On August 03, 2021 a
Family Matters
was filed
involving a dispute between
Delgado, Vanessa,
and
for Guardianship of Person Only
in the District Court of San Bernardino County.
Preview
FL-1 05IGC-1 20
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, SMar number, and address): FOR COURT USE ONLY
Vanessa Delgado
— 907 S. Taylor Avenue
Ontario, CA 9 1 761
TELEPHONE No.: (909) 456-0599 FAX No. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name).-
Self_ Rep r ese nted
SUPER.
F l L E D
supERIoR coum oF cALIFoRmA, coumv oF SAN BERNARDINO cou~$5849§§5 Sggfixkgom
SAN BERNARDINO
STREET ADDRESS: 247 West Third Street DISTR?g¥O
MAILING ADDRESS: 247 West Third Street AUG 0 3 2021
cmrANo ZIP CODE: San Bernardino, CA 92415
BRANCH NAME: PROBATE BY
|
Z 1‘?"
(This section applies only to family law cases.)
PETITIONER:
VANESSA DELGADO SHA ENEZ' Q‘HPGW
RESPONDENT:
OTHER PARTY:
(This section apples only to guardianship cases.) CASE NUMBER:
GUARDIANSHIP 0F (Name): CARLOS DELGADO Minor
(5 REESE" 00" B ’\
DECLARATION UNDER UNIFORM CHILD CUSTODY
JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
am a party to proceeding to determine custody of a child.
1.
2. E
I
My
| have indicated
this
present address and the present address of each child residing with
in item 3.
me is confidential under Family Code section 3429 as
3. There are (specify number): 1 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. Child’s name Place of binh Date of birth Sex
Carlos Delgado fl) m 0AM CA 11/07/2007 Male
)
Period or residence Address 907 S. Taylor Avenue Person child lived with (name and complete current address) Relationship
Vanessa Delgado, 907 Taylor Ave., Ontario
2008 to present E
Ontario, CA 91761
Confidential
Child's residence (City. State)
E
Person
Confidential
child lived with
CA
S.
91761
(name and complete current address)
Aunt
to
Child's residence (City, State) Person child lived with (name and complete current address)
to
Child's residence (City, State) Person child lived with (name and complete current address)
to
b‘ Child’s name Place of birth Date of birth Sex
E Residence information is the same as given above
(If NOT the same, provide the information below.)
for child a.
Period of residence Address Person child lived with (name and complete current address) RSIatiONShiP
to present E Confidential
Child‘s residence (City, State)
D
Person
Confidential
child lived with (name and complete current address)
to
Child's residence (City, State) Person child lived with (name and complete current address)
to
Child's residence (City, State) Person child lived with (name and complete current address)
to
c.
d.
D
E Additional residence information for a child listed
Additional children are listed
in item a or b
on form FL-105(A)/GC-120(A). (Provide
is continued on attachment 3c.
all requested information for additional children.)
Page 1 of 2
Family Code, § 3400 st seq;
Form Adopted for Mandatory Use
Judicial Council of California
DECLARAT'ON UNDER UN'FORM CHILD CUSTODY Probate Code, §§ 1510(f), 1512
FL-105/GC-1zoIRev.January 1, 20091 JURISDICTION AND ENFORCEMENT ACT (UCCJEA) www.coumnro.ca.gov
no l.
' FL-105/Gc-120
SHORTTWLE
"’ CASE NUMBER:
— Guardianship of: CARLOS DELGADO Qaassgqflajjg
information about. or have you participated as a party or as
a witness or in some other capacity in, another court case
4. Do you have
elsewhere, concerning a child subject to this proceeding?
D m
or custody or visitation proceeding. in
Yes No (Ifyes, attach
California
a copy of
or
the orders (ifyou have one) and provide the following information):
Court order _
Your
Court Name °f eaCh Ch'ld
or judgment
connection to Case status
Proceeding Case number (name state location)
' ’
the case
(date)
a. D Family
b. E Guardianship
c. D Other
Case Number Court (name, state, location)
Proceeding
d' E Juvenile Delinquency/
Juvenile Dependency
e. E Adoption
now (Attach a copy of the orders ifyou have one
5. E] One or more domestic violence restraining/protective orders are in effect.
and provide the following information):
State Case number (if known) Orders expire (date)
Court County
a. E Criminal
b. E Family
c' E Juvenile Delinquency/
Juvenile Dependency
d. E Other
who has physical custody or claims to have custody of or
6. Do you know of any person
visitation rights with any
who is
child in this
not a party to this proceeding
cas e? Yes E
Name and address of person
No (Ifyes, provide the following information):
c. Name and address of person
a. Name and address of person b.
Crystal Luna Manuel Delgado, Jr.
E Has physical custody E
m Has physicalcustody E
E Has physical custody
Claims custody
Claims visitation rights
rights
m Claims custodyrights
Claims visitation righ!s E
Name
Claims custody
Claims
of each
rights
visitation rights
child
Name Name child of each
I
of
CARLOS DELGADO
each child
declare under penalty of perjury under the laws of the State
CARLOS DELGADO
of California that the f
A ect.
Date: 07/30/2021
VANESSA DELGADO D
(TYPE OR PRINT NAME)
,/
(W OF DECLARANT)
7.
