Transcription of ATTACHMENT TO DECLARATION UNDER UNIFORM …
1 Family Code, 3400 et seq.; Form Adopted for Mandatory Use Judicial Council of California FL-105(A)/GC-120(A) [New January 1, 2009] ATTACHMENT TO DECLARATION UNDER UNIFORM child custody JURISDICTION AND enforcement ACT (UCCJEA)Probate Code, 1510(f), (A)/GC-120(A)CASE NAME: ATTACHMENT TO DECLARATION UNDER UNIFORM child custody JURISDICTION AND enforcement ACT (UCCJEA)Page____ of ____CASE NUMBER: child s namePlace of birthDate of birthSexResidence information is the same as given on form FL-105/GC-120 for child a. (If NOT the same, provide the information below.) child s namePlace of birthDate of birthSexChild s namePlace of birthDate of birthSexResidence information is the same as given on form FL-105/GC-120 for child a.
2 (If NOT the same, provide the information below.)Residence information is the same as given on form FL-105/GC-120 for child a. (If NOT the same, provide the information below.)Period of residencePresent addressRelationshipto presenttototoChild's residence (City, State) child 's residence (City, State) child 's residence (City, State)Period of residenceAddressPerson child lived with (name and complete current address)RelationshipConfidentialto presenttototoChild's residence (City, State) child 's residence (City, State) child 's residence (City, State)Period of residenceAddressRelationshipConfidential to presenttototoChild's residence (City, State) child 's residence (City, State) child 's residence (City, State)
3 ConfidentialConfidentialConfidentialConf identialPerson child lived with (name and complete current address)Person child lived with (name and complete current address)Person child lived with (name and complete current address)Person child lived with (name and complete current address)Person child lived with (name and complete current address)Person child lived with (name and complete current address)Person child lived with (name and complete current address)Person child lived with (name and complete current address)Person child lived with (name and complete current address)Person child lived with (name and complete current address)Person child lived with (name and complete current address)
