STANISLAUS COUNTY SUPERIOR COURT
In the Matter of:
DECLARATION AND ORDER FOR
“FAMILY/PROBATE FEE CLAIM”
The undersigned attorney, who is duly licensed to practice law in California, declares that on
_______________ the Honorable _____________________ presiding, appointed the undersigned under:
□ Family Code §7861/2 □ Family Code §3150 or □ Probate Code §1470 to represent
____________________ □ minor(s) □ parent, and on ___________, the final disposition of the case was
made before the Honorable ___________________ presiding. The undersigned states that he has
performed the legal services and incurred the expenses listed in this Declaration as follows, and which were
reasonable and necessary.
Description of Activity or Time Sheet No.
Time in 1/10
__________ X $____________
□ I have received payment of $ __________ on this case.
(List additional information to this order on reverse side or as attachments.)
I declare under penalty of perjury that the foregoing, including any attachments, is true and correct.
Executed on ____________________, at Modesto, California.
Print Name: ________________________
Pursuant to the above declaration and the information provided therein, attorneys fees and costs are hereby
awarded to the declarant in the sum of $_______________. The Court is hereby directed to make said
payment to the above declarant.
Judge of the Superior Court/Superior Court Administrator
SAP CODING STRIP For 3150 CODE
SAP DOCUMENT NUMBER
CAC Sec 3150
________________________________Approved for Payment
G007 (Mandatory Form)