Preview
10/22/2019 4:17 PM
Velva L. Price
District Clerk
Travis County
D-1-FM-19-005183
Gilberto Rios
e
ic
Pr
L.
a
lv
Ve
k
er
Cl
ct
tri
D is
.
Co
is
av
Tr
y
op
c
l
ia
fic
of
Un
Un
of
fic
ia
l c op
y
Tr
av
is
Co
. D is
tri
ct
Cl
er
k
Ve
lv
a
L.
Pr
ic
e
Exhibit A
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
NORTH DIVISION
325 SOUTH MELROSE
VISTA CA 92081
e
ic
Pr
L.
TO: Va n e s s a L. Perez
a
2548 Marron Road Apt #303
lv
Carlsbad CA 92010
Ve
k
er
Va n e s s a L. Perez Petitione Case No: 1 9 F L O 1 0 1 9 1 N
Cl
NOME OF CASE
vs
Andres Leon Pineda
ct
Judicial Officer: C Y N T H I A
FREELAND
Responden Department: N-18
tri
Phone: 760-201-8096
D is
COMPLAINT FILED 0 8 / 2 1 / 2 0 1 9
.
Co
THIS CASE HAS BEEN ASSIGNED FOR ALL PURPOSES TO THE JUDICIAL OFFICER LISTED ABOVE.
DCSS SUPPORT ISSUES AND OTHER SPECIAL CIRCUMSTANCES MAY RESULT IN THE ASSIGNED
ORDERING A HEARING/TRIAL IN FRONT OF ANOTHER JUDICIAL OFFICER.
is
IT IS THE DUTY OF THE PETITIONER TO SERVE A COPY OF THIS NOTICE WITH THE PETITION/COMPLAINT
av
EACH PARTY SHALL NOTIFY THE COURT OF A CHANGE OF ADDRESS AND/OR TELEPHONE NUMBER
Tr
COURT DAYS OF ANY CHANGE.
Va n e s s a L. Perez
y
op
For more information, refer to California Rules of Court, Title V, Family and Juvenile Rules, at www.courts.ca.gov and
Superior Court Family Law Local Rules, Division Five, at www.sdcourt.ca.gov.
c
A family law case assigned to an Independent calendar judge for all purposes may be reassigned to the court's master calendar, as
l
necessary, for the purpose of assigning a different judge to hear a trial or a long cause hearing. The family law
ia
the designated supervising judge or the assistant supervising judge will act in his or her capacity as the judge
master calendar when making the assignment. A peremptory challenge must be made at the time the parties are
fic
notice of the assignment. See Code of Civil Procedure, section 170.6(a)
I certify that:1 am not a party to the above-entitled case; On the date shown below, I placed a true copy of the NOTICE
of
ASSIGNMENT in separate envelopes, addressed to each addressee shown above; each envelope was then sealed
postage thereon fully prepaid, deposited in the United States Postal Service at: Vista, California.
Un
DATED: 8/21/2019 B Y : CLERK OF THE SUPERIOR COURT
SDSC D-130(Rev 10-13) N O T I C E OF CASE ASSIGNMENT
e
ic
Pr
Superior Court
L.
County of
a
lv
Ve
NOTICE OF ELECTRONIC CASE FILE
AND IMAGED
k
er
This case has been Imaged and the Imaged case is now the official record of the Court. ALL
Cl
pleadings and documents including all original documents attached to pleadings filed with
will be imaged and destroyed. Original documents, other than pleadings should be lodged
court pursuant California Rules of Court, rule
ct
tri
is
On August 24, 2015, the San Diego Superior Court began the _Family Court Imaging Program. All
D
new Family Court cases initiated on or after August 24, 2015, have been and will be imaged
electronic version of the document will be the official court record. The official court record is
.
Co
one of the many kiosks located in the Family Court
The electronic copy of the filed document(s) will be the official court record pursuant
is
Code section 68150. The paper filings will be imaged and held for 30 days. After that time they
av
destroyed and recycled. Thus, you should not attach any original documents to pleadings filed
San Diego Superior Court. Any original documents necessary for a motion hearing or trial shall
Tr
in advance of the hearing or trial pursuant to California Rules of Court, rule
y
It is the duty of each petitioner to serve a copy of this notice with the petition/complaint
op
Respondent and all parties in
c
On all pleadings filed after the initial case originating filing, all parties must, to the extent it
to do so, place the words "liVIAGED FILE" in all caps immediately under the case number
l
ia
subsequent pleadings tiled in
fic
Please refer to the General Order - Imaging located on
of
Diego Superior Court
Un
hdp://www.sdcourt.ca.gov/
Rev. 10/16
FL-105/GC-120
ATTORNEY OR PARTY WITHOUT ATTORNEY (NAine. Stale Ow tnarbeL asAl arkkess): FOR COURT USE ONLY
Vanessa L. Perez
e
ic
2548 Marron Rd. Apt# 303 Carlsbad CA 92010
FAX NO. (Opumaiy
TELEPHONE NO.. ( 5 1 2 ) 4 1 2 - 5 7 8 7
et)
Pr
E /AAR. ADORESS
11°RY ("dme)Vanessa L. Perez t l i t t it ris !
