On September 27, 2022 a
Family Matters
was filed
involving a dispute between
Cooper, Christopher,
Drake, Sheila,
and
for Guardianship of Person Only
in the District Court of San Bernardino County.
Preview
__
ATTORNEY OR PARTY WHOUT ATTORNEY (Nuns,
Mr/mfflcr Coo)?“ fflz/M Dione;
munm WW) mm USE ONLY
FL-1 05166-1 20
2&7 L 4 Dr.
23m TELEPHONE No.2
uaarrwzufé 61f 7/
m W)’
7.39
77a. 2&7- 5‘55! FAX
EMLWE“ I
ATTORNEY FOR (NW- E/ fl»
SUPERIOR counT OF'CALIFORNIA, COUNTY 0F San Bemardino
2A supemoa coukrED
or CALIFORNIA
Cs°§fl§n§3a¢nfi§§nstfié¥o
STREETADDRESSI 247 West Third Street
mum mess: 247 West Third sueet _
'
SEP 2 ‘7 2022
clwwogupoooE: San Bemardino 92415-0212 -
.
mum ms.
mus «don appm came ramllth mu.) a
PETmONER:
RESPONDENT: 6660577 PWA— C v oft £7 ”’5’“ p” A L
BY
BRI%NEY SPEARS. DEPUTY
0mm PARTY: M724.
I/
(This
D¢M¢W
”won apples only tb aimdnnahlp cues.) CASE NUMBER:
GUARDIANsmP 0F (Name).-
3 4i47y Cop/e t~ Mm
DECLARATION UNDER UNIFORM CHILD CUSTODY €355? RB Eff. .5”! ff"? 5 .
JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
11-min party to this proceeding to determine custody of a child.
2.
'U My present address child residing with me is confidential under Family Code section 3429 as
and the present address of each
have indicated In item 3.
I
3. There are (specify number): fl/V C
minor children who are subject to this proceeding, as follows: ,
(Inter! mo Infonmtlon "quamd below. Tho ncldence Information must be given for fin last FIVE yours.)
a. 0mm mm- madam Mammy
'
ggm ('49ng Ppmm 5.x
Period or
'7.
mmnoé
3o ~2I comm
Adams
Aficgg
Child't
I 320 9 L unn—
Confidential
roaming Sm.) (W
CquMpn
9/ 73
.
7A
4 MW ta
l'"! Confidential
(Av -.7 3o. 7_/
Parson em um wnh (mm. and comm. mnr-dam's)
F#rlflfi éMA/QqG/hdfarq
tetx/rs
Pomn chld IN wkh (name Ind complete mm! Iddnss)
‘RoI-flomhip
IF
no
Child's mum (City, sum) ‘Ponon child uvud with (name Ind complete atrium ldwm)
to
_
Chld's mm (City, State) _
.
Ponon chad livedwnh (name lndcomploto cum! am”)
m » ‘
.
b. Child's name Place of birth 0m d blah sgx
E Rm (If
summon Ia me um u given abov- iorcm a.
N070» sumo, prmdda tho Informafion bolow.)
Period or mums Audios- Ponon cm lived wan (name and compute current address) Rummp
topment D {um
Chad's
Confidential
(aty. Sim)
_
E Confidential
Pomn ehld lived wnh (name ondoomphb cumn! om”)
_ _
'
no
m
.
, _
cmm mum» (City, sum) Person am mad (name andcompm. cum cum»)
'
so
Child's residence (City, State) Person chad livad with (nam- lnd complete ounlm adduss)
an
c.
u.
D
D Additional residence Information for
Additional chfldren are listed
a child lisbd in item
on form FL-105(A)/GO-120(A). (Provide
a or b ls continuodfon awsohment 3c.
all requested information for additional childlan.)P
~
-
d2
”mu”
. .
‘
Ila 1
Fm" ‘
DECLARATION UNDER UNIFORM CHILD CUSTODY
I
Fmvm 53400 "m:
FL.1&“£'¢%.$W 1. 2m JURISDICTION AND ENFORCEMENT ACT (UCCJEA) Mmmfi'ufli
FL-1 05lGC-1 20
SHORT TITLE: CASE NUMBER:
p——
4
gap?“
Do you have
PM“
information about, or have
(/5. Wtrw
yo_u participated as a party or as a witness or in some other capacity
pnoc’pgmnmmasm
nlL
in. another court case
m
or custody or
Yes
itation
No
proceeding.
