ATTORNEY OR PARTY WITHOUT ATTORNEY (Name,  state bar number, and address):

FOR COURT USE ONLY

FL-440

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

FAX NO.:

TELEPHONE NO.:

ATTORNEY FOR (Name):

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:

OTHER PARENT:

STATEMENT FOR REGISTRATION OF CALIFORNIA SUPPORT ORDER

CASE NUMBER:

Support Order

Order for Wage or Income Withholding

The statement of the Obligee (the person to whom support is owed) to register

a California support order

a California order for earnings or income withholding          is as follows:

1.

The Obligor (the parent ordered to pay support) is

Respondent/Defendant

Petitioner/Plaintiff
Other parent

A file stamped copy (endorsed) of the most recent support order or order for earnings or income withholding (or a copy) is attached.  
(A certified copy is not required.)

2.

3.

a.
b.

A Declaration of Payment History (form FL-420) is attached.
The arrearage balance is unknown.

4.

The Obligee's mailing address is (specify):

5.

The Obligor's last known place of residence or mailing address is (specify):

6.

States and counties in which the original order for support or order for earnings or income withholding, and any modifications, are 
registered (specify):

None, or unknown.

You  have  20  days  after  the  date  of  mailing  of  this  STATEMENT  FOR  REGISTRATION  OF  CALIFORNIA  SUPPORT 
ORDER to petition the court to cancel (vacate) this registration or petition for other relief (Fam. Code, § 5603). (See the 
date on the Clerk's Certificate of Mailing on page 2 of this form.)

NOTICE TO OBLIGOR

Form Adopted for Optional Use
Judicial Council of California
FL-440 [Rev. January 1, 2003]

 STATEMENT FOR REGISTRATION
OF CALIFORNIA SUPPORT ORDER

Page 1 of 2

Family Code, § 5602
www.courtinfo.ca.gov

 Laura Lynn Morgan 31/03

 Morgan I Love You

CASE NUMBER:

DECLARATION

7.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:

OTHER PARENT:

Date:

(TYPE OR PRINT NAME)

(SIGNATURE OF OBLIGEE, PERSON HAVING LEGAL CUSTODY OF 
MINOR OBLIGEE, OR PERSON ACTING ON BEHALF OF OBLIGEE PURSUANT 
TO AN ASSIGNMENT OF RIGHTS)

8.

TO OBLIGOR (name):

NOTICE TO OBLIGOR

9.

You are notified that a
has been registered with this court.  A copy of the order is attached, and the mailing address of the Obligee is shown in this 
statement.

California order for assignment of earnings for support

California support order

Date:

Clerk, by

, Deputy

CLERK'S CERTIFICATE OF MAILING

I certify that I am not a party to this cause and that a copy of the Statement for Registration of California Support Order  (form FL-440) 
with a copy of the California order were sent to the Obligor by certified mail, return receipt from the addressee only requested. The 
copies were enclosed in an envelope with postage fully prepaid. The envelope was addressed to the Obligor only at the address listed 
in item 5 on page 1 of this form, sealed, and deposited with the United States Postal Service
at (place):
on (date):

Date:

Clerk, by

, Deputy

FL-440 [Rev. January 1, 2003]

STATEMENT FOR REGISTRATION
OF CALIFORNIA SUPPORT ORDER

Page 2 of 2

 Laura Lynn Morgan 31/03

 Morgan I Love You