PARTY WITHOUT ATTORNEY OH ATTORNEY we Laura A. Wasser, Esq. (SEN 173740) resume WASSER. COOPERMAN MANDLES. P.C. STREET 2049 Park East. Suite 800 cm Los Angeles, CA 90067-3110 mesons no (310) EMAIL ADDRESS Angelina JOIIE SUPERIOR COURT OF CALIFORNIA. COUNTY OF LOS ANGELES STREET ADDRESS 111 Street STATE STATE ZIP CODE me (310) 553?1793 MAILING ADDRESS 111 North Street CITY AND ZIP CODE LOS Angeles, CA 90012 Sherri BRANCH NAME CENTRAL DISTRICT BX 1 2. 3. 4. PETITIONER: ANGELINA JOLIE PII I FOR COURT USE ONLY FILED Superior Court of California County of Los Angelas SEP 1 9 Maggie OItIqer/Clerk Deputy Dolor?ds Galv?? WILLIAM BRADLEY PITT PETITION FOR 3 Dissolution (Divorce) of: CI Legal Separation of: CI Nullity of: Cl AMENDED Domestic Partnership Domestic Partnership El Marriage Marriage Domestic Partnership CI Marriage LEGAL RELATIONSHIP (check all that apply): a. We are married. We are domestic partners and our domestic partnership was established in Calito nia. We are domestic partners and our domestic partnership was NOT established in CalIfornia. c: CI RESIDENCE REQUIREMENTS (check all that apply): a. Petitioner Respondent STATISTICAL FACTS a. El (1) Date ofrnarriage (specify): 8/14/2014 CASE NUMBER go646058 'a 1 351.? _l ?l has been a resident of this state for at least six months and of this county for at least three months immediately preceding the ?ling of this Petition. (For a divorce, at least one person in the legal relationship described in items 1a and 1 0 must comply with this requirement.) Our domestic partnership was established in California. Neither of us has to be a resident or have a domicile in California to dissolve our partnership here. We are the same sex, were married in California. but currently live in a jurisdiction that does not recognize. and will not dissolve. our marriage.This Petition is ?led in the county where we married. Respondent lives in (specify): Petitioner lives in (specify): (3) Time from date of marriage to date of separation (specify): (3) Time from date of registration of domestic partnership to date of separation (specify): MINOR CHILDREN a. There are no minor children. The minor children are: Child's name 1} Maddox Jolie-Pitt 2) Pax Jolie-Pitt 3 Zahara Jolie-Pitt 4 Knox Leon Jolie-Pitt 5 Vivienne Marcheline Jolie-Pitt 6} Shiloh Nouvel Jolie-Pitt (1) continued on Attachment 4b. those children to be children of the marriage or domestic partnership. d. If there are minor children of Petitioner and Respondent. a completed Declaration Under Uniform Child Custody Jurisdictr 41'. @ached: and EnforcementAct (UCCJEA) (form FL-105) must be attached. e. Petitioner and Respondent signed a voluntary declaration of paternity. A copy is Form Adopted for Mandatory Use Judicial Council of Ca'atornia FL-1OO [Rev July 1, 2016] Essential (Family Law) El Forms: Birthdate age so 8l5l2001 1551} 1281/29/2003 12$ 1 2005 7/12/2008 a5: 1?3? 7/12/2008 '3 g: r? Fla" 5/27/2006 n-t" film (2) Date of separation (specify): 9/15/2015 2 Years b. (1) Registration date of domestic partnership with the California Secretary of State or other state equivalent (specify below): (2) Date of separation (specify): 1 Months Years (2) a child who is not yet born. c. If any children listed above were born before the marriage or domestic partnership. the court has the authority to dear Ill-I EIDCIQ 2 Months 33 r. E: .5 F) r?lm :21 A ?n or: at: gale .. .. is 13 or Ell-:3 I raise. E: to an '3'4 co lei CI o3 Page1of3 91:3 232?: 2330? 3409; P-I- twat-.