W Numberof pages
NOTICE To DECLARANT: You have
attached:fi
a continuing duty to inform this court if you obtain any
concerning a
information about a custody
child subject to this proceeding.
proceeding in a California court or any other court
PagaZof 2
FL-1 05/GC-1 20 [Rev. January 1, 2009] DECLARATION UNDER UNIFORM CHILD CUSTODY
JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
Document Filed Date
August 03, 2021
Case Filing Date
August 03, 2021
Category
Guardianship of Person Only
Status
Under Court Supervision
For full print and download access, please subscribe at https://www.trellis.law/.
Preview
FL-1 05IGC-1 20 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, SMar number, and address): FOR COURT USE ONLY Vanessa Delgado — 907 S. Taylor Avenue Ontario, CA 9 1 761 TELEPHONE No.: (909) 456-0599 FAX No. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name).- Self_ Rep r ese nted SUPER. F l L E D supERIoR coum oF cALIFoRmA, coumv oF SAN BERNARDINO cou~$5849§§5 Sggfixkgom SAN BERNARDINO STREET ADDRESS: 247 West Third Street DISTR?g¥O MAILING ADDRESS: 247 West Third Street AUG 0 3 2021 cmrANo ZIP CODE: San Bernardino, CA 92415 BRANCH NAME: PROBATE BY | Z 1‘?" (This section applies only to family law cases.) PETITIONER: VANESSA DELGADO SHA ENEZ' Q‘HPGW RESPONDENT: OTHER PARTY: (This section apples only to guardianship cases.) CASE NUMBER: GUARDIANSHIP 0F (Name): CARLOS DELGADO Minor (5 REESE" 00" B ’\ DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA) am a party to proceeding to determine custody of a child. 1. 2. E I My | have indicated this present address and the present address of each child residing with in item 3. me is confidential under Family Code section 3429 as 3. There are (specify number): 1 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. Child’s name Place of binh Date of birth Sex Carlos Delgado fl) m 0AM CA 11/07/2007 Male ) Period or residence Address 907 S. Taylor Avenue Person child lived with (name and complete current address) Relationship Vanessa Delgado, 907 Taylor Ave., Ontario 2008 to present E Ontario, CA 91761 Confidential Child's residence (City. State) E Person Confidential child lived with CA S. 91761 (name and complete current address) Aunt to Child's residence (City, State) Person child lived with (name and complete current address) to Child's residence (City, State) Person child lived with (name and complete current address) to b‘ Child’s name Place of birth Date of birth Sex E Residence information is the same as given above (If NOT the same, provide the information below.) for child a. Period of residence Address Person child lived with (name and complete current address) RSIatiONShiP to present E Confidential Child‘s residence (City, State) D Person Confidential child lived with (name and complete current address) to Child's residence (City, State) Person child lived with (name and complete current address) to Child's residence (City, State) Person child lived with (name and complete current address) to c. d. D E Additional residence information for a child listed Additional children are listed in item a or b on form FL-105(A)/GC-120(A). (Provide is continued on attachment 3c. all requested information for additional children.) Page 1 of 2 Family Code, § 3400 st seq; Form Adopted for Mandatory Use Judicial Council of California DECLARAT'ON UNDER UN'FORM CHILD CUSTODY Probate Code, §§ 1510(f), 1512 FL-105/GC-1zoIRev.January 1, 20091 JURISDICTION AND ENFORCEMENT ACT (UCCJEA) www.coumnro.ca.gov no l. ' FL-105/Gc-120 SHORTTWLE "’ CASE NUMBER: — Guardianship of: CARLOS DELGADO Qaassgqflajjg information about. or have you participated as a party or as a witness or in some other capacity in, another court case 4. Do you have elsewhere, concerning a child subject to this proceeding? D m or custody or visitation proceeding. in Yes No (Ifyes, attach California a copy of or the orders (ifyou have one) and provide the following information): Court order _ Your Court Name °f eaCh Ch'ld or judgment connection to Case status Proceeding Case number (name state location) ' ’ the case (date) a. D Family b. E Guardianship c. D Other Case Number Court (name, state, location) Proceeding d' E Juvenile Delinquency/ Juvenile Dependency e. E Adoption now (Attach a copy of the orders ifyou have one 5. E] One or more domestic violence restraining/protective orders are in effect. and provide the following information): State Case number (if known) Orders expire (date) Court County a. E Criminal b. E Family c' E Juvenile Delinquency/ Juvenile Dependency d. E Other who has physical custody or claims to have custody of or 6. Do you know of any person visitation rights with any who is child in this not a party to this proceeding cas e? Yes E Name and address of person No (Ifyes, provide the following information): c. Name and address of person a. Name and address of person b. Crystal Luna Manuel Delgado, Jr. E Has physical custody E m Has physicalcustody E E Has physical custody Claims custody Claims visitation rights rights m Claims custodyrights Claims visitation righ!s E Name Claims custody Claims of each rights visitation rights child Name Name child of each I of CARLOS DELGADO each child declare under penalty of perjury under the laws of the State CARLOS DELGADO of California that the f A ect. Date: 07/30/2021 VANESSA DELGADO D (TYPE OR PRINT NAME) ,/ (W OF DECLARANT) 7. W Numberof pages NOTICE To DECLARANT: You have attached:fi a continuing duty to inform this court if you obtain any concerning a information about a custody child subject to this proceeding. proceeding in a California court or any other court PagaZof 2 FL-1 05/GC-1 20 [Rev. January 1, 2009] DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA)