On July 29, 2022 a
Family Matters
was filed
involving a dispute between
Brown, Tiffany,
Gladney, Thenia,
and
for Guardianship of Person Only
in the District Court of San Bernardino County.
Preview
\r
FL-1 05/GC-120
ATTORNEY OR PARTY WITHOUT ATI'ORNEY (Name Stare Bar number, and address): FOR COURT USE ONLY
T HEN I A GLADNEY AND T I FFANY BROWN
—-15570 MADALENA CIR.
FONTANA, CA 92377
F E L E
SUPERIOR COURT 0F CALIFORNIA
2O5-4 674
m
TELEPHONE No.: 9 O 9) FAX No.
( (Optional):
COUNTY 0F SAN BERNARDINO
E—MAIL ADDRESS (Optional).-
SAN BERNARDINO DISTRICT
ATTORNEY FOR(Name):
SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F SAN BERNARDINO JUL 2.9 2022
STREETADDRESS: 24 7 W . THIRD ST .
SAME
MAILING ADDRESS:
UJY
CITYANDZIPCODE:SAN BERNARDINO, CA 92415
PROBATE
BRANCH NAME: AMVGAMEE-REYE§,’DEPUW
(This section applies only to family
law cases.)
PET‘TI ONER_
RESPONDENT:
OTHER PARTY:
(This section apples only to guardianship cases.) CASE NUMBER:
GUARDIANSHIP 0F (Name):TAJ E Z EKEL JOHNSON Minor
DECLARATION UNDER UNIFORM CHILD CUSTODY
JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
am a
E party to proceeding to determine custody of a
1.I this child.
2. My present address and me
the present address of each child residing with isconfidential under Family Code section3429 as
|have indicated initem 3.
3.There are (specify number): 0N6 minor children who are subject to this proceeding, as follows:
(Insert the information requested below. The residence information must be given for the last FIVE years.)
a. name
Child‘s Place of
birth Date of
birth Sex
TAJ EZEKEL JOHNSON SAN BERNARDINO, CA 10/01/16 M
Peri°d 0f FGSidence
557O
Address l MADALENA C IR . Person m
(name and c
child lived with let address)
nt Ra'ationShiD
THENIA GLADNEY & IFFANY PGM AUNT
07/18/22 to present D
Ch'ld'
FONANA'
ConfidentiaI
'd C't
,
CA
SIt
92377
P
Confidential
h'ld
|' 'th
fie d 3b
BROWN; SAME
d
ADDRE ss
”We” I
e te
I dd’6“)
&
1 5557'?
°°m-—-—-‘9”
ia‘ffépfiigfiz‘ifcIR _
fE‘fi/Tzir'u "135%? FATHER
2017 to7/18/22 FONTANA, CA 92377 SAME ADDRESS
Child‘s residence (City. State) Person (name and complete current address)
child lived with
to
Child's residence (City, State) Person (name and complete
child lived with current address)
to
b. name
Child’s Place of
birth Date of biNh Sex
E Residence information is the same as given above
for child a.
(If NOT the same. provide the information below.)
Period of residence Address Person (name and complete current address)
child lived with RelationShiP
to present E Confidential
Child‘s residence (City, State)
E
Person
Confidential
(name and complete current address)
child lived with
to
Child's FeSidence (CITY. State)
Person (name and complete current address)
child lived with
to
Child's residence (City, Stale)
Person (name and complete current address)
child lived with
to
c.
d.
E
D Additional residence information for a child listed
in item a or biscontinued on attachment 3c.
Additional children are listed on form FL-105(A)/GC-120(A). (Provide
al/requested information for additional children.)
Page
1 of 2
Fjfifig‘ggzggig'rggfm;Use DECLARATION UNDER UNIFORM CHILD CUSTODY Family Code, § 3400 e! seq;
Probate Code, §§ 1510(f), 1512
FL-105/GC-120 [Rev. January
1,2009] JURISDICTION AND ENFORCEMENT ACT (UCCJEA) www.couninfn.ca.gov
CEB www.ceb.com
V \r
FL-1 05IGC-1 20
SHORT TITLE: CASE NUMBER:
L:2 w 5r
4. Do you have information about, or have you panicipated as a party or as a witness or in some other capacity
in,another court case
Yes m
or custody or visitation proceeding, in Califomia or elsewhere, concerning a child subject to this proceeding?