- Eoorts ca gov FL-100 his: NUMBER RESPONDENT: WILLIAM BRADLEY PITT Petitioner requests that the court make the following orders: 5. LEGAL GROUNDS (Family Code sections 2200?2210, 2310-2312) a. El Divorce or Legal separation of the marriage or domestic partnership based on (check one): (1) irreconcilable differences. (2) CI permanent legal incapacity to make decisions. b. Nullity of void marriage or domestic partnership based on (1) incest. (2) Cl bigamy. Nullity of voidabie marriage or domestic partnership based on (1) CI petitioner's age at time of registration of domestic (4) CI fraud. partnership or marriage. . (2) CI prior existing marriage or domestic partnership. (5) Cl orce (3) CI unsound mind. (6) physical incapacity 6. CHILD CUSTODY AND VISITATION (PARENTING TIME) Petitioner Respondent Joint Other a. Legal custody of children to .. Cl b. Physical custody ofchildren Child visitation (parenting time) be granted to .. . As requested in: CI form FL-311 form FL-312 CI form Cl form Cl form Attachment 60(1) 7. CHILD SUPPORT a. If there are minor children born to or adopted by Petitioner and Respondent before or during this marriage or domestic partnership, the court will make orders for the support of the children upon request and submission of ?nancial forms by the requesting party. b. An earnings assignment may be issued without further notice. c. Any party required to pay support must pay interest on overdue amounts at the "legal" rate, which is currently 10 percent. d. CI Other (specify): 8 SPOUSAL OR DOMESTIC PARTNER SUPPORT . Spousal or domestic partner support payable to Petitioner Respondent . CI Terminate (end) the court's ability to award support to Petitioner [3 Respondent . Reserve for future determination the issue of support payable to CI PetitiOner Respondent . CI Other (specify): CLOUD.) 9. SEPARATE PROPERTY a. There are no such assets or debts that I know of to be con?rmed by the court. b. Con?rm as separate property the assets and debts in Property Declaration (form FL-160) CI Attachment 9b. the following list. Item Con?rm to a) Miscellaneous Jewelry and other personal effects Petitioner Earnings and accumulations of Petitioner from and after the date of separation Petitioner c) There are additional separate property assets and obligations of the parties, the exact nature and extent oi which are not presently known. [Rev July1,2016] I PARTNERSHIP Pagezora Essential (Family Law) Forms- PETITIONER: I CASE NUMBER WILLIAM BRADLEY PITT 10. COMMUNITY AND PROPERTY a. There are no such assets or debts that I know of to be divided by the spud. b. Determine rights to community and quasi-community assets and debts. All such assets and debts are listed in Property Declaration (form FL-160) CI in Attachment top. as follows (specify): There are community and quasi-communin assets and obligations of the parties. the exact nature and extent of which are unknown to Petitioner at this time. 11. OTHER REQUESTS a. El Attorney's fees and costs payable by El Petitioner Respondent (each party to pay own) b. Petitioner's former name be restored to (specify): c. Other (specify): Continued on Attachment 11c. 12. I HAVE READ THE RESTRAINING ORDERS ON THE BACK OF THE SUMMONS. AND I UNDERSTAND THAT THEY APPLY TO ME WHEN THIS PETITION IS FILED. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: September (01 . 2016 Angelica _J.olie_Ei1t (TYPE OR PRINT NAME) Date: September m. 2016 (TYPE OR PRINT NAME) (SIGNATURE OF ATTORNEY FOR PETITIONER) FOR MORE INFORMATION: Read Legal Steps fora Divorce or Legal SeparatiMUorm and visit "Families Change" at an online guide for parents and children going through divorce or separation. NOTICE: You may redact (black out) social security numbers from any written material ?led with the court in this case other than a form used to collect child, spousal or partner support. OF RIGHTS: Dissolution or legal separation may automatically cancel the rights of a domestic partner or spouse under the other domestic partner's or spouse's will. trust. retirement plan. power of attorney. pay-on-death bank account, survivorship rights to any property owned in joint tenancy. and any other similar thing. It does not automatically cancel the right of a domestic partner or spouse as bene?ciary of the other partner's or spouse?s life insurance policy. You should review these matters. as well as any credit cards. other credit accounts. insurance polices. retirement plans. and credit reports. to determine whether they should be changed or whether you should take any other actions. Some changes may require the agreement of your partner or spouse or a court order. 