ATTACHMENT FM-1068
ATTORNEY OR PARTY WITHOUT AN ATTORNEY (Name and Address): TELEPHONE NUMBER:
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA
MAILING ADDRESS:
CITY AND ZIP COD
201 North First Street, San José, CA 95113
191 North First Street
San José, California 95113
Family Justice Center
PETITIONER:
RESPONDENT:
CLAIMANT:
CASE NUMBER:
FCS NUMBER:
PETITIONER’S RESPONDENT’S
RESPONSE TO CHILDREN’S COUNSEL’S APPLICATION FOR
PAYMENT OF ATTORNEY FEES AND COSTS
APJ:
DEPARTMENT:
1. I, , declare the following:
I am the attorney for the Father/Mother of the minor children in this case.
I am the Father/Mother of the minor children in this case. I am self-represented.
A new Income and Expense Declaration is attached.
I am attaching a copy of the Income and Expense Declaration I have filed previously because I declare
that the information in it has not changed.
REQUEST FOR ALLOCATION OF FEES FOR CHILD(REN)’S COUNSEL
2. I propose the following allocation of payment:
Father to pay % and Mother to pay % of the ordered fees and costs. My reasons for
proposing that allocation are the following:
3. I ask that the Court pay my part of the fees and costs for the following reason(s):
4. I request monthly payments, I believe I can pay $ per month.
I declare under penalty of perjury under the laws of California that the foregoing is true and correct.
Date:
Signature
FM-1068 REV 08/01/16
RESPONSE TO CHILDREN’S COUNSEL’S APPLICATION
FOR PAYMENT OF ATTORNEY FEES
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