(Ifyes, attach
m California or elsewhere, concerning a child sub}ect to this proceeding?
a copy of the orders (ifyou have one) and provide the following information):
c n Court order _
Your
Proceeding Case number or judgment
Name °f each ch'ld connection to Case status
(name ' stag:' ,ocafion)
the case
'
(date)
a. D Family
b. E Guardianship
c. D Other
I
Proceeding Case Number Court (name, state, location)
d: Juvenile Deiinquency/
Juvenile Dependency
e. E: Adoption
5. D One or more domestic violence restraininglpmtective orders are now
and pmyide the following information):
in effect. (Attach a copy of the orders if you have one
Court County State Case number (if known) Orders expire (date)
a. D Criminal
b. D Famioy
D Juvenile Delinquency!
Juvenile Dependency
d. D Other
6. Do you know of any person who is not apa toth is pro ing who has physical cusiody or claims to have custody of or
visitation rights with any chitd in this case? Yes No (Ifyes, provide the followinginfonnation):
a. Name and address of person b. Name and address of person c. Name and address of person
E
E H3§ PhYSica' W5f°dy D
E Has physical custody E
E Has physical custody
E Clagms cygméy rights
Claims Vls'mtwn "ths
Name of each child
E Claims custody rights
Claims visitation rights
Name of each child
EName
Claims custody rights
Claims visitation rights
of each child
l
\/7.
declare under penalty of perjury under the laws of the State of Caiifomia tha‘ the foregoing
Date:
7
E
2.} /¢,
C#firS/V/A/éfi—v
Number of pages
(rYPE
attached:
UIDPera
0R PRmT NAME)
NOTICE TO DECLARANT: You have a continuing duty
SAeJa Duh }
éfle/EWM
Is true ands?
(SIGNATURE or DECLARANT)
to Inform this court if you obtain any Information about a custody
M
proceedlngln a California court or any other court concerning: chlld subject to this proceeding.
J
“40969120 [Rel Jimmy 1- 20°91 DECLARATION UNDER UNIFORM CHILD CUSTODY r
Paco 2°! 2
JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
Document Filed Date
September 27, 2022
Case Filing Date
September 27, 2022
Category
Guardianship of Person Only
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Preview
__ ATTORNEY OR PARTY WHOUT ATTORNEY (Nuns, Mr/mfflcr Coo)?“ fflz/M Dione; munm WW) mm USE ONLY FL-1 05166-1 20 2&7 L 4 Dr. 23m TELEPHONE No.2 uaarrwzufé 61f 7/ m W)’ 7.39 77a. 2&7- 5‘55! FAX EMLWE“ I ATTORNEY FOR (NW- E/ fl» SUPERIOR counT OF'CALIFORNIA, COUNTY 0F San Bemardino 2A supemoa coukrED or CALIFORNIA Cs°§fl§n§3a¢nfi§§nstfié¥o STREETADDRESSI 247 West Third Street mum mess: 247 West Third sueet _ ' SEP 2 ‘7 2022 clwwogupoooE: San Bemardino 92415-0212 - . mum ms. mus «don appm came ramllth mu.) a PETmONER: RESPONDENT: 6660577 PWA— C v oft £7 ”’5’“ p” A L BY BRI%NEY SPEARS. DEPUTY 0mm PARTY: M724. I/ (This D¢M¢W ”won apples only tb aimdnnahlp cues.) CASE NUMBER: GUARDIANsmP 0F (Name).- 3 4i47y Cop/e t~ Mm DECLARATION UNDER UNIFORM CHILD CUSTODY €355? RB Eff. .5”! ff"? 5 . JURISDICTION AND ENFORCEMENT ACT (UCCJEA) 11-min party to this proceeding to determine custody of a child. 2. 'U My present address child residing with me is confidential under Family Code section 3429 as and the present address of each have indicated In item 3. I 3. There are (specify number): fl/V C minor children who are subject to this proceeding, as follows: , (Inter! mo Infonmtlon "quamd below. Tho ncldence Information must be given for fin last FIVE yours.) a. 0mm mm- madam Mammy ' ggm ('49ng Ppmm 5.x Period or '7. mmnoé 3o ~2I comm Adams Aficgg Child't I 320 9 L unn— Confidential roaming Sm.) (W CquMpn 9/ 73 . 