2016] - - Page3of3? Essential (Family Law) Forms- FL-110 SUMMONS (Family Law) S?gg?y??t?ffmwa NOTICE TO RESPONDENT (Name): of Los Angeles AVISO Al. DEMANDADO (Nombre): CUU 5' WILLIAM BRADLEY PITT SB) 19 mm [jou have been sued. Read the information below and on the next page. 1 Lo han demandado. Lea la informacion a continuaci?n en la pa?gina siguiente. Sherri j" arter. 19 11v Officer/Clerk - - ?Depuly Petitioner's name is: Ev Dom 5 Ga?, Nombre del demandante: ANGELINA JOLIE PITT CASE NUMBER (NUMERO DE CASO) I In! You have 30 calendar days after this Summons and Tiene 30 dies de calendario despu?s de haberrecibido la Petition are served on you to ?le a Response (form entrega legal de esta Citaci?n Petici?n para presenter una FL-120) at the court and have a copy served on the Respuesta (formulan'o FL-120 I ante la corte efectuar Ia petitioner. A letter. phone call, or court appearance entrega legal de una COpia al demandante. Una carta llamada will not protect you. telefonica a una audiencia de la con?e no basta para protegerlo. If you do not ?le your Response on time. the court 81' no presenta su Respuesta a tiempo. la corte puede dar may make orders affecting your marriage or domestic cirdenes que afecten su matnmonio pareja de hecho. sus partnership. your property. and custody of your bienes la custodia de sus hrjos. La corte tambi?n Ie puede children. You may be ordered to pay support and ordenar que pague manutencion. honoran'os costos legales. attorney fees and Para asesoramiento legal. pdngase en contacto de inmediato For legal advice. contact a lawyer immediately. Get con un abogado. Puede obtenerinformacion para encontrar un help ?nding a lawyer at the California Courts Online abogado en el Centro de Ayuda de las Cortes de California Self-Help Center at the en el sitio web de los Servicios Legales California Legal Services website (wwaawhe/pcaorgl. ole Califomia poni?ndose en contacto or by contacting your local county bar association. con el colegio de abogados de su condado. ORDERS ARE ON PAGE 2: ORDENES DE SE These restraining orders are effective against both ENCUENTRAN EN LA PAGINA 2: Las ordenes de restn'ccion spouses or domestic partners until the petition is estan en vigencia en cuanto a ambos cdnyuges mlembros de dismissed. a judgment is entered. or the court makes la pareja de hecho hasta que se despida la peticion. se emita on further orders. They are enforceable anywhere in fallo la corte d? otras drdenes. Cuaiquier agencia del orden California by any law enforcement of?cer who has pub/foo que haya recibido visto una copia de estas ordenes received or seen a copy of them. 7 puede hacerlas acatar en cuaiquier iugar de California. FEE WAIVER: if you cannot pay the ?ling fee. ask the EXENCION DE CUOTAS: Si no puede pagarla cuota de clerk for a fee waiver form. The court may order you to presentacion. pida al secretario un formulario o'e exencion de pay back all or part of the fees and costs that the court cuotas. La corte puede ordenar que usted pague. ya sea en waived for you or the other party. parte 0 par complete, las cuotas costos de la corte previamente exentos a peiicion de usted 0 de la otra parte. 1 The name and address of the court are (El nombre direccion de la corte son); {Etit?fin LOS ANGELES SUPERIOR COURT {it 111 North Hill Street is: gt. Los Angeles. CA 90012 CENTRAL DISTRICT 2. The name. address. and telephone number of the petitioner's attorney. or the petitioner without an attorney, are: (El nombre. direccion numero de tel?fono del abogado del demandante. 