Family Law Status Report Page 2

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5.
Issues: What are the things you do not have agreement about?
Child Custody and Visitation
Child Support
Spousal Support
Dividing Interest in Home
Dividing Pensions
Dividing Debts
Attorney’s Fee and Costs
Other: _________________________________________
6.
Family Mediation: Have the parties completed Family Mediation?
Petitioner
No
Yes
Respondent
No
Yes
7.
Exchange of Information: (Dissolution or Legal Separation only.)
Were the Declarations of Disclosure served?
Preliminary
Filed Declaration re Service (FL-141)
Petitioner
No
Yes
No
Yes
Respondent
No
Yes
No
Yes
Filed and Served current Income and Expense forms?
Petitioner
No
Yes
If, yes, date filed:________________________
Respondent
No
Yes
If, yes, date filed: ________________________
8.
Case Progress:
The case is moving along fine.
I do not know what to do next.
I need more time to work out an agreement.
I need more time because of financial issues. (for example, selling house, bankruptcy)
I need more time because of my health or the other person’s health.
Other reasons for not moving forward: ___________________________________________________________
____________________________________________________ ______________________________________________
____________________________________________________________________________________________ ___
9.
Mandatory Settlement Conference/Trial Date:
If a Response has been filed, the Court will schedule a Mandatory Settlement Conference and Trial date, when the Court deems
the case at-issue and/or a party files a Request for Mandatory Settlement Conference and Trial.
When do you think it should be scheduled?
Month: __________________________
10.
Dates you are not able to come to Court: __________________________________________________________________
_____________________________________________________________________________________________________
I declare under penalty of perjury under the laws of the State of California that he foregoing is true and correct.
Date:
Petitioner
Date:
Res pondent
FAMILY LAW STATUS REPORT
Mandatory Form
Page 2 of 2
LK-100 New 01/12
PAGE 46

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