfirm toNOTICE: 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 spousal support.Pagel of 2 Form Adopted for Mandatory Use Judicial Council of California FL-100 [Rev. January 1, 2005] PETITION-MARRIAGE (Family Law) Family Code, §§ 2330, 3409,ele ctr o nic f o rm  2 005 WWW.LawCA.com La w P ublis h ers                                                     MARRIAGE OF (last name, first name of parties):CASE NUMBER5. DECLARATION REGARDING COMMUNITY AND QUASI-COMMUNITY ASSETS AND DEBTS AS CURRENTLY KNOWNa.There are no such assets or debts subject to disposition by the court in this proceeding.b.All such assets and debts are listedin Property Declaration (form FL-1 60)in Attachment 5b.below (specify):6. Petitioner requestsa.dissolution of the marriage based ond.nullity of voidable marriage based on(1)irreconcilable differences. (Fam. Code, § 2310(a).) incurable insanity. (Fam. Code, § 2310(b).)(1)petitioner's age at time of marriage.(2)b.legal separation of the parties based on(2)(Fam. Code, § 2210(a).) prior existing marriage.(1)irreconcilable differences. (Fam. Code, § 2310(a).) incurable insanity. (Fam. Code, § 2310(b).)(Fam. Code, § 2210(b).)(2)(3)C.nullity of void marriage based on(4)unsound mind. (Fam. Code, § 2210(c).) fraud. (Fam. Code, § 2210(d).)(1)incestuous marriage. (Fam. Code, § 2200.) bigamous marriage. (Fam. Code, § 2201.)(5)force. (Fam. Code, § 2210(e).)(2)(6)physical incapacity. (Fam. Code, § 2210(f).)7. Petitioner requests that the court grant the above relief and make injunctive (including restraining) and other orders as follows: Petitioner Respondent Joint Othera. Legal custody of children tob. Physical custody of children toc. Child visitation be granted toAs requested in form:F L-311FL-312FL-341 (C)FL-341 (D)FL-341 (E)Attachment 7c.d.Determination of parentage of any children born to the Petitioner and Respondent prior to the marriage.e. Attorney fees and costs payable byf. Spousal support payable to (earnings assignment will be issued)9.Terminate the court's jurisdiction (ability) to award spousal support to Respondent.h.Property rights be determined.i.Petitioner's former name be restored to (specify):J.Other (specify):Continued on Attachment 7j.8. Child support - If there are minor children born to or adopted by the Petitioner and Respondent before or during this marriage, 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 1 0 percent.9. I HAVE READ THE RESTRAINING ORDERS ON THE BACK OF THE SUMMONS, AND I UNDERSTAND THAT THEY APPLY TO ME WHEN THIS PETITION IS FILED.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 PETITIONER)Date:(TYPE OR PRINT NAME)(SIGNATURE OF ATTORNEY FOR PETITIONER)NOTICE: Dissolution or legal separation may automatically cancel the rights of a spouse under the other spouse's will, trust, retirement plan, power of attorney, pay on death bank account, survivorship rights to any property owned in joint tenancy, and any other similar thing. It does not automatically cancel the right of a spouse as beneficiary of the other spouse's life insurance policy. You should review these matters, as well as any credit cards, other credit accounts, insurance polices, retirement plans, and credit reports to determine whether they should be changed or whether you should take any other actions. However, some changes may require the agreement of your spouse or a court order (see Family Code sections 231-235).FL-100 [Rev. January 1, 2005] PETITION-MARRIAGE (Family Law) Page 2 of 2ele ctr o nic f o rm  2 005 WWW.LawCA.com La w P ublis h ers