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, Riverside, CA 92501 RI-FL008 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) FOR COURT USE ONLY FAX NO. (Optional): TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): PETITIONER: RESPONDENT: CASE NUMBER: REQUEST FOR SETTLEMENT CONFERENCE AND TRIAL COUNTER I, , hereby certify that: (DECLARANT S NAME) 1. On , a Petition for Dissolution Legal Separation Nullity Paternity was filed..

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