E] No (Ifyes, attacha copy of the orders (ifyou nave one) and provide the following information):
Com Court order
Name 0f eaCh
_
Your
Proceeding Case number (name state location) orjudgment Ch'ld
connection to Case status
‘ ’
(date) the case
a.E Family
b. E Guardianship
c.E Other
Proceeding Case Number Court (name, state, location)
d'D Juvenile Delinquency]
Juvenile Dependency
e. E Adoption
5. D One or more domestic violence restraining/protective orders are now
and provide the following information):
in effect.
(Attach a copy of the orders ifyou have one
Court County State Case number known)
(if Orders expire (date)
a.E Criminal
b.E] Family
C'E Juvenile Delinquency/
Juvenile Dependency
d.E] Other
6.
a.
Do you know of any person who
visitation rights with
Name and
any
is
case?
child in this
address of person
E Yes
Name and
No
who has physical custody or claims to have custody of or
not a party to this proceeding
(Ifyes, provide the followmg information):
address of person
b. c.Name and address of person
[:1
E]
Has physical custody
Claims custody rights
E]
D Has physical custody E Has physical custody
Name
Claims visitation rights
ofeach child
E
Name
Claims custody
Claims
of each child
rights
visitation rights [j
Name
Claims custody rights
Claims visitation rights
ofeach child
M
Ideclare under penalty of perjury under the laws of the State of California that the foregoing
istrueand correct.
Date:07/27/22
THENIA GLADNEY
(TYPE
& TIFFANY
0R PRINT NAME)
BROWN W»; Wm v
jM—v V
IGNATURE IOF DE dLARANT)
7. Number of pages attached: 0
NOTICE TO DECLARANT: You have a continuing duty to inform this court If you obtain any information about a custody
proceeding in a California court or any other court concerning a child subject to this proceeding.
FL—105/GC~1 20 (Rev. January
1.2009] DECLARATION UNDER UNIFORM CHILD CUSTODY Page 2 oi 2
JURISDICTION AND ENFORCEMENT ACT (UCCJEA) CEB
www.ceb.com
Document Filed Date
July 29, 2022
Case Filing Date
July 29, 2022
Category
Guardianship of Person Only
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Preview
\r FL-1 05/GC-120 ATTORNEY OR PARTY WITHOUT ATI'ORNEY (Name Stare Bar number, and address): FOR COURT USE ONLY T HEN I A GLADNEY AND T I FFANY BROWN —-15570 MADALENA CIR. FONTANA, CA 92377 F E L E SUPERIOR COURT 0F CALIFORNIA 2O5-4 674 m TELEPHONE No.: 9 O 9) FAX No. ( (Optional): COUNTY 0F SAN BERNARDINO E—MAIL ADDRESS (Optional).- SAN BERNARDINO DISTRICT ATTORNEY FOR(Name): SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F SAN BERNARDINO JUL 2.9 2022 STREETADDRESS: 24 7 W . THIRD ST . SAME MAILING ADDRESS: UJY CITYANDZIPCODE:SAN BERNARDINO, CA 92415 PROBATE BRANCH NAME: AMVGAMEE-REYE§,’DEPUW (This section applies only to family law cases.) PET‘TI ONER_ RESPONDENT: OTHER PARTY: (This section apples only to guardianship cases.) CASE NUMBER: GUARDIANSHIP 0F (Name):TAJ E Z EKEL JOHNSON Minor DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA) am a E party to proceeding to determine custody of a 1.I this child. 2. My present address and me the present address of each child residing with isconfidential under Family Code section3429 as |have indicated initem 3. 