0 del demandante si no tiene abogado. son}: ?tiff Laura A. Wasser. Esq. (SBN 1i3i40) 13- Telephone No.: (310) 277-7117 WASSER. COOPERMAN a MANDLES. RC. 2049 Century Park East. Suite 800 ?1 Los Angeles. CA 90067-3110 Date (Fecha): I 9 Clerk, by (Secretario. pm d'x .Deputy (Asistente) in Page 1 of 2 Form Adopted for Mandalay Use SUM MONS Family Code. 232. 233, my r. mm 7700, Judicial Councrl or California . Code of Civil Precedure 412 20'. 41-3 50416 90 January 1. 2015] (Family Law) ca gov M'm [in Drtm's ESSENTIAL Firm}: JSTANDARD FAn?v LAW RESTRAINING ORDERS Starting immediately, you and your spouse or domestic partner are restrained from: 1. removing the minor children of the parties from the state or applying for a new or replacement paSSport for those minor children without the prior written consent of the other party or an order of the court; 2. cashing. borrowing against. canceling. transferring. disposing of. or changing the bene?ciaries of any insurance or other coverage. including life. health. automobile. and disability. held for the bene?t of the parties and their minor children; 3. transferring. encumbering, hypothecating. concealing. or in any way disposing of any property. real or personal, whether community. quasi-community. or separate. without the written consent of the other party or an order of the court. except in the usual course of business or for the necessities of life; and 4. creating a nonprobate transfer or modifying a nonprobate transfer in a manner that affects the disposition of property subject to the transfer, without the written consent of the other party or an order of the court. Before revocation of a nonprobate transfer can take effect or a right of survivorship to property can be eliminated, notice of the change must be ?led and served on the other party. You must notify each other of any proposed extraordinary expenditures at least five business days prior to incurring these extraordinary expenditures and account to the court for all extraordinary expenditures made after these restraining orders are effective. However. you may use community property. quasi-community property, or your own separate property to pay an attorney to help you or to pay court costs. W. . ORDENES DE RES TRICCION ES TANDAR DE DERECHO FAMILIAR En forma inmediata, usted su conyuge pareja de hecho tienen prohibido: 1. llevarse del estado de California a los hijos menores de las partes. solicitar un pasaporte nuevo 0 de repuesto para los hijos menores. sin el consentimiento previo por escn'to de la otra parte 0 sin una orden de la corte.? 2. cobrar. pedirprestado. cancelar. transferfr. deshacerse cambiar el nombre de los benefician?os de cualquier seguro otro tipo de cobertura. como de Vida. salud. vehiculo discapacidad. que tenga como bene?ciario(s) alas partes su(s) hijo(s) 3. transfen'r, gravar. hipotecar. ocultaro deshacerse de cualquier manera de cualquierpropiedad. inmueble 0 personal. ya sea comunitan'a, cuasicomunitan'a separada. sin el consentimiento escn?to de la otra parts 0 una orden de la corte. excepto en el curso habitual de actividades personales comerciales 0 para satisfacer las necesidades de la Vida; 4. crear modi?car una transferencia no testamentan'a ole manera que afecte la asignacion de una propiedad sujeta a transferencia. sin 9/ consentimiento por escn'to de la otra parte a una orden de la corte. Antes de que se puede eliminar la revocacidn de una transferencia no testamentaria. se debe presentar ante la corte un aviso del cambio hacer una entrega legal de dicho aviso a la otra parte. Cada parte tiene que noti?car a la otra sobre cualquier gasto exiraordinario propuesto porlo menos cinco dias h?biles antes de realizario. rendir cuenta a la corte de todos los gastos extraordinarios realizados despu?s de que estas ordenes o?e restn'cci?n hayan entrado en vigencia. No obstante. puede usar propiedad comuniian'a. cuasicomunitan'a suya separada para pagar a un abogado que lo ayude 0 para pagarlos costos de la corte. Vance?Access TO AFFORDABLE HEALTH INSURANCE: Do you or