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Petitioner’s name: _____________________________

Respondent’s name: ____________________________

Case number: __________________________________

STIPULATION FOR ENTRY OF JUDGMENT

The parties hereto stipulate that the Court may enter a judgment, consisting of the following completed Judicial Council forms, copies of which are attached hereto.

CHECK ALL THAT APPLY:

____ FL-180 ____ FL-342

____ Fl-341 ____ FL-342(A)

____ FL-341(A) ____ FL-343

____ FL-341(B) ____ FL-345

____ FL-341(C) ____ FL-192

____ FL-341(D) OTHER FORMS AS FOLLOWS:__________________

____ FL-341(E) __________________________________________

Dated: ____________ __________________________________________

Petitioner’s Signature

__________________________________________

(Print name of Petitioner)

Dated: ____________ __________________________________________

Respondent’s Signature

__________________________________________

(Print name of Respondent)

Note: Both parties’ signatures on this form must be notarized

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