SUMMONS: (Parentage—Custody and Support) NOTICE TO RESPONDENT (Name): HENRY SAMPLE AVISO AL DEMANDADO (Nombro}: FL240 CITACION (Paternidad—Custodia y Manutencién) FoR COURT USE ONLY (80.0 Pata USO BELA COR! 8 ‘You have been sued. Read the information below and on the next page. Lo han demandado. Lea la informacién a continuacién y en la pagina siguiente. Potitioner's name: CINDY SAMPLE EI nombre del demandante: [FASE NOREER meee oa) WU < ‘You have 90 calendar days after this Summons and Petition are served on you to file a Response (form FL-220 or FL-270) at the court and have a copy served on the petitioner. A leer, phone call, or court appearance will nt protect you. ITiene 30 dias de calendario después de habir recibido la entrega legal | esta Citacién y Peticién para presentar una Respuesta (formulario [FL-220 0 FL-270) ante fa corte y efectuar la entrega legal de una copia | demandante. Una carta o llamada telefénica o una audiencia de la [corto no basta para protegerto, If you do not file your Response on time, the court may make lorders affecting your right to custody of your children. You may also be ordered to pay child support and attorney fees land costs, ‘Sino presenta su Respuesta a tiempo, la corte puede dar érdenes que jafecten la custodia de sus hijos. La corte también le puede ordenar que ague manutencién do fos hijos, y honorarios y costos legales. For legal advice, contact a lawyer immediately. Get help Hinding a lawyer at the California Courts Online Sett-Help Center (www.courts.ca.gov/selfhelp), at the California Legal Services website (ww. lawhelpca.org), or by contacting your local bar association, [Para asesoramiento legal, péngase en contacto de inmediato con un labogado. Puede obtener informacién para encontrar un abogado en el (Contro de Ayuda de las Cortes de California (www.sucorte.ca.gov), en | sitio web de los Servicios Legales de California (vawlawhelpca.org), ‘poniéndose en contacto con el colegio de abogados de su condado. NOTICE: The restraining order on page 2 remains in effect against each parent until the potition is dismissed, a judgment is entered, or the court makes further orders. This order is lenforceable anywhere in Califomia by any law enforcement officer who has received or seen a copy oft. [AVISO: La érden de proteccién que aparecen en la pagina 2 inward en vigencia en cuanto a cada parte hasta que se emita un Hallo final, se despida la peticién o la corte dé otras érdenes. Cualquier lagencia del orden pablico que haya recibido o visto una copia de estas lorden puede haceria acatar en cualquior lugar de California, FEE WAIVER: If you cannot pay the fling fee, ask the clork Hor a fee waiver form. The court may order you to pay back al Jor part ofthe fees and costs that the court weived for you or the other party. JEXENCION DE CUOTAS: Sino puede pagar la cuota de presentacién, lpida ei secretaria un formulario de exencion do cuotas. La corte puede lordenar que usted pague, ya sea en parte o por completo, las cuotas y costos de la corte previamente exentos a peticion de usted 0 de la otra parte. ex COUNTY OF VENTURA £800 S. VICTORIA AVE. VENTURA, CA 93009 423 MAIN STREET VENTURA, CA 93003 Date (Fecha): The name, address, and telephone number o attorney, are: (E/nombre, la drecoién y ol demandante si no tiene abogado, son’) CINDY SAMPLE 805-555-1234 Cletk, by (Secretaria, por) 4, The name and address of the court are: (E nombre y direccién de la corte son) tioner’s attorney, or petitioner without an ro de teléfono del abogado del demandante, o del AMPLE Deputy (Asistente) "ft canesotcanarne AUBtower dona EPR ‘SUMMONS (Parentage—Custody and Su Fay ove 82. 