Fill and Sign the Jv 134 Response to Recommendation Regarding Ability to Repay Cost Oflegal Services Judicial Council Forms

JV-134 FOR COURT USE ONLY ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FAX NO. (Optional): TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF CITY AND ZIP CODE: BRANCH NAME: CHILD(REN)'S NAME(S): CASE NUMBER: RESPONSE TO RECOMMENDATION REGARDING ABILITY TO REPAY COST OF LEGAL SERVICES I agree to repay the court for the cost of my le gal services in the amount of $ , as recommended by the fina ncial evaluation officer on the accompanying Recommendation Regarding Ability to Repay Cost of Legal Services. Page 1 of 1 Form Approved for Alternative Optional Use Instead of Form JV-136Judicial Council of California JV-134 [New January 1, 2013] Welfare and Institutions Code, §§ 903.1, 903.45(b), 903.47 STREET ADDRESS: MAILING ADDRESS: I agree to repay the court for the cost of legal services provided to the child(ren) in this case in the amount of $ , as recommended by the financial evaluation officer on the attached Recommendation Regarding Ability to Repay Cost of Legal Services (form JV-133). 1. 2. I promise to pay $ on the (1st, 2nd, etc.): day of every month, beginning on (date): until the agreed amount is paid in full. 3. I, (name): am a person responsible for the support of the child(ren) named above. I waive my right to a hearing on the recommendation and understand that the court will order me to pay the agreed amount under the terms above. a. I understand that if I default on these payment term s, the entire balance will become immediately due and payable on demand. b. I dispute the recommendation of the financial evaluation offi cer regarding my ability to pay, and I have requested a hearing before the court to review that recommendation. 4. Time: Hearing date: Dept./Room: at the Court address above I understand that a hearing has been scheduled on: other (address): ( SIGNATURE OF RESPONSIBLE PERSON) Date: RESPONSE TO RECOMMENDATION REGARDING ABILITY TO REPAY COST OF LEGAL SERVICES I also understand that if I do not appear at this hear ing and do not pay in full the assessed costs for legal services, the court may enter a judgment agains t me based on the financial evaluation officer's recommendation without furt her notice or order. a. b. I understand that I am entitled to the following at the hearing: c. • • • • • • The opportunity to be heard in person; The opportunity to present witnesses and written evidence; The opportunity to confront and cros s-examine witnesses brought against me; Disclosure of the evidence against me; A written statement of the findings of the court; and To be represented by a lawyer and, if I cannot afford a lawyer , to have a lawyer appointed to represent me. I understand that at any time before I comp lete payment of the full amount ordered by the court, I may petition the court to ch ange its judgment if a change in circumstance s affects my ability to pay the judgment. 5.  I declare under penalty of perjury under the laws of the State of California t hat the above information is true and correct.