someone in your household need affordable health insurance? If so. you should apply for Covered California. Covered California can help reduce the cost you pay towards high quality affordable health care. For more information. visit Or call Covered California at 1-800-300-1506. INFORMATION California law provides that, for purposes of division of property upon dissolution of a marriage or domestic partnership or upon legal separation, property acquired by the parties during marriage or domestic partnership in joint form is presumed to be community preperty. If either party to this action should die before the jointly held community property is divided, the language in the deed that characterizes how title is held joint tenancy, tenants in common, or community property) will be controlling, and not the community property presumption. You should consult your attorney if you want the community preperty presumption to be written into the recorded title to the property. FL-110 [Rev January 1. 2015] [Harlin ESSENTIAL Funiism SUMMONS (Family Law) A SEGURO DE SALUD MAS ?Necesita seguro de salud a un costo asequible. ya sea para usted alguien en su hogar? Si es asi. puede presentar una solicitud con Covered California. Covered California to puede ayudar a reducir el costo que paga por seguro de salud asequible de alta calidad. Para obtener mas informacion. visite 0 Items 3 Covered California al 1-800-300-0213. De acuerdo a la ley de California, Ias propiedades adquiridas por las partes durante su matrimonio pareja de hecho en formal conjunta se consideran propiedad comunitaria para fines cle la divisi?n de bienes que ocurre cuando se produce una disoluci?n separacldn legal del matrimonio pareja de hecho. Si cualquiera de las partes de este caso flags 3 fallecer antes de que se divide is propiedad comunitaria o?e tenencia conjunta, el destino de la misma quedara' determinado por las clausulas de la escritura correspondiente que describen su tenencia (por ej., tenencia conjunta, tenencia en comlin a propiedad comunitaria) no por la presuncion de propiedad comunitaria. Si quiere que la presuncic?m comunitaria quede registrada en la escritura de la propiedad. deberia consultar con un abogado. Page 2 ma OR PARTY WITHOUT (Name, State Bar number, and address) FOR USE ONLY Laura A. Wesser, Esq. (SBN 1?3l40) WASSER. COOPERMAN MANDLES, PC. 2049 Century Park East Suite 800 Los Angeles. CA 90067-3110 TELEPHONE No: (310) 277-71 17 FAX No (Optional): (310) 553-1793 E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name) Angelina Jolie Pitt SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS 111 North Hill Street Su emf Court of California MAILING ADDRESS 11 1 North Street gaunt?) OI L05 AHQGIES CITY AND CODE L08 AHQCICS, CA 90012 BRANCH NAME CENTRAL DISTRICT SEP 1 9 21in (ThPETITIONER: ANGELINA JCSLEIEOHPIFBIEIPSOW my awcases Sherr'?arterl .xe Deputy RESPONDENT. WILLIAM BRADLEY PITT 33? Dalo?s Gama OTHER PARTY: I (This section applies only to guardianship cases CASE NUMBER: GUARDIANSHIP OF tnlame) Minor .1 ,r-r DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA) 1. I am a party to this proceeding to determine custody of a child. 2. CI My present address and the present address of each child residing with me is con?dential under Family Code section 3429 as have indicated in item 3. 3. There are (specify number): SIX (6) minor children who are subject to this proceeding. as follows: (insert the information requested below. The residence information must be given for the last FIVE years.) Ea?C?hild's name Place of birth Date of birth Sex Maddox Jolie-Pitt Cambodia 8/5/2001 Period of residence Address Person child lived with (name and complete current address) Relationship 2004 Los Angeles, California Angelina Jolie Pitt William Bradley Pitt Mother to present Con?dential CI Con?dential Father Child's residence (City. State) Person child lived with (name and complete current address) to