Free FL072 - California

FL002
Attorney or Party Without An Attorney (Name, Address, Telephone Number)

Attorney for (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SONOMA Civil & Family Law Courthouse; Family Law Division 3055 Cleveland Avenue Santa Rosa, Ca 95403 Telephone: (707) 521-6500 Petitioner/Plaintiff: Respondent/Defendant: Other Parent/Claimant: Case Number: Hearing Date: Time: Department:

Statement of Issues for Settlement Conference or Trial



Settlement Conference Trial Separate Statement Joint Statement

NOTE: BOTH PARTIES MUST FILE JUDICIAL COUNCIL FORM FL141 DECLARATION REGARDING SERVICE OF DECLARATION OF DISCLOSURE (PRELIMINARY) PRIOR TO SETTLEMENT CONFERENCE AND/OR TRIAL. This statement must be completed jointly between the parties. If the parties are unable to complete this statement jointly, mark this statement as a separate statement, provide the information required, including information for item 7. This worksheet must be submitted to the Family Law Clerk, 3055 Cleveland Avenue, Santa Rosa, California, 95403 ten (10) days before the settlement conference or trial, whichever is earlier. Please type or clearly print answers to all applicable questions on a separate paper and attach it to this coversheet. If this statement is a separate statement, a copy must be mailed to all parties and a proof of service must be filed with the original of this form. 1. State the following statistical information: Date of marriage or partnership and date of separation; Age and occupation of the petitioner and the respondent; The names and ages of minor children. 2. If child support, spousal support, partner support, or attorney's fees are in dispute, please do the following: a. For child support: i. ii. iii. iv. v. b. Attach a support calculation printed from a court approved support computer program; State each parties' before and after tax monthly income; State each parties' expenses; State your proposal for child support, including health insurance, uninsured medical costs, taxrelated issues; What are the factual and legal bases for your proposal?

Prepare and file a current income and expense declaration if one has not been filed in the last 90 days.

Local Form FL002 Revised Apr 2008

Statement of Issues

Page 1 of 2 Local Rule 9.12

Case Name: c. For spousal or partner support: i. ii. iii. iv. d.

Case Number:

State each parties' before and after tax monthly income; State each parties' expenses; State your proposal for spousal or partner support, including duration of support; What are the factual and legal bases for your proposal?

For attorney's fees: i. ii. State your proposal for an order for attorney's fees; What are the factual and legal bases for your proposal?

3.

If you are requesting the court resolve issues concerning real property, personal property and debts, do the following: a. For all assets including real property: i. ii. iii. iv. b. State the current fair market value of each asset in dispute and attach documents supporting this position; State any loans or outstanding balances against each asset in dispute and attach documents supporting this position; State your proposal for division of assets in dispute; What are the factual and legal bases for your proposal?

For all debt: i. ii. iii. State all debt in dispute, name of creditors and balance due on the date of separation; State your proposal for division of debt in dispute; What are the factual and legal bases for your proposal?

4. 5. 6.

For all witnesses, provide the name, address, telephone number and information they will provide to the court. Provide a list of all documents to be introduced at trial. State your efforts to settle the issues outlined above. (The parties and/or attorneys are required to meet and confer before the settlement conference and before trial.) In the event only one party completes this Statement of Issues, that party shall explain why a joint statement was not completed and the party's position on the award of sanctions for the failure to do so.

7.

DATED: _______________________

__________________________________________________ Signature of Petitioner/Plaintiff or Attorney of Record

DATED: _______________________

__________________________________________________ Signature of Respondent/Defendant or Attorney of Record

DATED: _______________________

__________________________________________________ Signature of Other Parent or Child Support Agency

Local Form FL002 Revised Apr 2008

Statement of Issues

Page 2 of 2 Local Rule 9.12