7A 4 MW ta l'"! Confidential (Av -.7 3o. 7_/ Parson em um wnh (mm. and comm. mnr-dam's) F#rlflfi éMA/QqG/hdfarq tetx/rs Pomn chld IN wkh (name Ind complete mm! Iddnss) ‘RoI-flomhip IF no Child's mum (City, sum) ‘Ponon child uvud with (name Ind complete atrium ldwm) to _ Chld's mm (City, State) _ . Ponon chad livedwnh (name lndcomploto cum! am”) m » ‘ . b. Child's name Place of birth 0m d blah sgx E Rm (If summon Ia me um u given abov- iorcm a. N070» sumo, prmdda tho Informafion bolow.) Period or mums Audios- Ponon cm lived wan (name and compute current address) Rummp topment D {um Chad's Confidential (aty. Sim) _ E Confidential Pomn ehld lived wnh (name ondoomphb cumn! om”) _ _ ' no m . , _ cmm mum» (City, sum) Person am mad (name andcompm. cum cum») ' so Child's residence (City, State) Person chad livad with (nam- lnd complete ounlm adduss) an c. u. D D Additional residence Information for Additional chfldren are listed a child lisbd in item on form FL-105(A)/GO-120(A). (Provide a or b ls continuodfon awsohment 3c. all requested information for additional childlan.)P ~ - d2 ”mu” . . ‘ Ila 1 Fm" ‘ DECLARATION UNDER UNIFORM CHILD CUSTODY I Fmvm 53400 "m: FL.1&“£'¢%.$W 1. 2m JURISDICTION AND ENFORCEMENT ACT (UCCJEA) Mmmfi'ufli FL-1 05lGC-1 20 SHORT TITLE: CASE NUMBER: p—— 4 gap?“ Do you have PM“ information about, or have (/5. Wtrw yo_u participated as a party or as a witness or in some other capacity pnoc’pgmnmmasm nlL in. another court case m or custody or Yes itation No proceeding. (Ifyes, attach m California or elsewhere, concerning a child sub}ect to this proceeding? a copy of the orders (ifyou have one) and provide the following information): c n Court order _ Your Proceeding Case number or judgment Name °f each ch'ld connection to Case status (name ' stag:' ,ocafion) the case ' (date) a. D Family b. E Guardianship c. D Other I Proceeding Case Number Court (name, state, location) d: Juvenile Deiinquency/ Juvenile Dependency e. E: Adoption 5. D One or more domestic violence restraininglpmtective orders are now and pmyide the following information): in effect. (Attach a copy of the orders if you have one Court County State Case number (if known) Orders expire (date) a. D Criminal b. D Famioy D Juvenile Delinquency! Juvenile Dependency d. D Other 6. Do you know of any person who is not apa toth is pro ing who has physical cusiody or claims to have custody of or visitation rights with any chitd in this case? Yes No (Ifyes, provide the followinginfonnation): a. Name and address of person b. Name and address of person c. Name and address of person E E H3§ PhYSica' W5f°dy D E Has physical custody E E Has physical custody E Clagms cygméy rights Claims Vls'mtwn "ths Name of each child E Claims custody rights Claims visitation rights Name of each child EName Claims custody rights Claims visitation rights of each child l \/7. declare under penalty of perjury under the laws of the State of Caiifomia tha‘ the foregoing Date: 7 E 2.} /¢, C#firS/V/A/éfi—v Number of pages (rYPE attached: UIDPera 0R PRmT NAME) NOTICE TO DECLARANT: You have a continuing duty SAeJa Duh } éfle/EWM Is true ands? (SIGNATURE or DECLARANT) to Inform this court if you obtain any Information about a custody M proceedlngln a California court or any other court concerning: chlld subject to this proceeding. J “40969120 [Rel Jimmy 1- 20°91 DECLARATION UNDER UNIFORM CHILD CUSTODY r Paco 2°! 2 JURISDICTION AND ENFORCEMENT ACT (UCCJEA)