SUPERIOR COURT OF CALIFORNIA, COUNTY OF San Diego
L.
2 . 0
STREET ADDRESS:
325 :iouth
MAILING ADDRESS
DePtIk‘i
a
CITY AND ZIP CODE:
Vista 92081
lv
BRANCH NAME B Y.
North County Regional Center
(This section app Yes o n l y to / a w a y few cases.)
PETITIONER: Vanessa L. Perez
Ve
RESPONDENT: Andres Leon Pineda
OTHER PARTY:
19F1.0101
(This section apples Only to guardianship cases.) 11-18:FREELMID,
k
GUARDIANSHIP OF
Mino
er
DECLARATION UNDER UNIFORM CHILD CUSTODY
Cl
JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
1.1am a party to this proceeding to determine custody of
ct
2. I . /
I M y present address and the present address of each child residing with me is confidential under Family Code section
I have indicated in
tri
3. There are (specify number): 1
m i n o r children who are subject to this proceeding,
(Insert the information requested below. The residence information must be given for the last FIVE years.)
is
a. Chile's name Place Date of birth Se
Diego A. Leon Cabinas, Venezuela 09/23/2006 MAL
D
Period ol residence AtklresS 2548 Marron Relationshi
Person child lived with (name and c o m p l e t e current address)
08/05/2019 Carslbad C A 92010 Vanessa Perez MOTHE
.
to F-1 Confidential L I
Co
Child's residence (City. Stale) Person child lived \Mtn ( n a m e a n d c o m p l e t e current address)
1:3401 Metric Blvd #1126 Andres Leon Pineda FATHE
10/2018 1 0 08/05/19 Austin, TX 78727
is
Child's residence (City. State) Person child lived with ( n a m e a n d c o m p l e t e current address)
94-823 Lumiavau St. #0104 Vanessa Perez MOTHE
av
01/03/16 Co 10/2018 Waipahu, Hawaii 96797
Chilit'S residence (City, State) P e l s o n child lived with ( n a m e a n d c o m p l e t e current address)
355 Aoloa St. #M206
Tr
Vanessa Perez MOTHE
,07/2015 to 01/02/16 Kailua, Hawaii
I). Child's nettle Place ot Irali Date of binh Se
y
M N Residence information is
he same as given above for
op
(11 N O T Um s a m e , ) f O v i d e the IN formation below.)
Period of residence Address RelationsMo
Person child lived with ( n a m e a n d complete current address)
c
L I
to p r e s e n tConfidential EL)
l
Chikl's residence (City. State) Person child lived with ( n a m e a n d complete current address)
ia
t
fic
Child's residence (City. State) Person child !Ned with (name and complete CUN(111 address)
of
1
Child's residence (City. State) Pei SOil child lived with (nanie and complete current address)
Un
to
C Additional residence information for a child listed in item a or b is continued on
0 Additional children are listed on form FL-105(A)/GC-120(A). (Provide all requested information for
Page
rutin Aueigeil for Maneotoly Use Fantty Cale. 5 3400
Councl of DECLARATION UNDER UNIFORM CHILD CUSTODY Nutm(e Code. 55 1510(1). 1512
FL405/GC.120 [Rev. January 1, 2000i JURISDICTION AND ENFORCEMENT ACT (UCCJEA) Amy.courruire.ca.i
19FLO101 'GC-120
11—SHORT II-18: Familia
e
n RE: Matter of Perez v. Leon Pineda
ic
4. D o you have information about, or have you participated as a party or as :ourt
Pr
or custody or visitation proceeding, in California or elsewhere, concerning a
I Yes I I No ( I f yes, attach a copy of The orders (if you have one) and provide the following
L.
Cour Court You
Proceedin Case or Name of connection Case
(name, state,
(date the
a
lv
aI I
Ve
b. I
k
C Othe
er
Cl
Proceedin Case Court (name,
d Juvenile
Juvenile
e. I I
ct
tri
5. I I One or more domestic violence restraining/protective orders are now in effect. (Attach a copy of the orders if you
is
and provide the following
D
Cour Count Stat Case number Orders expire
.
at I Criminal
Co
nI I Family
c. I j Juvenile
is
Juvenile
d. J Other
av
6. D o you know of any person who is not a party to th's proceeding who has physical custody or claims o have custody
Tr
visitation rights with any child in this case?