3.There are (specify number): 0N6 minor children who are subject to this proceeding, as follows: (Insert the information requested below. The residence information must be given for the last FIVE years.) a. name Child‘s Place of birth Date of birth Sex TAJ EZEKEL JOHNSON SAN BERNARDINO, CA 10/01/16 M Peri°d 0f FGSidence 557O Address l MADALENA C IR . Person m (name and c child lived with let address) nt Ra'ationShiD THENIA GLADNEY & IFFANY PGM AUNT 07/18/22 to present D Ch'ld' FONANA' ConfidentiaI 'd C't , CA SIt 92377 P Confidential h'ld |' 'th fie d 3b BROWN; SAME d ADDRE ss ”We” I e te I dd’6“) & 1 5557'? °°m-—-—-‘9” ia‘ffépfiigfiz‘ifcIR _ fE‘fi/Tzir'u "135%? FATHER 2017 to7/18/22 FONTANA, CA 92377 SAME ADDRESS Child‘s residence (City. State) Person (name and complete current address) child lived with to Child's residence (City, State) Person (name and complete child lived with current address) to b. name Child’s Place of birth Date of biNh Sex E Residence information is the same as given above for child a. (If NOT the same. provide the information below.) Period of residence Address Person (name and complete current address) child lived with RelationShiP to present E Confidential Child‘s residence (City, State) E Person Confidential (name and complete current address) child lived with to Child's FeSidence (CITY. State) Person (name and complete current address) child lived with to Child's residence (City, Stale) Person (name and complete current address) child lived with to c. d. E D Additional residence information for a child listed in item a or biscontinued on attachment 3c. Additional children are listed on form FL-105(A)/GC-120(A). (Provide al/requested information for additional children.) Page 1 of 2 Fjfifig‘ggzggig'rggfm;Use DECLARATION UNDER UNIFORM CHILD CUSTODY Family Code, § 3400 e! seq; Probate Code, §§ 1510(f), 1512 FL-105/GC-120 [Rev. January 1,2009] JURISDICTION AND ENFORCEMENT ACT (UCCJEA) www.couninfn.ca.gov CEB www.ceb.com V \r FL-1 05IGC-1 20 SHORT TITLE: CASE NUMBER: L:2 w 5r 4. Do you have information about, or have you panicipated as a party or as a witness or in some other capacity in,another court case Yes m or custody or visitation proceeding, in Califomia or elsewhere, concerning a child subject to this proceeding? E] No (Ifyes, attacha copy of the orders (ifyou nave one) and provide the following information): Com Court order Name 0f eaCh _ Your Proceeding Case number (name state location) orjudgment Ch'ld connection to Case status ‘ ’ (date) the case a.E Family b. E Guardianship c.E Other Proceeding Case Number Court (name, state, location) d'D Juvenile Delinquency] Juvenile Dependency e. E Adoption 5. D One or more domestic violence restraining/protective orders are now and provide the following information): in effect. (Attach a copy of the orders ifyou have one Court County State Case number known) (if Orders expire (date) a.E Criminal b.E] Family C'E Juvenile Delinquency/ Juvenile Dependency d.E] Other 6. a. Do you know of any person who visitation rights with Name and any is case? child in this address of person E Yes Name and No who has physical custody or claims to have custody of or not a party to this proceeding (Ifyes, provide the followmg information): address of person b. c.Name and address of person [:1 E] Has physical custody Claims custody rights E] D Has physical custody E Has physical custody Name Claims visitation rights ofeach child E Name Claims custody Claims of each child rights visitation rights [j Name Claims custody rights Claims visitation rights ofeach child M Ideclare under penalty of perjury under the laws of the State of California that the foregoing istrueand correct. Date:07/27/22 THENIA GLADNEY (TYPE & TIFFANY 0R PRINT NAME) BROWN W»; Wm v jM—v V IGNATURE IOF DE dLARANT) 7. Number of pages attached: 0 NOTICE TO DECLARANT: You have a continuing duty to inform this court If you obtain any information about a custody proceeding in a California court or any other court concerning a child subject to this proceeding. FL—105/GC~1 20 (Rev. January 1.2009] DECLARATION UNDER UNIFORM CHILD CUSTODY Page 2 oi 2 JURISDICTION AND ENFORCEMENT ACT (UCCJEA) CEB www.ceb.com