Form Adopted for Mandatory Use
Judicial Council of California
FL-180 [Rev. July 1, 2012]
CASE NUMBER:
JUDGMENT
NULLITYLEGAL SEPARATIONDISSOLUTION
Status only
Reserving jurisdiction over termination of marital or domestic
partnership status
Date marital or domestic partnership status ends:
Default or uncontested By declaration under Family Code section 2336This proceeding was heard as follows:
Contested
Room:Dept.:Date:
Temporary judge
Judicial officer (name):
Attorney present in court (name):
Claimant present in court (name):
c.
d.
Attorney present in court (name):
e.
The court acquired jurisdiction of the respondent on (date):
The respondent appeared.
The respondent was served with process.
THE COURT ORDERS, GOOD CAUSE APPEARING
Judgment of dissolution is entered. Marital or domestic partnership status is terminated and the parties are restored to the
status of single persons
a.
on (specify date):(1)
(2)
Judgment of nullity is entered. The parties are declared to be single persons on the ground of (specify):
b.
c.
petitioner's
e.
f.
d.
JUDGMENT
(Family Law)
Family Code, §§ 2024, 2340,
2343, 2346
www.courts.ca.gov
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER:
FL-180
TELEPHONE NO.:
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
ATTORNEY FOR (Name):
FAX NO. (Optional):
RESPONDENT:
1.
2.
3.
4.
a.
b.
Petitioner present in court
Respondent present in court Attorney present in court (name):
on a date to be determined on noticed motion of either party or on stipulation.
Judgment of legal separation is entered.
This judgment will be entered nunc pro tunc as of (date):
Jurisdiction is reserved over all other issues, and all present orders remain in effect except as provided below.
This judgment
The restraining orders are contained on page(s) of the attachment. They expire on (date):
MARRIAGE OR PARTNERSHIP OF
former name is restored to (specify):respondent's
Judgment on reserved issues
f. Other (specify name):
g.
Judgment on reserved issues.
h. This judgment contains provisions for child support or family support. Each party must complete and file with the court a
Child Support Case Registry Form (form FL-191) within 10 days of the date of this judgment. The parents must notify the
court of any change in the information submitted within 10 days of the change, by filing an updated form. The Notice
of Rights and Responsibilities—Health-Care Costs and Reimbursement Procedures and Information Sheet on Changing a
Child Support Order (form FL-192) is attached.
Page 1 of 2
contains personal conduct restraining orders
modifies existing restraining orders.
a.
b.
E-MAIL ADDRESS (Optional):
The
Agreement in court
To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
end of the form when finished.
JOHN SMITH
1 PENNY LANE
WALNUT CREEK, CA 94596
(925) 955-0000
IN PRO PER
CONTRA COSTA
751 PINE STREET
P.O. BOX 911
MARTINEZ, CA 94553
JOHN SMITH
MARY SMITH
D19-00000
8/16/19
2/15/19
8/16/19
FL-180 [Rev. July 1, 2012]
JUDICIAL OFFICER
Date:
Number of pages attached:
Parentage is established for children of this relationship born prior to the marriage or domestic partnership
CASE NAME (Last name, first name of each party):
CASE NUMBER:
k.
Child support is ordered as set forth in the attached
Previously established in another case. Case number: Court:
j.
l.
Child custody and visitation (parenting time) are ordered as set forth in the attached
Spousal, domestic partner, or family support is ordered:
As set forth in the attached Spousal, Partner, or Family Support Order Attachment (form FL-343).
Each attachment to this judgment is incorporated into this judgment, and the parties are ordered to comply with each attachment's
provisions. Jurisdiction is reserved to make other orders necessary to carry out this judgment.
5.
JUDGMENT
(Family Law)
Page 2 of 2
4.
Stipulation to Establish or Modify Child Support and Order (form FL-350).
SIGNATURE FOLLOWS LAST ATTACHMENT
Stipulation and Order for Custody and/or Visitation of Children (form FL-355).
Reserved for future determination as relates to petitioner respondent
Other (specify):o.
(2)
(3)
(2)
(3)
(4)
(1)
(3)
(4)
Property division is ordered as set forth in the attached
m.
Settlement agreement, stipulation for judgment, or other written agreement.
Other (specify):
Property Order Attachment to Judgment (form FL-345).
(1)
(2)
(3)
Dissolution or legal separation may automatically cancel the rights of a spouse or domestic partner under the other spouse's or
domestic partner's will, trust, retirement plan, power of attorney, pay-on-death bank account, transfer-on-death vehicle registration,
survivorship rights to any property owned in joint tenancy, and any other similar property interest. It does not automatically cancel the
rights of a spouse or domestic partner as beneficiary of the other spouse's or domestic partner's life insurance policy. You should
review these matters, as well as any credit cards, other credit accounts, insurance policies, retirement plans, and credit reports, to
determine whether they should be changed or whether you should take any other actions.
An earnings assignment may be issued without additional proof if child, family, partner, or spousal support is ordered.
Any party required to pay support must pay interest on overdue amounts at the "legal rate," which is currently 10 percent.
A debt or obligation may be assigned to one party as part of the dissolution of property and debts, but if that party does not pay the
debt or obligation, the creditor may be able to collect from the other party.
NOTICE
FL-180
i.
Name
Birthdate
The children of this marriage or domestic partnership are:
(2)
(1)
Attorney fees and costs are ordered as set forth in the attached
n.
Attorney Fees and Costs Order (form FL-346).
Other (specify):
(2)
(3)
Other (specify):
As set forth in the attached settlement agreement, stipulation for judgment, or other written agreement.
(5)
Jurisdiction terminated to order spousal or partner support to petitioner respondent
(2)
Settlement agreement, stipulation for judgment, or other written agreement which contains the information
required by Family Code section 3048(a).
(1)
Settlement agreement, stipulation for judgment, or other written agreement which contains the declarations
required by Family Code section 4065(a).
(1)
Child Custody and Visitation Order Attachment (form FL-341).
Child Support Information and Order Attachment (form FL-342).
Previously established in another case. Case number: Court:
(4)
Settlement agreement, stipulation for judgment, or other written agreement.
(1)
SMITH, JOHN AND MARY
D19-00000
BOBBY SMITH
1/1/08
JENNIFER SMITH
2/2/09
EACH PARTY TO PAY THEIR OWN ATTORNEY FEES AND COSTS.
15
For your protection and privacy, please press the Clear This Form
button after you have printed the form.
Print This Form
Save This Form
Clear This Form