I I Yes I . / I No( I f yes, provide the following
a. Name and address b. Name and address c. Name and address
y
op
Has physical Has physical H a s
c
I 1 Claims custody Claims custody Claims custody
1 Claims visitation I 1 Claims visitation Claims visitation
l
ia
Name of Name of Name of
fic
Date:a ,, 2.0( . . ,
I declare und r /pe ally of perjury under the laws of the State of California that the foregoli g is t
i co OCt. /
of
Va n e s s a I . P e r e 7 ‘ 1 W / Z A. p X
/ t i nRi A
e n i,Ala
Un
(TYPE OR PRINT NAME) OF A R A N T )
7. N u m b e r of pages attached:
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.
105/GC•120 (flee. Jamary Pepe 2 of 2
DECLARATION UNDER UNIFORM CHILD CUSTODY
JURISDICTION AND ENFORCEMENT ACT fUCCJEA)
19F1.010191N ( A )
I1-18: FREELAND,
CA NAME:
e
In Re: Matter of Perez v. Leon Pineda
ic
Pr
ATTACHMENT TO
DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
L.
Place Date of birth Se
_ Child's Diego A. Leo
1v o 1 Residence information is the same as given Cabinits, Venezuela 09/23/2006 M
a
' FL-10S/GC-120 for clvkl a. (i1 NOT the sante, provide the
al/emotion below.)
lv
Pentad of residence Present address Person child lived with (name and complete current address)
Relationshi
1(3450 FM1325 Pathway #8307 Andres Leon Pineda
Ve
041:30/15 - 07/2015 Fathe
Austin T X
to C - 7 Confidential 11
Chad's residence (City. State) Person child lived with (name and complete cuuent address)
k
17 ild Wells Branch Pathway, 48307 Vanessa L. Perez Mother
er
/VIA'',
02/2014 ( 0 0 4 / 2 0 1 5
Child's residence (City, slate) Person child lived ..vilit (name and complete current address)
Cl
t
Child's residence (City Stale) Person child lived with (name and complete current address)
t
ct
tri
Place Date of birth Se
- Child's
m Residence infomiation is the same as given
is
FL-105/GC-120 a. (II NOT Me sante, provide the
information below.)
Person child hied with (name and complete current address)
Relationshi
D
Period of residence Addres
to I I Confidential I I
.
Co
Chile's residence (City, Stare) Person child lived Will) (name and complete current address)
1
Childs residence (City, Slate) Person cliild lived with (name and complete ctirrent address)
is
t
av
Child's residence (City. State) Person child lived with (name and complete current address)
Tr
t
Place Date of birth Se
_ Child's name
y
I I Residence the same as given
FL•105/GC•120 a. (1/ NOT the sante, provide the
op
inlonnatioit
Period of residence Addres Relationshi
Person child lived with (,181110 and complete current address)
c
to piesent I-1 Confidential I J
Chats residence (City, State) Person child lived imth (tante and complete current address)
l
ia
t
fic
Child's residence (City, State) Person child lived with (nrune and complete ament address)
t
of
Child's residence (City. Slate) Person child lived with (name and complete cuirent address)
Un
t
Page a t
Ram Adopted ATTACHMENT TO Fan* Code. 5 3400
Itak iii COVilol Probate cede, D5
FL-105(AYGC•12 DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION WWW.COlatilfu.Ca
INewJanuary
AND ENFORCEMENT ACT (UCCJEA)
CONFIDENTIA
ATTORNEY OR PARTY YrITHCUT ATTORNEY (Name, State Bar manner, and aodress) FOR COURT USE ONLY
e
Vanessa L. Perez 2548 Marron Rd. Apt# 303 Carlsbad CA 92010
ic
Pr
TELEPHONE NO: ( 5 1 2 ) 4 1 2 - 5 7 8 7
F A X NO. (Cpponaly
EMAJL ADDRESS (Optionat).
L.
ATTORNEY FOR (Name): V a n e s s a
L. Perez
SUPERIO COURT OF CALIFORNIA, COUNTY OF
I CENTRAL DIVISION, CENTRAL COURTHOUSE, 1100 UNION ST., SAN DIEGO,
E CENTRAL DIVISION, COUNTY COURTHOUSE, 220W. BROADWAY, SAN DIEGO,
a
C CENTRAL DIVISION, FAMILY COURT, 1555 6TH AVE., SAN DIEGO,
E CENTRAL DIVISION, MADGE BRADLEY, 1409 4TH AVE., SAN DIEGO,
lv
C EAST COUNTY DMSION, 250 E. MAIN ST., EL CAJON,
Q NORTH COUNTY DIVISION, 325 S. MELROSE OR., SUITE 340, VISTA,
Ve
0 SOUTH COUNTY DIVISION, 500 3RD AVE., CHULA VISTA,
PETITIONER
Vanessa L. Perez
RESPONDENT
k
Andres Leon Pineda
er
CASE
FAMILY COURT SERVICES
(CONFIDENTIA
Cl
FATHE
Name: Andres
ct
tri
Address: 13401 Metric Blvd 41126 -
is
Daytime Telephone Number (8:00 a.m. to 5:00 p.m.): (512)701-7347
D
Attorney: T e l e p h o n e Number:
MOTHE
.
