FL-141
FOR COURT USE ONLY
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
TELEPHONE NO.:
FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER:
RESPONDENT:
DECLARATION REGARDING SERVICE OF DECLARATION
CASE NUMBER:
OF DISCLOSURE AND INCOME AND EXPENSE DECLARATION
Petitioner’s
Preliminary
Respondent’s
Final
1. I am the
attorney for
petitioner
respondent in this matter.
2.
Petitioner’s
respondent’s
Preliminary Declaration of Disclosure (form FL-140) and current* Income and Expense
Declaration (form FL-150) were served on
attorney for
the other party
by:
personal service
mail
other (specify):
on (date):
3.
Petitioner’s
respondent’s
Final Declaration of Disclosure (form FL-140) and current Income and Expense
Declaration (form FL-150) were served on
attorney for
the other party
by:
personal service
other (specify):
mail
on (date):
4.
Service of
petitioner's
respondent's
preliminary
final
declaration of disclosure
current income and expense declaration has been waived as follows:
a.
The parties agreed to waive final declaration of disclosure requirements under Family Code section 2105(d). The
waiver was filed on (date):
The party has failed to comply with disclosure requirements and the court granted the request for voluntary waiver
b.
of receipt under Family Code section 2107 on (date):
c.
This is a default proceeding. Petitioner waives the final declaration disclosure requirements under Family Code
section 2110.
* "Current" is defined as completed within the past three months providing no facts have changed. (Cal. Rules of Court, rule 5.128.)
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)
NOTE: File this document with the court.
Do not file a copy of the Preliminary or Final Declaration of Disclosure or any
attachments to either declaration of disclosure with this document.
Page 1 of 1
Family Code, §§ 2104, 2105, 2106,
DECLARATION REGARDING SERVICE OF DECLARATION OF
Form Adopted for Mandatory Use
2107, 2112
Judicial Council of California
DISCLOSURE AND INCOME AND EXPENSE DECLARATION
2107 211
FL-141 [Rev. July 1, 2011]
(Family Law)