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ATTORNEY OR PARTY WITHOUT ATTORNEY

STATE BAR NUMBER:

FOR COURT USE ONLY

FL-541

STATE:

FAX NO.:

ZIP CODE:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:

NAME:

FIRM NAME:

STREET ADDRESS:

CITY:

TELEPHONE NO.:

EMAIL ADDRESS:

ATTORNEY FOR (name):

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

APPLICANT:

RESPONDENT:

APPLICATION FOR RECOGNITION OF TRIBAL COURT ORDER DIVIDING
RETIREMENT PLAN OR OTHER DEFERRED COMPENSATION

CASE NUMBER:

This form is for use by an applicant when the other party to the tribal court action has not agreed to or is unable to proceed with
the filing of a joint application for recognition. If both parties to the tribal court action agree to the application, use the Joint
Application for Recognition of a Tribal Court Order Dividing Retirement Plan or Other Deferred Compensation (form FL-540).

se this form to ask the court to recognize a tribal court order that establishes a right to child support payments, spousal support

payments, or marital property rights for a spouse, former spouse, child, or other dependent of a participant in a retirement plan
or other plan of deferred compensation, and assigns all or part of the benefits to an alternative payee.

ou can make this application in the superior court of the county in which either party to the tribal court action resides. (Code of

Civil Procedure, § 1733.1(c).) You must have the tribal court complete the certificate on page 2 and attach a certified
copy of the tribal court order.

ote: Recognition of a tribal court order based on this application does not give a court of this state jurisdiction to modify or

enforce the tribal court order.

1. Applicant ( or in tribal court action) (name):

Respondent

Petitioner

2. Respondent ( or in tribal court action) (name):

Respondent

Petitioner

Mailing address:

Telephone number:
Email address:

Mailing address:

Telephone number:
Email address:

3. Tribal court that issued the order (name):

Mailing address:

Telephone number:
Email address:

4. Applicant states that

Applicant and respondent are parties to the underlying action in the tribal court and the order issued by the tribal court
on .

(date issued):

Applicant has tried to have the respondent agree to the filing of a joint application under Code of Civil Procedure section
1733.1(a), but the respondent has not agreed or is unable to proceed.

Form Adopted for Mandatory Use
Judicial Council of California
FL-541 [New January 1, 2023]

APPLICATION FOR RECOGNITION OF TRIBAL COURT ORDER DIVIDING
RETIREMENT PLAN OR OTHER DEFERRED COMPENSATION

Page 1 of 2

Code of Civil Procedure, 1733.1
Family Code, 2611
www.courts.ca.gov

§
§

APPLICANT:

RESPONDENT:

CASE NUMBER:

FL-541

Applicant asks the court to recognize the order from the

tribal court (name of court):

issued on under Code of Civil Procedure section 1733.1.

(date issued by tribal court ):

d. A certified copy of the tribal court order to be recognized is attached to this form.

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

(TYPE OR PRINT NAME)

(SIGNATURE OF APPLICANT)

(TYPE OR PRINT NAME)

(SIGNATURE OF ATTORNEY FOR APPLICANT (if any))

CERTIFICATE OF TRIBAL COURT

(insert name):

(insert title of position):
I am the with the
(insert name of tribal court):
tribal court.

I certify that the attached is a true copy of the order issued by the
on .

(date the order was issued):

(name of tribal court):

I certify that the attached order was made in compliance with the court's rules and procedures and the order is final.

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

(TYPE OR PRINT NAME)

(SIGNATURE OF AUTHORIZED TRIBAL COURT REPRESENTATIVE)

Notice: This application form complies with the requirements of Code of Civil Procedure section 1733.1. Under Family Code
section 2611, a final order of a tribal court filed in accordance with section 1733.1 of the Code of Civil Procedure shall be
recognized as an order made pursuant to the domestic relations laws of this state.

Date:

FL-541 [New January 1, 2023]

APPLICATION FOR RECOGNITION OF TRIBAL COURT ORDER DIVIDING
RETIREMENT PLAN OR OTHER DEFERRED COMPENSATION

Page 2 of 2

FL-541 APPLICATION FOR RECOGNITION OF TRIBAL COURT ORDER DIVIDING RETIREMENT PLAN OR OTHER DEFERRED COMPENSATION

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 2
Fields(s): 52
Average fields per page: 26
Reading Level: Grade 8
LIST Grouping(s): CO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