Co
Name: Vanessa
Address: 2548 Mrron Rd.
is
Daytime Telephone Number (8:00 a.m. to 5:00 p.m.):
av
Attorney: T e l e p h o n e Number:
Tr
NOTE: THIS SCREENING FORM IS FOR FAMILY COURT SERVICES (FCS) USE ONLY. THIS INFORMATION WILL
CONFIDENTIA
CHILDREN MAY NOT ACCOMPANY PARTIES TO THE FAMILY COURT SERVICES APPOINTMENT UNLESS
y
THE COURT OR SPECIFICALLY REQUESTED BY A FAMILY COURT
op
FAILURE TO APPEAR OR FAILURE TO CANCEL THE FAMILY COURT SERVICES APPOINTMENT AT LEAST
PRIOR TO THE APPOINTMENT TIME MAY RESULT IN SANCTIONS IMPOSED BY THE COURT OF UP TO $1600 TO
c
BOTH PARTIES PURSUANT TO CODE CIV. PROC. § 177.5 AND SAN DIEGO SUPERIOR COURT
YES NO
l
1. D o you or the other party allege domestic violence? 0 0
ia
2. I sthere a domestic violence restraining order? 0 0
fic
3. D o you or the other party require a Spanish-speaking counselor? D E i
4 Do you or the other party live outside of the County of San Diego and need a telephone FCS session? 0
5. I sa third party requesting custody or visitation'? 0 0
of
0 Grandparent
120ther:
Un
Name and relationship to
Date: 4
iling Party/
SOSC FCS-046 (Rev. 1117) FAMILY COURT SERVICES
(CONFIDENTI
ATTORNEY CR PARTY WITHOUT ATTORNEY (Name, State Bar nurnlasr, FOR COURT
e
Vanessa L. Perez
ic
2548 Marron Rd. Antit 303 Carlsbad CA 92010
Pr
TELEPHONE NO.- ( 5 1 2 ) 4 1 2 - 5 7 8 7 FAX NO. (00on
EMAILADDRESS
ATTORNEY FOR ((Lame) Va n e s f v a L . P e r e z
L.
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO
12 CENTRAL DIVISION, CENTRAL COURTHOUSE, 1100 UNION ST., SAN DIEGO,
0 CENTRAL DIVISION, COUNTY COURTHOUSE, 220W. BROADWAY, SAN DIEGO,
a
0 CENTRAL DIVISION, FAMILY COURT, 1555 6TH AVE., SAN DIEGO,
O EAST COUNTY DIVISION, 250 E. MAIN ST., EL CAJON,
lv
Ei NORTH COUNTY DIVISION, 325 S. MELROSE DR., VISTA,
0 SOUTH COUNTY DIVISION, 500 3RD AVE., CHULA VISTA, CA 91910
Ve
PETITIONER
Vanessa L. Perez
RESPONDENT B
k
Andres
er
OTHER 1 9 R 0 1 0 1 9 1 N
11-18:FREELAND,
Cl
FAMILY LAW CERTIFICATE OF ASSIGNMENT-VENUE DECLARATION
ct
INSTRUCTIONS: In order for the court to assign your case to the proper court location, this venue declaration is required
tri
when an individual files a new family law case, including domestic violence cases. For active cases with the Family Support
Division (FSD), filed by the Department of Child Support Services, this venue declaration must be submitted with
is
papers filed by a party requesting custody or visitation orders after both parents have become parties to the FSD
when a party files a request for domestic violence
D
SANCTIONS: N o t i c e is hereby given t h a t knowingly o r purposefully filing a case in the i m p r o p e r venue
.
cause for imposing monetary sanctions.