Child's residence (City, State) Person child lived with (name and complete current address) to Child's residence (City, State) Person child lived with (name and complete current address) to Child's name I Place of birth Date of birth Sex Pax Jolie-Pitt Vietnam 11/29/2003 Residence information is the same as given above for child a the same. provide the Information below.) Period of residence Address Person Child lived with (name and complete current address) Relationship 2006 to present - CI Con?dential Cl Con?dential Child's residence (City. State) Person child lived with (name and complete current address) ?t0 ii Child's residence (City, State) Person Child lived with (name and complete current address) I to . Child's residence (City, State) Person Child lived with (name and complete current address) to c. CI Additional residence information for a child listed in item a or is continued on attachmenth. cl. Additional children are listed on form all requested information for additional children.) Page 1 of2 Form Adapted for Use Family Code. elfg??; 2009, JURISDICTION AND ENFORCEMENT ACT (UCCJEA) "We ,1 Mm Dean's "1 CASE NAME: CASE NUMBER OF PITT ATTACHMENT T0 DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA) - - Place Of birth Date of birth Sex Child's name Zahara Jolie-Pitt - - i Ethiopia 1/8/2005 ResidenCe information is the same as on form 20 for child at (it NOT the same. provide the i'nlorrnalron below) Period of residence Present address Person child lived with (name and complete current address) I Relationship Birth to present Con?dential Con?dential Child's residence (City. State) Person child lived with (name and complete current address) to Child's residence (City, State) Person child lived with (name and complete current address) to Child's residence (City, State) Person child lived with (name and complete current address) to - - Place of birth I Date of birth Sex Ed Child's name Knox Leon Jolie-Pitt . . France 7/12/2008 [a ReSIdence information is the same as given on form child a. (if NOTthe same. provide the information below.) Period of residence Address I Person child lived with (name and complete current address) Relationship Birth to present Con?dential [3 Con?dential Child's residence (City, State) Person child lived with (name and complete current address) to Child's residence (City, State) Person child lived with (name and complete current address) to Child's residence (City, State) Person child lived with (name and complete current addressPlace of birth Date of birth Sex 3e Child's name VIVIenne Marcheline Jolie-Pitt France 7/12/2008 Residence Intormation is the same as given on torn-I 20 for Child a. (it NOT the same. previde the irilormali?n below.) Period of residence Address Person child lived with (name and complete current address) Relationship Birth to _present CI Con?dential Confidential Child's residence (City, State) Person child lived with (name and complete current address) to Child's residence (City. State) Person child lived with (name and complete current address) to Child's _residence (City, State) Person child lived with (name and complete current address) to i i Page of Fan: Adrogled lair Ngzgidlalitorv Use 3-1051 et 53? uic' - imia ,t a 151 '1 2 DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION 3? e" 1 AND ENFORCEMENT ACT (UCCJEA) P) filtr?mii Dunn's? MARRIAGE OF PITT FL- I CASE NUMBER ATTACHMENT TO DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA) - - - Place of birth Date or birth Sex Bi. Child's name Shiloh Nouvel Jolie-Pitt . . Africa 5/27/2006 Residence Information is the same as given on form tor child a. (ltNOTtlie same, provide the lntormation below.) Period of residence Present address I Person child lived with (name and complete currentaddress) Relationship Birth to present Con?dential CI Con?dential Child's residence (City, State) Person child lived with (name and complete current address) to - Child's residence (City, State) Person child lived with (name and complete current address) to Child's residence (City. State) Person child lived with (name and complete current address) to I Place or birth 1 Date of birth Sex Child's name a Re5idence information is the same as given on tori-n FL-m?lCC-tzu for child a. (llNOTtlie same. provide the mlorrnatron below.) 