FL-165 REQUEST TO ENTER DEFAULT (Family Law Uniform Parentage)

[Pages:2]COURT .C.O. .U.N. T. .Y. .O. F. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):

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: Plaintiff(s)

TELEPHONE NO.:

-againsFtA-X NO. (Optional):

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E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

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SUPERIOR COURT OF CALIFORNIA, COUNTY OF

STREET ADDRESS:

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MAILING ADDRESS:

CITY AND ZIP CODE:

. .B.RA.N.C.H.N.AM. E.:

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Defendant(s) . . . . . . . . . . . .

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PETITIONER:

Index No.

FOR COURT USE ONLY

FL-165

Calendar NToo.keep other people from seeing what you entered on

JUDICCyIloeAauLrr TfSohrUimsB,FpPolrOemaEsbeNuptAtroenssatththee

end of the form when finished.

RESPONDENT:

THE PEOPLE OF THE STATE OF NEW YORK

REQUEST TO ENTER DEFAULT TO

CASE NUMBER:

1. To the clerk: Please enter the default of the respondent who has failed to respond to the petition.

2. A completed Income and Expense Declaration (form FL-150) or Financial Statement (Simplified) (form FL-155)

is attached

is not attached.

A coGmRplEeEteTdIPNroGpSe:rty Declaration (form FL-160)

is attached

is not attached

because (check at least one of the following):

(a)

therWe hEavCeObMeeMn nAoNchDanYgOesUs,inthceatthaellpbreuvsiionuesssfilainngd. excuses being laid aside, you and each of you attend before

(b) the Hotnhoeriasbsulees subject to disposition by the court in thisatptrhoeceeding are the sCuobujerctt of a written agreement.

,

(c) Countythoerfe are no issues of child, splooucsaatle, doraptartner support or attorney fees and costs subject to determination by the court.

(d) in roomthe petition do,eosnnotht erequest mdaoyneoyf, property, cos,ts2,0or atto,rantey fees. (Foa'koidne,th?e2330.5n.)oon, and at any recessed

(e) or adjothuernreedardeantoe,istsouteesstoiffydiavinsdiongiovfecoemvimdeuncitey parsoapewrtiyt.ness in this action on the part of the

(f)

this is an action to establish parental relationship.

Date:

Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to

the party on w(ThYoPsEeORbPeRhINaTlfNAtMhEi)s subpoena was issued for a maximum pe(nSIaGlNtAyTUoRfE O$F5[0ATTaOnRdNEaYlFlOdR]aPmETaITgIOeNsERs)ustained as a result of your failure to comply.

3. Declaration

a.

No mailing is required because service was by publication or posting and the address of the respondent remains unknown.

b.

A coWpyiotnf ethsiss, RHeoqnuoersat btoleEnter Default, including any attachments and an env,eloonpee owfiththseuJffuicsiteinctepsoosftatghee, was

Court pinrovided to the coCurot uclnetryk,, with thedaeynvoeflope addressed, 2a0s follows (address of the respondent's attorney or, if none,

the respondent's last known address):

(Attorney must sign above and type name below) I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date:

(TYPE OR PRINT NAME)

Attorney(s) for

(SIGNATURE OF DECLARANT)

FOR COURT USE ONLY

Request to Enter Default mailed to the respondent or the respondent's attorney on (date):

Default entered as requested on (date):

Office and P.O. Address

Default not entered. Reason:

Form Adopted for Mandatory Use Judicial Council of California FL-165 [Rev. January 1, 2005]

Clerk, by

Telephone No.: Facsimile No.:

REQUEST TO ENTER DEE-FMAaUilLATddress: (Family Law--Uniform PaMreonbtailgeeT) el. No.:

, Deputy

Page 1 of 2 Code of Civil Procedure, ?? 585, 587;

Family Code, ? 2335.5 courtinfo.

American LegalNet, Inc.

CASE NAME (Last name, first name of each party):

CASE NUMBER:

4. Memorandum of costs

a.

Costs and disbursements are waived.

b. Costs and disbursements are listed as follows:

(1)

Clerk's fees ..............................................................................................................

(2)

Process server's fees ...............................................................................................

(3)

Other (specify): ...................................................................................................................

........................................................................................................................................ ........................................................................................................................................ ........................................................................................................................................

TOTAL ...................................................................................................................................

$................................

$................................... $...................................

$................................ $................................

$

$................................

c. I am the attorney, agent, or party who claims these costs. To the best of my knowledge and belief, the foregoing items of cost are correct and have been necessarily incurred in this cause or proceeding.

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

Date:

(TYPE OR PRINT NAME)

(SIGNATURE OF DECLARANT)

5. Declaration of nonmilitary status. The respondent is not in the military service of the United States as defined in section 511 et seq. of the Servicemembers Civil Relief Act (50 U.S.C. Appen. ? 501 et seq.), and is not entitled to the benefits of such act.

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

Date:

(TYPE OR PRINT NAME)

(SIGNATURE OF DECLARANT)

FL-165 [Rev. January 1, 2005]

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REQUEST TO ENTER DEFAULT

(Family Law--Uniform Parentage)

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