Sample Qualified Domestic Relations Order For California
Sample Qualified Domestic Relations Order For California
Sample Qualified Domestic Relations Order For California
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STIPULATED QUALIFIED DOMESTIC RELATIONS ORDER
1 RECITALS
2 1. Petitioner and Respondent were married on DATE OF MARRIAGE and separated on
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DATE OF SEPARATION, and this Court entered a judgment of dissolution of marriage on DATE
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THAT JUDGMENT WAS ENTERED.
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2. This Court has personal jurisdiction over both Petitioner and Respondent and
7 jurisdiction over the subject matter of this Order and the dissolution of marriage action.
13 This Order is acceptable to the Administrator of the Plan. This Order creates and recognizes
14 the existence of the right of the Non-Member Spouse to receive a portion of the Member's benefits
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payable under an employer-sponsored pension plan that is qualified under Section 401 of the Internal
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Revenue Code (the "Code") and the Employee Retirement Income Security Act of 1974 ("ERISA").
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It is intended to constitute a Qualified Domestic Relations Order ("QDRO") under Section 414 (p) of
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19 the Code, Section 206(d)(3) of ERISA and the Retirement Equity Act of 1984, P.L. 98-397.
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STIPULATED QUALIFIED DOMESTIC RELATIONS ORDER