7 Period of residence Address Person child lived with (name and complete current address) Relationship to present Cl Con?dential Con?dential Child's residence (City, State) Person child lived with (name and complete current address) to Child's residence (City, State) Person child lived with (name and complete current address) to Child's residence (City, State) Person child lived with (name and complete current address) to . Place of birth Date of birth Sex Child's name Residence information is the same as given on form for child a. (IfNOTtlre same. provide the information below.) Period of residence Address Person child lived with {name and complete current address) I Relationship to present Con?dential Cl Con?dential I Child's residence (City. State) Person child lived with (name and complete current address) to Child's residence (City, State) Person child lived with (name and complete current address) i to Child's residence (City, State) Person child lived with (name and complete current address) to Page ii of Form Adopted For Mandatory Use Judicial Cauncil of California [New January 1, 2009] rtriIi Dir-1m LJJ 'l .. EllEllillil ATTACHMENT TO DECLARATION UNDER UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA) Farmly Code 3436 et seq. Probate lSTle). 1512 ca gov I CASE NUMBER: SHORT TITLE: MARRIAGE OF PITT 951(3ng 4. Do you have information about. or have you participated as a party or as a witness or in some other capacitymianother court case or custody or visitation proceeding. in California or elsewhere, concerning a child subject to this proceeding? CI Yes No (if yes, attach a copy of the orders (if you have one) and provide the following information). i Court Court order Your Proceeding Case number (name, state, location) orjudgment Name of each child connection to Case status (date) the case a. Family t: CI Guardianship Other I Proceeding Case Number Court (name. state. location) d. CI Juvenile Delinquency! Juvenile Dependency e. Adoption 5. a One or more domestic violence restraining/protective orders are now in effect. (Attach a copy of the orders ifyou have one and provide the following information): Court County State Case number (if known) Orders expire (date) a. Cl Criminal b. CI Family c. CI Juvenile Delinquency/ Juvenile Dependency d. Other 6. Do you know of any person who is not a party to this proceeding who has physical custody or claims to have custody of or visitation rights with any child in this case? Yes No (If yes, provide the following information): a. Name and address of person I b. Name and address of person c. Name?and address of person Has physical custody Claims custody rights Claims visitation rights CI Has physical custody Claims custody rights Claims visitation rights Has physical custody Claims custody rights [3 Claims visitation rights Name of each child Name of each child Name of each child l? I declare under penalty of perjury under the laws of the State of California th tthe foregoing is true and correct. Date: September IQ, 2016 ANGELINA JOLIE PITT 1 I MATURE OF (TYPE 0R PRINT NAME) 7. I: Number 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. DECLARATION UNDER UNIFORM CHILD GUSTO-DY JURISDICTION AND ENFORCEMENT ACT (UCCJEA) [Rev January 1. 