Petitioner: Case Number: Respondent: SETTLEMENT AGREEMENT SELECT ONE: 1. MARITAL UNIFORM PARENTAGE AGREEMENT The Parties agree Name: ___________________________________________ Mother Father and Name: ___________________________________________ Mother Father are the parents of the following minor child or children: (To list additional children, attach form MC-025 or a sheet of paper and write Additional Minor Children with name and date of birth for each child. Check box if attaching another page. ) Name: DOB: Name: DOB: Name: DOB: Name: DOB: 2. Custody of and visitation with the children shall be awarded as set forth on the attached Child Custody and Visitation (Parenting Time) Order Attachment (FL-341). 3. Child support orders: a. Child support for the minor children shall be ordered as set forth on the attached Child Support Information and Order Attachment (FL-342); or b. Child support is payable through the Department of Child Support Services as shown on attachment from DCSS or conformed copy of the most recent court order. The parties stipulate this cause may be tried as an uncontested matter. 4. Items #5 -7 apply if the parties are married: 5. Spousal support orders (choose only one): a. Each party waives the right to receive spousal support, and requests that the court terminate jurisdiction to award future spousal support to the other party. b. Spousal support is ordered as set forth in the attached Spousal, Partner, or Family Support Order Attachment (FL-343). c. Petitioner Respondent shall pay Petitioner Respondent as and for spousal support the sum of $__________ per month, commencing _________________and continuing until______________. If no termination date specified, said support shall continue until the death of either party, remarriage of the supported party, or further order of the court. 6. Property division orders (choose only one): a. There are no assets or debts to be disposed of by this Court. b. Division of assets and debts is ordered as set forth in the attached Property Order Attachment to Judgment (FL-345). 7. Each party declares that they have completed and served on the other party a Preliminary Declaration of Disclosure (FL-140) in compliance with Family Code Section 2104. FL-11 (Adopted 01/01/11, Revised 01/01/12, 01/01/13, 01/01/14) Page 1 of 2 SETTLEMENT AGREEMENT Attachment to FL-180 or FL-250 Petitioner: Case Number: Respondent: SETTLEMENT AGREEMENT 8. Each party waives receipt of the Final Declaration of Disclosure under Family Code Section 2105(d). Each of us declares under penalty of perjury under the laws of the State of California that: a) Both parties have complied with Section 2104 and the preliminary declarations of disclosure have been completed and exchanged. b) Both parties have completed and exchanged a current income and expense declaration, that includes all material facts and information regarding that party’s earnings, accumulations, and expenses. c) Both parties have fully complied with Section 2102 and have fully augmented the preliminary declarations of disclosure, including disclosure of all material facts and information regarding the characterization of all assets and liabilities, the valuation of all assets that are contended to be community property or in which it is contended the community has an interest, and the amounts of all obligations that are contended to be community obligations or for which it is contended the community has liability. d) The waiver is knowingly, intelligently, and voluntarily entered into by each of the parties. e) Each party understands that this waiver does not limit the legal disclosure obligations of the parties, but rather is a statement under penalty of perjury that those obligations have been fulfilled. Each party further understands that noncompliance with those objections will result in the court setting aside the judgment. 9. Pursuant to Government Code § 70671, no filing fee shall be required because it is intended that this Settlement Agreement shall be incorporated into the judgment. 10. Other: The foregoing is agreed to by: Date: Signature of Petitioner: Date: Signature of Respondent: (Notarization required if no response on file.) NOTARY ACKNOWLEDGMENT STATE OF CALIFORNIA, COUNTY OF (SPECIFY): . On (date): before me (name and title): personally appeared (name): , who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her authorized capacity, and that by his/her signature on the instrument, the person, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing is true and correct. (NOTARY SEAL) WITNESS my hand and official seal. Signature of Notary Public FL-11 (Adopted 01/01/11, Revised 01/01/12, 01/01/13, 01/01/14) Page 2 of 2 SETTLEMENT AGREEMENT Attachment to FL-180 or FL-250