Co
I (type or print name), Vanessa I . Perez , declare that this action is filed in the
within the County of San Diego based on the type of case and the applicable residential Zip Code in accordance with the Cede
Procedure §§ 395(a), 402, the California Rules of Court, and the San Diego Superior
is
(Check
av
IA Petitioner resides in the County of San Diego within Zip Code 92010
El Respondent resides in the County of San Diego within Zip Code
Tr
O In the FSD case, the party requesting custody, visitation, or domestic violence restraining orders resides in the County of
within
y
CI In the FSD case, the other parent resides in the County of San Diego within Zip Code
op
Li Other (specify-include type of case and venue statute)
c
The Zip Code stated above is within the fling boundaries of the family court location marked below, according to the Zip Code List
San Diego Superior Court (SDSC Form
l
ia
(Check
O Central Division (1100 Union St.; 1555 6th Ave.; 1409 411' Ave.; and 220 W. Broadway, San Diego,
fic
El South County Division (500 3rd Ave., Chula Vista,
0 East County Division (250 E. Main St., El Cajon,
2 North County Division (3258. Melrose Dr., Vista,
of
I declare under penalty of perjury under the laws of the State of California that the foregoing is true a ,c3„1
Un
40/.°,(0:
Date * a Z W
g i l /
Preview
10/22/2019 4:17 PM Velva L. Price District Clerk Travis County D-1-FM-19-005183 Gilberto Rios e ic Pr L. a lv Ve k er Cl ct tri D is . Co is av Tr y op c l ia fic of Un Un of fic ia l c op y Tr av is Co . D is tri ct Cl er k Ve lv a L. Pr ic e Exhibit A SUPERIOR COURT OF CALIFORNIA, COUNTY OF NORTH DIVISION 325 SOUTH MELROSE VISTA CA 92081 e ic Pr L. TO: Va n e s s a L. Perez a 2548 Marron Road Apt #303 lv Carlsbad CA 92010 Ve k er Va n e s s a L. Perez Petitione Case No: 1 9 F L O 1 0 1 9 1 N Cl NOME OF CASE vs Andres Leon Pineda ct Judicial Officer: C Y N T H I A FREELAND Responden Department: N-18 tri Phone: 760-201-8096 D is COMPLAINT FILED 0 8 / 2 1 / 2 0 1 9 . Co THIS CASE HAS BEEN ASSIGNED FOR ALL PURPOSES TO THE JUDICIAL OFFICER LISTED ABOVE. DCSS SUPPORT ISSUES AND OTHER SPECIAL CIRCUMSTANCES MAY RESULT IN THE ASSIGNED ORDERING A HEARING/TRIAL IN FRONT OF ANOTHER JUDICIAL OFFICER. is IT IS THE DUTY OF THE PETITIONER TO SERVE A COPY OF THIS NOTICE WITH THE PETITION/COMPLAINT av EACH PARTY SHALL NOTIFY THE COURT OF A CHANGE OF ADDRESS AND/OR TELEPHONE NUMBER Tr COURT DAYS OF ANY CHANGE. Va n e s s a L. Perez y op For more information, refer to California Rules of Court, Title V, Family and Juvenile Rules, at www.courts.ca.gov and Superior Court Family Law Local Rules, Division Five, at www.sdcourt.ca.gov. c A family law case assigned to an Independent calendar judge for all purposes may be reassigned to the court's master calendar, as l necessary, for the purpose of assigning a different judge to hear a trial or a long cause hearing. The family law ia the designated supervising judge or the assistant supervising judge will act in his or her capacity as the judge master calendar when making the assignment. A peremptory challenge must be made at the time the parties are fic notice of the assignment. See Code of Civil Procedure, section 170.6(a) I certify that:1 am not a party to the above-entitled case; On the date shown below, I placed a true copy of the NOTICE of ASSIGNMENT in separate envelopes, addressed to each addressee shown above; each envelope was then sealed postage thereon fully prepaid, deposited in the United States Postal Service at: Vista, California. Un DATED: 8/21/2019 B Y : CLERK OF THE SUPERIOR COURT SDSC D-130(Rev 10-13) N O T I C E OF CASE ASSIGNMENT e ic Pr Superior Court L. County of a lv Ve NOTICE OF ELECTRONIC CASE FILE AND IMAGED k er This case has been Imaged and the Imaged case is now the official record of the Court. ALL Cl pleadings and documents including all original documents attached to pleadings filed with will be imaged and destroyed. Original documents, other than pleadings should be lodged court pursuant California Rules of Court, rule ct tri is On August 24, 2015, the San Diego Superior Court began the _Family Court Imaging Program. All D new Family Court cases initiated on or after August 24, 2015, have been and will be imaged electronic version of the document will be the official court record. The official court record is . Co one of the many kiosks located in