2009] ESSENTIAL Films? Page 2 of 2 1 ATTORIINEY OR PARTY WITFIOUT ATTORNEY (Name, state bar number, and adfess): i RESERVED FOR FILE STAMP . Laura A. Wasser, Esq. (SBN 17'37'40) WASSER, COOPERMAN MANDLES, P.C. 2049 Century Park East, Suite 800 LOS Angeles, CA 90067-3110 TELEPHONE NO: (310) 277-7117 FAX NO (310) 553-1793 E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name-j Angelina Jolie SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES Super-ml. Court of ADDRESS: II I North Hill Street Cnunw at Los Los Angeles, CA 90012 I ANGELINA JOLIE PITT 1 - - RESPONDENTIDEFENDANT: WILLIAM BRADEEYPII wweggi; . . - FAMILY LAW CASE COVER SHEET CASE NUMBER: 5., CERTIFICATE OF GROUNDS FOR ASSIGNMENT To DISTRICT Case Filing Instructions This cover sheet is required so that the court can assign your case to the correct court district for ?ling and hearing. It satis?es the requirement a certi?cate authorizing ?ling in the district, as set forth in Los Angeles Superior Court Rules 2(d) and 5.2. It must be completed and submitted to the court along with the original Complaint or Petition in ALL Family cases ?led in any district of the Los Angeles County Superior Court. This form is not required in Abandonment Emancipation cases. which are to be ?led at Children?s Court. I. Fill in the requested information. 3) Enter address of Petitioner ADDRESS: I CITY STATE ZIP CODE 9601 WIlshIre Blvd, #500 Beverly CA 90210 13) Enter address of Respondent. DO NOT COMPLETE THIS ITEM IF THIS IS A CONTRACT CASE ADDRESS: CITY: STATE ZIP CODE Unknown LOS Angeles CA MINOR CHILDREN YES HOW six (6) Cl NO ll. Select the correct district: a. Under Column 1 below. check the one type of action which best describes the nature Of this case. b. In Column 2 below. circle the reason for your choice of district that applies to the type of action you have checked Applicable Reason for Choosing District (See Column 2 below) 1. May be ?led in Central District. 3. Child resides within the district. 2. District where one or more of the parties reside 4. District where Petitioner resides. 1 TYPE OF ACTION (Check only one) (Continued) 2 APPLICABLE REASONS (See above) A5520 Dissolution Of Marriage CI A5525 Summary Dissolution of Marriage 1. 2 El A5521 Dissolution Of Domestic Partnership 1. 2 A5530 Nullity Of Void or Voidable Marriage 1. 2 A5531 Nullity of Void or Voidable Domestic 1. 2 Partnership FFAM Ciao FAMILY LAW CASE COVER SHEET 2 a? CERTIFICATE OF GROUNDS FOR ASSIGNMENT To DISTRICT Martin ESSENTIAL ?Short Title I CASE NUMBER: - MARRIAGE OF PITT CI A5510 Legal Separation 1. 2 A5511 Legal Separation of Domestic Partnership 1. 2 A6126 Petition for Custody and Support of Minor 1. 2. 3 A6131 Child Support Services Department (CSSD) 1. Parentage/Support A6139 Foreign Support Order 1. 2. 3 A6136 Foreign Custody Order 1. 2. 3 a A6138 Uniform Interstate Family Support Act (UIFSA) 1. 2. 3 Responding Petition A6122 Domestic Violence Restraining Order (Civil (Any Court Jurisdiction - DV's only) Harassment - use Civil Cover Sheet) Cl A6600 Habeas Corpus Petition - Child Custody 1. 3 A6080 Petition to Establish Parentage Paternity (Non- 1. 2. 3 governmental) A6111 Approval of Minor?s Contract (6751 Family Code) 1 Cl A6130 Other Family Complaint or Petition (Specify): 1. 2. 3 CI A6101 Agency Adoption 1. 4 I: A6102 Independent Adoption 1. 4 CI A6104 Stepparent Adoption 1. 4 Cl A6103 Adult Adoption 1. 4 Cl A6106 Sole Custody Petition 1. 4 Enter address of minor child if known. (DO NOT COMPLETE UNLESS YOU HAVE CIRCLED ITEM 3 AS AN APPLICABLE ADDRESS Do not complete if this case falls under Family Code 56751 IV. Enter the information below and sign the certi?cate. STATE ZIP CODE I Certi?cate Declaration of Assignment: The undersigned hereby certi?es and declares that the above entitled matter is properly ?led for assignment to the CENTRAL District of the Los Angles Superior Court under Code of Civil Procedure ?392 et seq., 2300 et seq. of the Family Code, and Rule (C). and of this court for reason checked above I certify and declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date September .2016 WITHOUT ATTORNEY) LAU . WASSER, ESQ. FAM 020 I FAMILY LAW CASE COVER SHEET (Rev 11?? CERTIFICATE OF GROUNDS FOR ASSIGNMENT TO DISTRICT I lie Page 2 of 2 LASC RULE 5 2