FW-001GC: FW 001GC Form | CA Small Claims

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Court Info

Case Number

Case Name

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list

Petitioner Name

Petitioner Tel

Petitioner Str Address

Petitioner City

Petitioner State

Petitioner Zip

Pet Lawyer Name

Pet Lawyer Firm

Pet Lawyer State Bar No

Pet Lawyer Str Address

Pet Lawyer Tel

Pet Lawyer City

Pet Lawyer State

Pet Lawyer Zip

Pet Lawyer Email

Pet Lawyer Advance Fees Cb

Pet Lawyer Sig Line

Ward Name

Ward Age Dob

Ward Str Address

Ward City

Ward State

Ward Zip

Ward Tel

Ward Lawyer Name

Ward Lawyer Firm

Ward Lawyer State Bar No

Ward Lawyer Str Address

Ward Lawyer Tel

Ward Lawyer City

Ward Lawyer State

Ward Lawyer Zip

Ward Lawyer Email

Ward Job

Ward Employer Name

Ward Employer Str Address

Ward Employer State

Ward Employer Zip

Waive Superior Crt Fee Cb

Waive Review Crt Fee Cb

Prev Waive Request Cb

Prev Waive Request Att Cb

Public Benefit Recieved Cb

Public Benefit Snap Cb

Public Benefit Ssi Cb

Public Benefit Ssp Cb

Public Benefit Cal Workstanf Cb

Public Benefit Ihss Cb

Public Benefit Medi Cal

Public Benefit Capi Cb

Public Benefit Cty Ga Cb

Public Benefit Capi Cb

Public Benefit Recipients Name Relationship

Gross Month Income Less Cb

Income Insufficient Request Cb

Fee Request Def Cb

Ward Estate Value

Ward Estate Person Only Cb

Ward Estate Cb

Ward Estate Collect Date Dt

Ward Estate Source

Ward Father Name

Ward Father Dod Dt

Ward Father Deceased Cb

Ward Father Str Address

Ward Father Zip

Ward Father City

Ward Father State

Ward Father Tel

Ward Mother Name

Ward Mother Dod Dt

Ward Mother Deceased Cb

Ward Mother Str Address

Ward Mother State

Ward Mother Zip

Ward Mother City

Ward Mother Tel

Ward Parents Married Cb

Ward Parents Cohabit Cb

Ward Parents Separated Cb

Ward Parents Divorced Cb

Ward Support Order Payable To

Ward Support Order Cb

Ward Support Order Payee

Ward Support Order Crt

Ward Support Order Case No

Ward Support Order Date Dt

Ward Support Order Amount$

Cons Estate Person Only Cb

Cons Estate Value

Cons Estate Collect Date Dt

Cons Estate Cb

Cons Partner Name

Cons Partner Def Cb

Cons Partner Deceased Cb

Cons Partner Dod Dt

Cons Partnership Date Dt

Cons Partner Str Address

Cons Partner Tel

Cons Partner City

Cons Partner State

Cons Partner Zip

Cons Partner Employer Name

Cons Partner Employer Str Add

Cons Partner Employer State

Cons Partner Employer Zip

Cons Partner Manage Property Cb

Property Incl Cb

Cons Divorce Date Dt

Cons Divorce Cb

Cons Divorce Crt

Cons Divorce Case No

Cons Support Order Cb

Cons Support Order Date Dt

Cons Support Order Amount Dc$

Cons Trustor Cb

Cons Trust Beneficiary Cb

Ward Income Fluctuates Cb

Cash Dc

Finanial Account Name

Financial Account Amount1 Dc$

Financial Account Name

Financial Account Amount2 Dc$

Financial Account Name

Financial Account Amount3 Dc$

Vehicle Make Yr

Vehicle Fair Market Val1 Dc

Vehicle Amount Owed1 Dc$

Vehicle Make Yr

Vehicle Fair Market Val2 Dc

Vehicle Amount Owed2 Dc$

Income Source$

Income Amount1 Dc$

Vehicle Make Yr

Vehicle Fair Market Val3 Dc

Vehicle Amount Owed3 Dc$

Income Source$

Income Amount2 Dc$

Income Source$

Income Amount3 Dc$

Income Source$

Income Amount4 Dc$

Real Estate Add

Real Estate Fair Market Val1 Dc

Real Estate Amount Owed1 Dc$

Income Source$

Income Amount5 Dc$

Real Estate Add

Real Estate Fair Market Val2 Dc

Real Estate Amount Owed2 Dc$

Totalmonthlyincome$

Other Property Desc

Other Property Fair Market Val1 Dc

Other Property Amount Owed1 Dc$

Other Property Desc

Other Property Fair Market Val2 Dc

Other Property Amount Owed2 Dc$

Household Income Name$

Household Income Age1 Dc$

Household Income Rel$

Household Income Amount1 Dc$

Household Income Name$

Household Income Age2 Dc$

Household Income Rel$

Household Income Amount2 Dc$

Household Income Name$

Household Income Age3 Dc$

Household Income Rel$

Household Income Amount3 Dc$

Payroll Deduct

Payroll Amt1 Dc

Household Income Name$

Household Income Age4 Dc$

Household Income Rel$

Household Income Amount4 Dc$

Payroll Amt2 Dc

Payroll Deduct

Household Income Name$

Household Income Age5 Dc$

Household Income Rel$

Household Income Amount5 Dc$

Payroll Deduct

Payroll Amt3 Dc

Household Income Name$

Household Income Age6 Dc$

Household Income Rel$

Household Income Amount6 Dc$

Payroll Deduct

Payroll Amt4 Dc

Household Income Name$

Household Income Age7 Dc$

Household Income Rel$

Household Income Amount7 Dc$

Expense Housing Dc$

Household Income Name$

Household Income Age8 Dc$

Household Income Rel$

Household Income Amount8 Dc$

Expense Food Supplies Dc$

Household Income Name$

Household Income Age9 Dc$

Household Income Rel$

Household Income Amount9 Dc$

Expense Utilities Phone Dc

Household Income Name$

Household Income Age10 Dc$

Household Income Rel$

Household Income Amount10 Dc$

Expense Clothes Dc$

Totalmonthlyincomepersonabove$

Expense Laundry Dc$

Expense Medical Dental Dc$

Total All Income$

Expense Insurance Dc$

Expense School Child Care Dc$

Expense Support Dc$

Expense Transportation Dc$

Installment Payment To$

Installment Payment Amount1 Dc$

Installment Payment To$

Installment Payment Amount2 Dc$

Overflow Cb

Installment Payment To$

Installment Payment Amount3 Dc$

Earnings Withholding Dc

Other Expense$

Other Expense Amount1 Dc$

Other Expense$

Other Expense Amount2 Dc$

Other Expense$

Other Expense Amount3 Dc$

Totalmonthlyexpenses$

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Court Link

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Case Number

Ward Name

Case Number

Ward Name

Case Number

Ward Name

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Sig Date Dt

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Petitioner Name

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