the Family Court The electronic copy of the filed document(s) will be the official court record pursuant is Code section 68150. The paper filings will be imaged and held for 30 days. After that time they av destroyed and recycled. Thus, you should not attach any original documents to pleadings filed San Diego Superior Court. Any original documents necessary for a motion hearing or trial shall Tr in advance of the hearing or trial pursuant to California Rules of Court, rule y It is the duty of each petitioner to serve a copy of this notice with the petition/complaint op Respondent and all parties in c On all pleadings filed after the initial case originating filing, all parties must, to the extent it to do so, place the words "liVIAGED FILE" in all caps immediately under the case number l ia subsequent pleadings tiled in fic Please refer to the General Order - Imaging located on of Diego Superior Court Un hdp://www.sdcourt.ca.gov/ Rev. 10/16 FL-105/GC-120 ATTORNEY OR PARTY WITHOUT ATTORNEY (NAine. Stale Ow tnarbeL asAl arkkess): FOR COURT USE ONLY Vanessa L. Perez e ic 2548 Marron Rd. Apt# 303 Carlsbad CA 92010 FAX NO. (Opumaiy TELEPHONE NO.. ( 5 1 2 ) 4 1 2 - 5 7 8 7 et) Pr E /AAR. ADORESS 11°RY ("dme)Vanessa L. Perez t l i t t it ris ! SUPERIOR COURT OF CALIFORNIA, COUNTY OF San Diego L. 2 . 0 STREET ADDRESS: 325 :iouth MAILING ADDRESS DePtIk‘i a CITY AND ZIP CODE: Vista 92081 lv BRANCH NAME B Y. North County Regional Center (This section app Yes o n l y to / a w a y few cases.) PETITIONER: Vanessa L. Perez Ve RESPONDENT: Andres Leon Pineda OTHER PARTY: 19F1.0101 (This section apples Only to guardianship cases.) 11-18:FREELMID, k GUARDIANSHIP OF Mino er DECLARATION UNDER UNIFORM CHILD CUSTODY Cl JURISDICTION AND ENFORCEMENT ACT (UCCJEA) 1.1am a party to this proceeding to determine custody of ct 2. I . / I M y present address and the present address of each child residing with me is confidential under Family Code section I have indicated in tri 3. There are (specify number): 1 m i n o r children who are subject to this proceeding, (Insert the information requested below. The residence information must be given for the last FIVE years.) is a. Chile's name Place Date of birth Se Diego A. Leon Cabinas, Venezuela 09/23/2006 MAL D Period ol residence AtklresS 2548 Marron Relationshi Person child lived with (name and c o m p l e t e current address) 08/05/2019 Carslbad C A 92010 Vanessa Perez MOTHE . to F-1 Confidential L I Co Child's residence (City. Stale) Person child lived \Mtn ( n a m e a n d c o m p l e t e current address) 1:3401 Metric Blvd #1126 Andres Leon Pineda FATHE 10/2018 1 0 08/05/19 Austin, TX 78727 is Child's residence (City. State) Person child lived with ( n a m e a n d c o m p l e t e current address) 94-823 Lumiavau St. #0104 Vanessa Perez MOTHE av 01/03/16 Co 10/2018 Waipahu, Hawaii 96797 Chilit'S residence (City, State) P e l s o n child lived with ( n a m e a n d c o m p l e t e current address) 355 Aoloa St. #M206 Tr Vanessa Perez MOTHE ,07/2015 to 01/02/16 Kailua, Hawaii I). Child's nettle Place ot Irali Date of binh Se y M N Residence information is he same as given above for op (11 N O T Um s a m e , ) f O v i d e the IN formation below.) Period of residence Address RelationsMo Person child lived with ( n a m e a n d complete current address) c L I to p r e s e n tConfidential EL) l Chikl's residence (City. State) Person child lived with ( n a m e a n d complete current address) ia t fic Child's residence (City. State) Person child !Ned with (name and complete CUN(111 address) of 1 Child's residence (City. State) Pei SOil child lived with (nanie and complete current address) Un to C Additional residence information for a child listed in item a or b is continued on 0 Additional children are listed on form FL-105(A)/GC-120(A). (Provide all requested information for Page rutin Aueigeil for Maneotoly Use Fantty Cale. 5 3400 Councl of DECLARATION UNDER UNIFORM CHILD CUSTODY Nutm(e Code. 55 1510(1). 