295 77MSTANDARD RESTRAINING ORDER (Parentage—Custody and Support) ORDEN DE RESTRICCION ESTANDAR (Paternidad—Custodia y Manutencién) Starting immediately, you and every other party are restrained from removing from the state, or applying for a passport for, the minor child or children for whom this action seeks to establish a parent-child relationship or a custody order without the prior written consent of every other party or an order of the court. This restraining order takes effect against the potitioner when he or she files the petition and against the respondent when he or she is personally served with the Summons and Petition OR when he or she waives and accepts service, This restraining order remains in effect until the judgment is entered, the petition is dismissed, or the court makes other orders, This order is enforceable anywhere in California by any law enforcement officer who has received or seen a copy of it En forma inmediata, usted y cada otra parte tienen prohibido llevarse del estado a los hijos menores para quienes esta accion judicial procura establecer una relacién entre hijos y padres o una orden de custodia, ni pueden solicitar un pasaporte para los mismos, sin el consentimiento previo por escrito de cada otra parte 0 sin una orden de la corte. Esta orden de restriccion entrara en vigencia para el demandante una vez presentada la peticién, y para el demandado una vez que éste reciba la notificacion personal de la Citacién y Peticion, o una vez que renuncie su derecho a recibir dicha notificacion y se dé por notificado. Esta orden de restriccién continuaré en vigencia hasta que se emita un fallo final, se despida la peticién 0 la corte dé otras érdenes, Cualquier agencia del orden pdblico que haya recibido o visto una copia de esta orden puede hacerla acatar en cualquier lugar de California, |AVISO—ACCESO A SEGURA DE SALUD MAS ECONOMICO Necessita seguro de salud a un costo lasequible, ya sea para usted o alguien en su hogar? Sies lasi, puede presentar una solicitud con Covered California Covered California lo puede ayudar a reducir af costo que Covered California. Covered California can help reduce the [Cowered|Calitoiia at 1:600:200-1506: \llame a Covered California al 1-800-300-0213. Rateonay SUMMONS rental? (Parontage-Custody and Support)FL200 lkwee CINDY SAMPLE lsrncer avoness: 123 MAIN STREET let: VENTURA stATe CA zPcove: €3003, TELEPHONE NO: 805-555-1212 Fax: TIORNEY FOR (nan ‘SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA, MV STREET ADDRES. 800 S, VICTORIA AVE. rns nooness P.O. BOX 6489 cary anoze cone: VENTURCA, CA 93009 eranci nie: HALL OF JUSTICE PETITIONER: CINDY SAMPLE RESPONDENT: HENRY SAMPLE PETITION TO DETERMINE PARENTAL RELATIONSHIP 1 The patifoner a. [Ze] gave bith to the children sted in em 2. . ©. [SE] wari tobe ceterined a a parent ofthe chien in tam 2 because pec axplain why you wet tobe delermined as ; c. [J wants to be determined as not a parent of the children listed in item 2 because (specify): dQ. bd is the child or meg ‘child's personal representative(specify court and date of appointment): Other (speci: Requesting, OWA 40 cdelermine Wf Tam Rther of minor: 2. The chicren are . Child's name Birthdate Age SALLY SAMPLE 02/12/2008 12 TIMMY SAMPLE 2101/2010 10 b. [2 a child who is not yet born, {3 The court has jurisdiction over the respondent because the respondent: ‘a. CX] Ines inthis state b. [1] had sexual intercourse in this state, which resulted in conception of the children iste in item 2. c. [] Other (specify): 4. The action is brought inthis county because (you must check one or more to fil in this county): a. [2] the children ive or are found inthis county. b. [7] a parent is deceased and proceedings for administration of the estate have been or could be started in this county. 5, Petitioner claims (check all that apply): ‘a. LX] respondents the parent ofthe children listed in item 2 above, b. [_] parentage has been determined by a voluntary declaration of parentage or patemity. (Attach a copy if available.) c. [] respondent is the children's parent and has failed to support the children. @. inane) has fumished ors fumishing the folowing reasonable expenses of pregnancy nd bith fr which the respondent as parent ofthe cin shuld pay. ‘aroun Payable to For (spoil ° public ssscerceie is being provided to the children. lA me: ner prey TR found 0 be fier ane misors bieth cortaate 10 ad of virth and where you were. Yorn. 6. complet Bester Cor tnt bile ay boku au Ett cl et CGE fm F105) tached eam omer Gael ve PETITION TO DETERMINE PARENTAL RELATIONSHIP, Fy Gos, 6750, See ions (Uniform Parentage) sem ip LE weenFL-200 ‘PETITIONER? GINDY SAMPLE CASE NONE RESPONDENT: HENRY SAMPLE Pelfioner asks the court to make the determinations indicated below, 7. PARENT-CHILD RELATIONSHIP (chock all that apply): 2. [BE] Patitoner [€] Respondent is the parent ofthe children listed in item 2. b. [| Petitioner [—] Respondent is not the parent of the children listed in item 2. ©, [SZ] Patitioner requests genetic testing to determine whether the [X_] Petitioner [X_] Respondent is the parent of the children listed in item 2. markealy iCyou are requesting a OOR Tec 8. CHILD CUSTODY AND VISITATION (PARENTING TIME) ait [XX] Peitoner [3°] Respondent is found to be the parent ofthe chien listed in em 2 Petitioner Respondent Joint Other , Legal custody of children to sewnimeeee To] oOo wo c. Physical custody of chilaren to my Oo oo 4. Child vistation (parenting time) be granted 10. I ma oO ‘As requested in] form F911] form FL-312 [tom Ft-261(0) [J form FL-341(0) J form FL-341(E) [Attachment Be(1) €. The facts in support ofthe requested custody and visitation (parenting time) orders are (speci) 1) Contained inthe attached dectaration 9. REASONABLE EXPENSES OF PREGNANCY AND BIRTH sree ee) ry Son the action or pretrial proceedings to be paid by 11. NAME CHANGE (1 Chitdren's names be changed, according to Family Code section 7638, as follows (specify old and new names) 12, CHILD SUPPORT ‘The court may make orders for support of the children and issue an earnings assignment without further notice to either party 13. [2] OTHER ORDERS REQUESTED (specify) 114, [have read the restraining order on the back of the Summons (FL-210) and | understand it applies to me when this Petition is fled | declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct Date: 01/01/2020 CINDY SAMPLE ‘A blank Response (0 Petition fo Determine Parental Relationship (form FL-220) must be servedairthe respondent wit this petition, NOTICE: If you have a child from this rolationship, the court is required to order child support based upon the income of both parents. Support normally continues until the child Is 18, You should supply the court with information about your finances. Otherwise, the child support order will be based upon information supplied by the other parent. Any party required to pay child support must pay interest on overdue amounts at the "legal" rate, which is currently 10 percent. Fomor sama 120) PETITION TO DETERMINE PARENTAL RELATIONSHIP Ee Posed (Uniform Parentage) Ss am PLFLA05/GC-120 "ATTORNEY OR PARTY WATHOUT ATTORAEY (hors, Sse Bor urboy ard oe FOR COURT USEONLY CINDY SAMPLE }- 123 MAIN STREET. VENTURA, CA 93003 retsrHoe no: 805-555-1212 Faxxo.ronen: EMAL ABERESS (ton ATTORNEY FOR Bane ‘SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA streeraooress: 800 S. VICTORIA AVE. suse aooress: P.O. BOX 6489 errvawozecore VENTURCA, CA 93009 seunounane: HALL OF JUSTICE PENTONER copy Se Maemo De Be) RESPONDENT: HENRY SAMPLE. OTHER PARTY: ‘Tis section apples only to guaranshp cases) CASE NDE: |GUAROIANSHIP OF qa): ioe DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA) 1. Tam a party to this proceeding to determine custody of a child 2.) My present address and the present address of each child residing with me is confidential under Family Code section 3429 as | have indicated in item 3, 3. There are (specity number): 2s minor children who are subject to this proceeding, as follows: (insert the information requested below. The residence information must be given for the last FIVE years.) CREE Tan Paseo Dae TORR = SALLY SAMPLE [VENTURA, CA 2/12/2008 IF Period of eidenes Insc T234 MAIN STREET Person aiid vea wih (rome and complete curent adarasa) | Raavonstp I VENTURA, CA 93004 CINDY SAMPLE 1/01/15 topresen_|[—] Confidential I) Confidential IMOTHER. chi rstence (Cty, Sal) Parson ch iv wit (ee ad complete caren ares) CINDY SAMPLE 12/2012 01/01/15 |VENTURA, CA. [HENRY SAMPLE |PARENTS [one's rescence (Cy Satay Pon chia ve wit (name and coma covert adaess) CINDY SAMPL: 02/2008 12/2012 _|OXNARD, CA HENRY SAMPLE PARENTS [oni rescence (Cay, State) Person chives wits name end comabe curent ados9) & Chit rane: Fase orom Date faa ser TIMMY SAMPLE Residence intormaton i the same as given above for chads. |OXNARD, CA. 02/01/2010 IM. (AFNOT th same, prove ino nfamation btw) Pero residence raion Parson chidived wih (name and compte curent edaress) [Reatbnship topresent |[—]_Confidentiat T Confidential [Chigs reetenca (Cty, Sat) Person chides wah (ame ond compte curent adass) [Onis residence (08, Site) Person chidved with ame end compas cent aldose) [Shi eetencn (iy, Sate) Parson chided wah name end compte curent aoss) © « [J] Addtional residence information fr a child listed in tem a oFb Is continued on attachment 3c. 4. [) Additional children are listed on form FL-105(A\/GC-120(A). (Provide all requested information for additional children.) reaedteea aca DECLARATION UNDER UNIFORM CHILD CUSTODY rb Cac, Bt Se vali ay oo, JURISDICTION AND ENFORCEMENT ACT (UCCJEA) saeFL405/GC-120 ‘SHORT TILE [~ SAMPLE VS SAMPLE 4, Do you have information about, or have you participated as a party of as a witness or in some other capacity in, another court case 3 custody of visitation proceeding, in Califomia or elsewhere, concerning a child subject to this proceeding? Yes [_] No (Ifyes, attach a copy of the orders (if you have one) and provide the following information): ou Court order Your vroceedra | cae namter | nam Sonn |Sikiaan| Name atesencns. | cntetin | case sts “ “ (date) the case, Family 234567 |YENTURA, CA |yy149013 |SALLY/TIMMY [Mother __{Dispo b. [J] Guardianshiy ¢. (Jother Proceeding Case Number Court (name, state, location) “Tavenile Delinquency? & TT \ivenile Dependency 'e. [=] Adoption 5. [] One or more domestic violonce restraining/protective orders are now in effect. (Attach a copy of the orders if you have one: and provide the following information): Court a.) criminal b.J Famiy Ey nla Delinquency? co Juvenile Dependency (7) Other County Stale Case number (if known) Orders expire (dato) 6. Do you know of any person who is nota party to this proceeding who has physical custody or ctaims to have custody of or visitation rights with any child in this case? [_] Yes [7] No (Ifyes, provide the following information): 1. Name and address of parson [) Has physical custody [1 Claims custody rights TJ Claims visitation rights Name and address of person [7 Has physical custody [J Claims custody rights [J Claims visitation rights ‘e, Name and address of person (=) Has physical custody [=] Claims custody rights 2 Claims visitation rights Name of each child [= ‘of each child Name of each child Date: 01/01/2020 CINDY SAMPLE 7. [1 Number of pages attached | declare under penalty of perjury under the laws of the State of California that the » (TYPE OR PRINT NAME) ( x (GIGRATURE OF FECLARANT) NOTICE TO DECLARANT: You have a continuing duty to inform this court if yotrobtairiany Information about a custody proceeding in a California court or any other court concerning a child subject to this proceeding. | DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA)FL415 [ATTORNEY OR PARTY WAIRGUT ATTORNEY Wl, Sal aruba ano aac FoR COURT USE ONY INDY SAMPLE. 