Notice Of Motion And Motion For Simplified Modification Of Order printable pdf download

FL-390

ATTORNEY OR PARTY WITHOUT ATTORNEY OR GOVERNMENTAL AGENCY (pursuant to

TELEPHONE NO.:

FOR COURT USE ONLY

FC §§ 17400, 17406) (Name, State Bar Number, and Address):

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seeing what you entered on

your form, please press the

Clear This Form button at the

end of the form when finished.

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:

OTHER PARENT:

NOTICE OF MOTION AND MOTION FOR SIMPLIFIED MODIFICATION OF ORDER

CASE NUMBER:

FOR

CHILD SUPPORT

SPOUSAL SUPPORT

FAMILY SUPPORT

TO (name):

1. A hearing on this motion for the relief requested below will be held as follows:

Time:

Dept.:

a. Date:

Room:

b. Address of court:

same as noted above

other (specify):

2. I am requesting the court to change the amount currently payable by

petitioner/plaintiff

respondent/defendant

other parent

to the following:

child support pursuant to the California child support guideline commencing (date):

per month beginning (date):

spousal support of: $

per month beginning (date):

family support of: $

or such other sums as may be appropriate pursuant to applicable guidelines.

I am requesting issuance of modified earnings assignment.

respondent/defendant

other parent

I am requesting the court to order the

petitioner/plaintiff

to provide health insurance coverage for the children as obligated by law, and to issue a Health Insurance Coverage

Assignment (form FL-470).

5 . (Check whichever statements are true, if any)

An application for public assistance (TANF) for the children is pending in (county name):

County.

The children are receiving public assistance from (county name):

County.

This request is made by the governmental agency providing support enforcement services in this action.

6. This request is based on

a. the attached completed Financial Statement (Simplified) (form FL-155) or Income and Expense Declaration (form FL-150)

for the applicant.

a significant change in the income of

petitioner/plaintiff

respondent/defendant

other parent

the attached guideline support calculation sheet.

other (specify):

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date:

(SIGNATURE OF DECLARANT)

(TYPE OR PRINT NAME)

Page 1 of 2

Form Adopted for Mandatory Use

NOTICE OF MOTION AND MOTION FOR SIMPLIFIED

Family Code, § 3680

Judicial Council of California

MODIFICATION OF ORDER FOR CHILD, SPOUSAL, OR FAMILY SUPPORT

FL-390 [Rev. January 1, 2003]

Notice Of Motion And Motion For Simplified Modification Of Order

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