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f_l_page_p_caption_attorney_atty_sub_firm was FL-541[0].Page1[0].P1Caption[0].Attorney[0].AttySub[0].AttyFirm[0] (0.40 conf)
f_l_page_p_caption_attorney_atty_sub_street was FL-541[0].Page1[0].P1Caption[0].Attorney[0].AttySub[0].Street[0] (0.42 conf)
f_l_page_p_caption_attorney_atty_sub_city was FL-541[0].Page1[0].P1Caption[0].Attorney[0].AttySub[0].City[0] (0.42 conf)
f_l_page_p_caption_attorney_atty_sub_state was FL-541[0].Page1[0].P1Caption[0].Attorney[0].AttySub[0].State[0] (0.42 conf)
f_l_page_p_attorney_sub__2 was FL-541[0].Page1[0].P1Caption[0].Attorney[0].AttySub[0].Zip[0] (0.42 conf)
f_l_page_p_attorney_phone was FL-541[0].Page1[0].P1Caption[0].Attorney[0].AttySub[0].Phone[0] (0.42 conf)
f_l_page_p_attorney_sub__3 was FL-541[0].Page1[0].P1Caption[0].Attorney[0].AttySub[0].Fax[0] (0.42 conf)
f_l_page_p_sub_email was FL-541[0].Page1[0].P1Caption[0].Attorney[0].AttySub[0].Email[0] (0.42 conf)
f_l_page_p_attorney_sub__4 was FL-541[0].Page1[0].P1Caption[0].Attorney[0].AttySub[0].AttyFor[0] (0.40 conf)
f_l_page_p_info_county was FL-541[0].Page1[0].P1Caption[0].CourtSub[0].CourtInfo[0].CrtCounty[0] (0.37 conf)
f_l_page_p_sub_street was FL-541[0].Page1[0].P1Caption[0].CourtSub[0].CourtInfo[0].CrtStreet[0] (0.37 conf)
f_l_page_p_caption_info was FL-541[0].Page1[0].P1Caption[0].CourtSub[0].CourtInfo[0].CrtMailingAdd[0] (0.42 conf)
f_l_page_p_sub_info was FL-541[0].Page1[0].P1Caption[0].CourtSub[0].CourtInfo[0].CrtCityZip[0] (0.39 conf)
f_l_page_p_info_branch was FL-541[0].Page1[0].P1Caption[0].CourtSub[0].CourtInfo[0].CrtBranch[0] (0.37 conf)
f_page_p_party_title_name__1 was FL-541[0].Page1[0].P1Caption[0].PartySub[0].TitlePartyName[0].Party1[0] (0.36 conf)
f_page_p_party_title_name__2 was FL-541[0].Page1[0].P1Caption[0].PartySub[0].TitlePartyName[0].Party2[0] (0.36 conf)
f_l_page_p_case_number was FL-541[0].Page1[0].P1Caption[0].CaseSub[0].CaseNumber[0].CaseNumber[0] (0.40 conf)
f_l_page_party was FL-541[0].Page1[0].Party[0] (0.37 conf)
f_l_page_partyresp was FL-541[0].Page1[0].Partyresp[0] (0.37 conf)
f_l_page_fill_text__1 was FL-541[0].Page1[0].FillText109[0] (0.42 conf)
f_l_page_court was FL-541[0].Page1[0].court[0] (0.36 conf)
f_l_page_area_petitioner_cb__1 was FL-541[0].Page1[0].#area[0].petitioner_cb[0] (0.36 conf)
f_l_page_area_petitioner_cb__2 was FL-541[0].Page1[0].#area[1].petitioner_cb[1] (0.36 conf)
f_l_page_area_petitioner_cb__3 was FL-541[0].Page1[0].#area[2].petitioner_cb[2] (0.36 conf)
f_l_page_area_petitioner_cb__4 was FL-541[0].Page1[0].#area[3].petitioner_cb[3] (0.36 conf)
f_l_page_tel__1 was FL-541[0].Page1[0].tel3[0] (0.36 conf)
f_l_page_email__1 was FL-541[0].Page1[0].email3[0] (0.36 conf)
f_l_page_mailadd was FL-541[0].Page1[0].mailadd[0] (0.36 conf)
f_l_page_tel__2 was FL-541[0].Page1[0].tel2[0] (0.36 conf)
f_l_page_email__2 was FL-541[0].Page1[0].email2[0] (0.36 conf)
f_l_page_addrs was FL-541[0].Page1[0].addrs[0] (0.36 conf)
f_l_page_tel__3 was FL-541[0].Page1[0].tel1[0] (0.36 conf)
f_l_page_email__3 was FL-541[0].Page1[0].email1[0] (0.36 conf)
f_l_page_address was FL-541[0].Page1[0].address[0] (0.36 conf)
f_page_caption_party_title_name__1 was FL-541[0].Page2[0].PxCaption[0].PartySub[0].TitlePartyName[0].Party1[0] (0.35 conf)
f_page_caption_party_title_name__2 was FL-541[0].Page2[0].PxCaption[0].PartySub[0].TitlePartyName[0].Party2[0] (0.35 conf)
f_l_page_px_case_number was FL-541[0].Page2[0].PxCaption[0].CaseSub[0].CaseNumber[0].CaseNumber[0] (0.35 conf)
f_l_page_fill_text__2 was FL-541[0].Page2[0].FillText109[0] (0.42 conf)
f_l_page_fill_text__3 was FL-541[0].Page2[0].FillText109[1] (0.42 conf)
f_l_page_fill_text__4 was FL-541[0].Page2[0].FillText109[2] (0.42 conf)
f_l_page_fill_text__5 was FL-541[0].Page2[0].FillText109[3] (0.42 conf)
f_l_page_sig_date__1 was FL-541[0].Page2[0].SigDate[0] (0.39 conf)
f_l_page_sig_name__1 was FL-541[0].Page2[0].SigName[0] (0.39 conf)
f_l_page_sig_date__2 was FL-541[0].Page2[0].SigDate[1] (0.39 conf)
f_l_page_sig_name__2 was FL-541[0].Page2[0].SigName[1] (0.39 conf)
f_l_page_sig_date__3 was FL-541[0].Page2[0].SigDate[2] (0.39 conf)
f_l_page_sig_name__3 was FL-541[0].Page2[0].SigName[2] (0.39 conf)
f_l_page_fill_text__6 was FL-541[0].Page2[0].FillText109[4] (0.42 conf)
f_l_page_fill_text__7 was FL-541[0].Page2[0].FillText109[5] (0.42 conf)
f_l_page_fill_text__8 was FL-541[0].Page2[0].FillText109[6] (0.42 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

FL-541 APPLICATION FOR RECOGNITION OF TRIBAL COURT ORDER DIVIDING RETIREMENT PLAN OR OTHER DEFERRED COMPENSATION

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02