1512 FL405/GC.120 [Rev. January 1, 2000i JURISDICTION AND ENFORCEMENT ACT (UCCJEA) Amy.courruire.ca.i 19FLO101 'GC-120 11—SHORT II-18: Familia e n RE: Matter of Perez v. Leon Pineda ic 4. D o you have information about, or have you participated as a party or as :ourt Pr or custody or visitation proceeding, in California or elsewhere, concerning a I Yes I I No ( I f yes, attach a copy of The orders (if you have one) and provide the following L. Cour Court You Proceedin Case or Name of connection Case (name, state, (date the a lv aI I Ve b. I k C Othe er Cl Proceedin Case Court (name, d Juvenile Juvenile e. I I ct tri 5. I I One or more domestic violence restraining/protective orders are now in effect. (Attach a copy of the orders if you is and provide the following D Cour Count Stat Case number Orders expire . at I Criminal Co nI I Family c. I j Juvenile is Juvenile d. J Other av 6. D o you know of any person who is not a party to th's proceeding who has physical custody or claims o have custody Tr visitation rights with any child in this case? I I Yes I . / I No( I f yes, provide the following a. Name and address b. Name and address c. Name and address y op Has physical Has physical H a s c I 1 Claims custody Claims custody Claims custody 1 Claims visitation I 1 Claims visitation Claims visitation l ia Name of Name of Name of fic Date:a ,, 2.0( . . , I declare und r /pe ally of perjury under the laws of the State of California that the foregoli g is t i co OCt. / of Va n e s s a I . P e r e 7 ‘ 1 W / Z A. p X / t i nRi A e n i,Ala Un (TYPE OR PRINT NAME) OF A R A N T ) 7. N u m b e r of pages attached: 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. 105/GC•120 (flee. Jamary Pepe 2 of 2 DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT fUCCJEA) 19F1.010191N ( A ) I1-18: FREELAND, CA NAME: e In Re: Matter of Perez v. Leon Pineda ic Pr ATTACHMENT TO DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA) L. Place Date of birth Se _ Child's Diego A. Leo 1v o 1 Residence information is the same as given Cabinits, Venezuela 09/23/2006 M a ' FL-10S/GC-120 for clvkl a. (i1 NOT the sante, provide the al/emotion below.) lv Pentad of residence Present address Person child lived with (name and complete current address) Relationshi 1(3450 FM1325 Pathway #8307 Andres Leon Pineda Ve 041:30/15 - 07/2015 Fathe Austin T X to C - 7 Confidential 11 Chad's residence (City. State) Person child lived with (name and complete cuuent address) k 17 ild Wells Branch Pathway, 48307 Vanessa L. Perez Mother er /VIA'', 02/2014 ( 0 0 4 / 2 0 1 5 Child's residence (City, slate) Person child lived ..vilit (name and complete current address) Cl t Child's residence (City Stale) Person child lived with (name and complete current address) t ct tri Place Date of birth Se - Child's m Residence infomiation is the same as given is FL-105/GC-120 a. (II NOT Me sante, provide the information below.) Person child hied with (name and complete current address) Relationshi D Period of residence Addres to I I Confidential I I . Co Chile's residence (City, Stare) Person child lived Will) (name and complete current address) 1 Childs residence (City, Slate) Person cliild lived with (name and complete ctirrent address) is t av Child's residence (City. State) Person child lived with (name and complete current address) Tr t Place Date of birth Se _ Child's name y I I Residence the same as given FL•105/GC•120 a. (1/ NOT the sante, provide the op inlonnatioit Period of residence Addres Relationshi Person child lived with (,181110 and complete current address) c to piesent I-1 Confidential I J Chats residence (City, State) Person child lived imth (tante and complete current address) l ia t fic Child's residence (City, State) Person child lived with (nrune and complete ament address) t of Child's residence (City. Slate) Person child lived with (name and complete cuirent address) Un t Page a t Ram Adopted ATTACHMENT TO Fan* Code. 5 3400 Itak iii COVilol Probate cede, D5 FL-105(AYGC•12 DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION WWW.COlatilfu.Ca INewJanuary AND ENFORCEMENT ACT (UCCJEA) CONFIDENTIA ATTORNEY OR PARTY YrITHCUT ATTORNEY (Name, State Bar manner, and aodress) FOR COURT USE ONLY e Vanessa L. Perez 2548 Marron Rd. Apt# 303 Carlsbad CA 92010 ic Pr TELEPHONE NO: ( 5 1 2 ) 4 1 2 - 5 7 8 7 F A X NO. (Cpponaly EMAJL ADDRESS (Optionat). L. ATTORNEY FOR (Name): V a n e s s a L. Perez SUPERIO COURT OF CALIFORNIA, COUNTY OF I CENTRAL DIVISION, CENTRAL COURTHOUSE, 1100 UNION ST., SAN DIEGO, E CENTRAL DIVISION, COUNTY COURTHOUSE, 220W. BROADWAY, SAN DIEGO, a C CENTRAL DIVISION, FAMILY COURT, 1555 6TH AVE., SAN DIEGO, E CENTRAL DIVISION, MADGE BRADLEY, 1409 4TH AVE., SAN DIEGO, lv C EAST COUNTY DMSION, 250 E. MAIN ST., EL CAJON, Q NORTH