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Petition To Modify Income Withholding Order DRMW11f - Arizona

Petition To Modify Income Withholding Order Form. This is a Arizona form and can be used in Family Law Superior Court Maricopa Local County .
 Fillable pdf Last Modified 5/6/2014
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(1) Person Filing: Mailing Address: City, State, Zip Code: Daytime / Evening Phone: In this case I am: Attorney for : (IF)Attorney, Name: Petitioner or Petitioner or Respondent Petitioner Bar No. FOR CLERK'S USE ONLY SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY (2) Petitioner (in original case) (2) Respondent (in original case) (3) Case No. (4) ATLAS No. PETITION TO MODIFY INCOME WITHHOLDING ORDER A.R.S. § 25-504 An Income Withholding Order is a court order that requires an employer to withhold money from the funds of a person ordered to pay child support and/or spousal maintenance (alimony). THIS FORM WILL NOT AFFECT THE AMOUNT OF SUPPORT ORDERED TO BE PAID; IT ONLY AFFECTS THE AMOUNT OF SUPPORT DEDUCTED FROM FUNDS. I, (5) (a) (b) , ask the court to modify the Income Withholding Order Is the person ordered to make payments, and Is the person entitled to receive payments. (Month/Day/Year) (Name of Court) (Name of County) (Name of State) (Order requiring an employer or other payor to withhold funds for child support or spousal maintenance) in which: Issued this date: (6) Issued by this Court: Located in this County: Located in this State: because: (Check the appropriate box(s)) (7) The amount shown on the Income Withholding Order is wrong because: (7a) The amount was changed by Court Order issued on this date: (Month/Day/Year) in this county: (7b) The person making payments no longer owes (Check all that apply) Current Child Support. Child Support arrearages (back child support) and interest Current Spousal Support Spousal Support arrearages (back alimony) and interest , OR © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED Page 1 of 2 DRMW11f-041212 American LegalNet, Inc. Case No. ________________________ Reason(s) why money is no longer owed for any items checked in item (7b): (List and attach any supporting documents.) (8) For the reasons listed in above, the amount ordered assigned should be changed from the current Amount of (8a) $ to the new amount of (8b) $ The current Income Withholding Order should be modified because the presumptive termination date (the day the order will end) is wrong. The termination date should be changed from the date listed on the current Income Withholding Order: (9a) (Month/Day/Year (Month/Day/Year) To the new date of : (9b) Explain why the presumptive termination date is wrong (list and attach any supporting documents) (9) OATH OR AFFIRMATION I swear or affirm that the information on this document is true and correct under penalty of perjury. (10) Signature Date Printed Name NOTICE TO THE PARTY SERVED WITH THIS PETITION: If you do not agree with this Petition, you have twenty (20) days, or thirty (30) days if service is made outside the state of Arizona, in which to respond by completing a petition for hearing. If requested, a hearing will be set. The forms necessary to request a hearing are available from the Clerk of Superior Court, for purchase from the Self-Service Center, or they may be downloaded for free from the internet at: If you do not request a hearing in writing within the time allowed, the Court will review the Petition to Modify (Change) Income Withholding Order and grant the request, if appropriate. © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED Page 2 of 2 DRMW11f-041212 American LegalNet, Inc.
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