FL-141
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
TELEPHONE NO.:
FAX NO. :
E-MAIL ADDRESS:
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
DECLARATION REGARDING SERVICE OF DECLARATION OF
CASE NUMBER:
DISCLOSURE AND INCOME AND EXPENSE DECLARATION
Petitioner's
Preliminary
Respondent's
Final
1.
I am the
attorney for
in this matter.
petitioner
respondent
2.
Preliminary Declaration of Disclosure (form FL-140), current* Income and Expense
Petitioner's
Respondent's
Declaration (form FL-150), completed Schedule of Assets and Debts (form FL-142) or Community and Separate Property
Declarations (form FL-160) with appropriate attachments, all tax returns filed by the party in the two years before service of the
preliminary disclosures, and all other required information under Family Code section 2104 were served on:
the other party
the other party's attorney
by
personal service
mail
(specify):
Other
on (date):
Final Declaration of Disclosure (form FL-140), current* Income and Expense Declaration
3.
Petitioner's
Respondent's
(form FL-150), completed Schedule of Assets and Debts (form FL-142) or Community or Separate Property Declarations (form
FL-160) with attachments, and the material facts and information required by Family Code section 2105 were served on:
the other party
other party's attorney
by
personal service
mail
(specify):
Other
on (date):
4.
Petitioner's
Respondent's
preliminary
final
Service of
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.)
(date):
(Form FL-144 may be used for this purpose.)
was filed on
The waiver
is being filed at the same time as this form.
b.
The party has failed to comply with disclosure requirements, and the court has granted the request for voluntary waiver of
on (date):
receipt under Family Code section 2107
c.
This is a default proceeding that does not include a stipulated judgment or settlement agreement. Petitioner waives final
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 5.260.)
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
SIGNATURE
(TYPE OR PRINT NAME)
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
Help & Resources
Form Adopted for Mandatory Use
Family Code, §§ 2102, 2104,
DECLARATION REGARDING SERVICE OF DECLARATION OF
Judicial Council of California
2105, 2106, 2112
DISCLOSURE AND INCOME AND EXPENSE DECLARATION
925-394-0122
FL-141 [Rev. July 1, 2013]
(Family Law)