COUNTY DIVISION, 325 S. MELROSE OR., SUITE 340, VISTA, Ve 0 SOUTH COUNTY DIVISION, 500 3RD AVE., CHULA VISTA, PETITIONER Vanessa L. Perez RESPONDENT k Andres Leon Pineda er CASE FAMILY COURT SERVICES (CONFIDENTIA Cl FATHE Name: Andres ct tri Address: 13401 Metric Blvd 41126 - is Daytime Telephone Number (8:00 a.m. to 5:00 p.m.): (512)701-7347 D Attorney: T e l e p h o n e Number: MOTHE . Co Name: Vanessa Address: 2548 Mrron Rd. is Daytime Telephone Number (8:00 a.m. to 5:00 p.m.): av Attorney: T e l e p h o n e Number: Tr NOTE: THIS SCREENING FORM IS FOR FAMILY COURT SERVICES (FCS) USE ONLY. THIS INFORMATION WILL CONFIDENTIA CHILDREN MAY NOT ACCOMPANY PARTIES TO THE FAMILY COURT SERVICES APPOINTMENT UNLESS y THE COURT OR SPECIFICALLY REQUESTED BY A FAMILY COURT op FAILURE TO APPEAR OR FAILURE TO CANCEL THE FAMILY COURT SERVICES APPOINTMENT AT LEAST PRIOR TO THE APPOINTMENT TIME MAY RESULT IN SANCTIONS IMPOSED BY THE COURT OF UP TO $1600 TO c BOTH PARTIES PURSUANT TO CODE CIV. PROC. § 177.5 AND SAN DIEGO SUPERIOR COURT YES NO l 1. D o you or the other party allege domestic violence? 0 0 ia 2. I sthere a domestic violence restraining order? 0 0 fic 3. D o you or the other party require a Spanish-speaking counselor? D E i 4 Do you or the other party live outside of the County of San Diego and need a telephone FCS session? 0 5. I sa third party requesting custody or visitation'? 0 0 of 0 Grandparent 120ther: Un Name and relationship to Date: 4 iling Party/ SOSC FCS-046 (Rev. 1117) FAMILY COURT SERVICES (CONFIDENTI ATTORNEY CR PARTY WITHOUT ATTORNEY (Name, State Bar nurnlasr, FOR COURT e Vanessa L. Perez ic 2548 Marron Rd. Antit 303 Carlsbad CA 92010 Pr TELEPHONE NO.- ( 5 1 2 ) 4 1 2 - 5 7 8 7 FAX NO. (00on EMAILADDRESS ATTORNEY FOR ((Lame) Va n e s f v a L . P e r e z L. SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO 12 CENTRAL DIVISION, CENTRAL COURTHOUSE, 1100 UNION ST., SAN DIEGO, 0 CENTRAL DIVISION, COUNTY COURTHOUSE, 220W. BROADWAY, SAN DIEGO, a 0 CENTRAL DIVISION, FAMILY COURT, 1555 6TH AVE., SAN DIEGO, O EAST COUNTY DIVISION, 250 E. MAIN ST., EL CAJON, lv Ei NORTH COUNTY DIVISION, 325 S. MELROSE DR., VISTA, 0 SOUTH COUNTY DIVISION, 500 3RD AVE., CHULA VISTA, CA 91910 Ve PETITIONER Vanessa L. Perez RESPONDENT B k Andres er OTHER 1 9 R 0 1 0 1 9 1 N 11-18:FREELAND, Cl FAMILY LAW CERTIFICATE OF ASSIGNMENT-VENUE DECLARATION ct INSTRUCTIONS: In order for the court to assign your case to the proper court location, this venue declaration is required tri when an individual files a new family law case, including domestic violence cases. For active cases with the Family Support Division (FSD), filed by the Department of Child Support Services, this venue declaration must be submitted with is papers filed by a party requesting custody or visitation orders after both parents have become parties to the FSD when a party files a request for domestic violence D SANCTIONS: N o t i c e is hereby given t h a t knowingly o r purposefully filing a case in the i m p r o p e r venue . cause for imposing monetary sanctions. Co I (type or print name), Vanessa I . Perez , declare that this action is filed in the within the County of San Diego based on the type of case and the applicable residential Zip Code in accordance with the Cede Procedure §§ 395(a), 402, the California Rules of Court, and the San Diego Superior is (Check av IA Petitioner resides in the County of San Diego within Zip Code 92010 El Respondent resides in the County of San Diego within Zip Code Tr O In the FSD case, the party requesting custody, visitation, or domestic violence restraining orders resides in the County of within y CI In the FSD case, the other parent resides in the County of San Diego within Zip Code op Li Other (specify-include type of case and venue statute) c The Zip Code stated above is within the fling boundaries of the family court location marked below, according to the Zip Code List San Diego Superior Court (SDSC Form l ia (Check O Central Division (1100 Union St.; 1555 6th Ave.; 1409 411' Ave.; and 220 W. Broadway, San Diego, fic El South County Division (500 3rd Ave., Chula Vista, 0 East County Division (250 E. Main St., El Cajon, 2 North County Division (3258. Melrose Dr., Vista, of I declare under penalty of perjury under the laws of the State of California that the foregoing is true a ,c3„1 Un 40/.°,(0: Date * a Z W g i l /