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Judgment Data Sheet 406 - Arizona
| Judgment Data Sheet Form. This is a Arizona form and can be used in Family Law Superior Court Maricopa Local County . |
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Case No. ATLAS No. JUDGMENT DATA SHEET (FOR INTERNAL USE ONLY*) ATTENTION: COURT DIVISION AND STAFF. DO NOT FILE THIS DOCUMENT. DO NOT DISTRIBUTE THE COMPLETED JUDGMENT DATA SHEET TO THE PARTIES. THIS FORM IS FOR CLERK OF COURT INTERNAL USE ONLY. PERSON TO RECEIVE PAYMENTS: Name: Gender: Male Female Date of Birth: SSN: Mailing Address: PERSON TO MAKE PAYMENTS: Name: Gender: Male Female Date of Birth: SSN: Mailing Address: Daytime Phone: Evening Phone: Other (cell, pager): Email Address: Daytime Phone: Evening Phone: Other (cell, pager): Email Address: EMPLOYER INFORMATION FOR PERSON MAKING PAYMENTS: Firm Name: Payroll Mailing Address: Phone: CHILDREN: Name Gender (M/F) Date of Birth Social Security No. (if available) Email Address: Additional children listed on attached sheet. FOR COURT USE ONLY Order Date: Current Child Support Amount Frequency Due Date Arrearages Amount Frequency Total Thru Date Due Date Current Spousal Maint. Amount Frequency Total Due Date Type of Order: Arrearages Amount Frequency Total Thru Date Due Date Miscellaneous Med Ins Frequency Med Bills Frequency Due Date ___ ___ ___ ___ Form #406 LRD 01/31/2003 ALL RIGHTS RESERVED © Clerk of Superior Court of Arizona in Maricopa County American LegalNet, Inc. www.FormsWorkFlow.com
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