23 MAIN STREET. /ENTURA, CA $3003 TELEPHONE NO: 805-665-1234 FAK. ATTORNEY FOR Pere: [SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA ‘sree A00RE85:800 S. VICTORIA AVE, ustna A00R€SS P.O, BOX 6489 ‘ivy ano 2 c00€ VENTURCA, CA 93009 araNci NiMEHALL OF JUSTICE PETITIONER: CINDY SAMPLE RESPONDENT: HENRY SAMPLE PROOF OF SERVICE OF SUMMONS 123456 4. Atte time of service I was atleast 18 years of age and not a party to this action. served the respondent with copies of: a, [] Family Law—Marriage/Domestic Partnership: Petition—Marriage/Domestic Partnership (form EL-100), Summons (form L110), and blank Response—Marriage/Domestic Partnership (form EL-120) », [32 Uniform Parentage: Petition fo Establish Parental Relationship (form EL-200), Summons (form EL-210), and blank. Response to Pelton o Establish Parental Relationship (fom EL:220) ©. (J Custody and Suppor: Peition for Custody and Support of Minor Chiron (form EL:260), Summons (form EL-210), and blank Response o Petition for Custody and Support of Minor Chidren (form EL270) and 4, BE] (1) CE] Completed and blank Declaration Under (6). [—] Completed and blank Financial Statement Uniform Child Custody Jurisdiction and (Simplified) (form EL-185) Enforcement Act (form FL-105) (6) [1] Completed and blank Property Declaration (form E1160) (2) (7) Completed and biank Declaration of Disclosure (form FL-140) (3) [1 Completed and blank Schedule of Assets (7) [7 Request for Order (form FL-300), and blank Rosponsive Declaration fo Request for Order (form FL-320) [1] other (specity: Nofice, of Stutus Conference and Courroom Assignment. and Debts (form FL-142) (1 Completed and blank income and © Expense Declaration form EL-150) 2. Address where respondent was served: SERVER WILL FILL THIS OUT. 3. 1 served the respondent by the fllowing means (check proper boxes): a. [3X] Personal service. | personally delivered the copies to the respondent (Code Giv. Proc., § 415.10) fon (date): SERVER WILL FILL THIS OUT at (me): SERVER WILL FILL THIS OUT Substituted service. loft the copies with or inthe presence of (name): who i (specity filo or relationship to respondent) 6 (1) [2 (Business) a person at least 18 years of age who was apparently in charge at the office or usual place of business of the respondent. informed him or her ofthe general nature of the papers, 2) (Home) a competent member of the household (at least 18 years of age) at the home of the respondent. | informed him or her ofthe general nature of the papers, (on (date): at (time): | thereafter mailed additional copies (by first class, postage prepaid) to the respondent at the place where the copies were left (Code Civ. Proc., § 418.206) on (date): AA declaration of diligence is attached, stating the actions taken to first attempt personal service. Page tot? Foon Asrovedior Ostora Ure PROOF OF SERVICE OF SUMMONS: ete (Family Law—Uniform Parentage—Custody and Support)FLA15 PETITIONER: CINDY SAMPLE eocnuest Di23486 RESPONDENT: HENRY SAMPLE 3.¢. [] Mail and acknowledgment service. | mailed the copies to the respondent, addressed as shown in item 2, by first-class mel, postage prepaid, on (dato): from (ety): (1) with two copies ofthe Notice and Acknowledgment of Receiot (form EL-117) and a postage-paid return envelope addressed to me. (Attach completed Notice and Acknowledgment of Receipt (form FL-117).) (Code Giv. Proc, § 418.30) 2) tean address outside California (oy registered or certified mail with retum receipt requested). (Attach signed return receipt or other evidence of actual delivery to the respondent.) (Code Civ. Proc., §§ 415.40, 417.20.) d, [) Other (specify code section): [Continued on Attachment 34 4, Person who served papers Name: SERVERS NAME ‘Address: SERVERS ADDRESS Telephone number: This person is 2. [] exempt from registration under Business and Professions Code section 22350(b) b. [2] note registered California process server. © F aregistered Calfomia process server: [—] anemployee or [—] anindependent contractor (1) Registration no. @) County 4. The fee for service was (speci): $ 5. [BE] I declare under penalty of perjury under the laws of the State of California thatthe foregoing is true and correct. 6. [J Lama California sheriff, marshal, or constable, and I certify thatthe foregoing is true and correct. bat SeRVERDATES HERE sete eas ne ves S ida Weaver, Sn fb ste oe ey 28 PROOF OF SERVICE OF SUMMONS veer (Family Law—Uniform Parentage—Custody and Support)