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Petition To Modify Legal Decision Making Custody Parenting Time And Child Support DRMC11f - Arizona

Petition To Modify Legal Decision Making Custody Parenting Time And Child Support Form. This is a Arizona form and can be used in Family Law Superior Court Maricopa Local County .
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Person Filing: Address (if not protected): City, State, Zip Code: Telephone: Email Address: ATLAS Number: Lawyer's Bar Number: Representing Self, without a Lawyer or Attorney for Petitioner OR For Clerk's Use Only Respondent SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY Case Number: Petitioner (in original case) ATLAS Number: Respondent (in original case) PETITION TO MODIFY LEGAL DECISION MAKING (CUSTODY), PARENTING TIME and CHILD SUPPORT am the Petitioner or Respondent and make the following statements to the Court: I, (print your name) GENERAL INFORMATION: 1. Information about Me Name: Address: How I am related to minor child(ren) for whom the LEGAL DECISION MAKING(CUSTODY) / Mother OR Father PARENTING TIME order should be changed: 2. Information about the Other Party(ies) Name: Address: How the other party is related to minor child(ren) for whom the LEGAL DECISION MAKING Mother OR Father (CUSTODY)/PARENTING TIME order should be changed: 3. Information About the Minor Child(ren) for whom I want the order changed: Name: Birth Date: Name: Birth Date: Age: Age: Name: Birth Date: Name: Birth Date: Age: DRMC11f - 050115 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com Age: © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED MCH Page 1 of 4 Case No. 4. Affidavit Regarding Minor Children. The minor children have resided in Arizona since the I have attached entry of the last Arizona Legal Decision Making (Custody) Order OR (if not) an "Affidavit Regarding Minor Children". Information about the Order I want to change: The Order was issued on: (Month/Day/Year) The Order was issued by: (Name of Court) Located in this County: Located in this State: And each of the following is a true statement: · The minor child(ren) have lived in Arizona for at least six (6) months before the date I am filing this Petition or since birth, if younger than six (6) months. · If the Order was not issued by the Superior Court of Arizona in this county, the case has already been transferred to this county and has a Maricopa County case number. 5. WHAT THE ORDER NOW SAYS: Put in WORD FOR WORD the part of the decree/order you want to change. (Use extra paper if necessary) 6. DOMESTIC VIOLENCE. (If you are requesting a change to joint legal decision making (custody), there must not be "significant" domestic violence. A.R.S. § 25-403.03) No significant domestic violence has occurred OR domestic violence has occurred. Explain: 7. These are my reasons why I believe that a change of legal decision making (custody) and/or parenting time is in the best interest of the child(ren) (Use extra pages if necessary): WHY THE DECREE/ORDER SHOULD BE CHANGED: 8. MEDIATION / ADR (Alternative Dispute Resolution) REQUIREMENTS IN PRIOR ORDER: The current Court Order does not require the parties to pursue Mediation or ADR before filing to modify legal decision making (custody) or parenting time. OR The current Court Order does require the parties to pursue Mediation or ADR before filing to modify legal decision making (custody) or parenting time, and this is what I/we have done to comply with that requirement: © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED MCH Page 2 of 4 DRMC11f - 050115 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com Case No. REQUESTS I MAKE TO THE COURT: A. LEGAL DECISION MAKING (CUSTODY) AND PARENTING TIME. Joint Legal Decision Making (Custody). I want the mother and father to be awarded joint legal decision making (custody) of the minor child(ren) (names of children)) subject to a Parenting Plan addressing primary residential parenting to be submitted later. OR Sole Legal Decision Making and Physical Custody. Sole legal decision making (custody) of (name(s) of minor child(ren)) should be awarded to Mother Father and/or sole legal decision making (custody) of (name(s) of child(ren)) should be awarded to Mother or Father, subject to parenting time as follows: 1. Reasonable parenting time to the parent who does not have legal decision making (custody) according to the ________ County Parenting time Guidelines; OR Reasonable parenting time to the parent/party who does not have legal decision making (custody) according to the attached Parenting Plan; OR Supervised parenting time but only in the presence of another person; OR No parenting time rights to Mother or Father Supervised parenting time or no parenting time is requested for the following reasons: 2. 3. 4. B. CHILD SUPPORT. Mother OR Father should pay child support to Mother OR Father in the amount of $ per month on the first day of every month, beginning the first day of month following the filing of this Petition based upon the attached "Child Support Worksheet." All child support payments should be made through the Child Support Clearinghouse, and will be subject to an applicable statutory fee through an automatic Income Withholding Order. C. MEDICAL, DENTAL, VISION CARE Mother should be responsible for providing: Father should be responsible for providing: medical medical dental dental vision care insurance. vision care insurance. Medical, dental, and vision care insurance, payments and expenses are based on the information in the Parent's Worksheet for Child Support attached and incorporated by reference. The party ordered to pay must keep the other party informed of the insurance company name, address and telephone number, and must give the other party the documents necessary to submit insurance claims. Non-Covered Expenses. Petitioner is ordered to pay __________ %, AND Respondent is ordered to pay ________ % of all reasonable uncovered and/or uninsured medical, dental, vision care, prescription and other health care charges for the minor child(ren), including co-payments. © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED MCH DRMC11f - 050115 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 4 Case No. D. FEDERAL INCOME TAX DEDUCTION. The right to claim the minor child(ren)ren as a deduction for Federal income tax purposes should be divided as follows: Person entitled to claim: "M" for Mother, "F" for Father. Claim by: M M M M F F F F Name of Child Starting Tax Year: Every Year Every Year Every Year Every Year Every Other Every Other Every Other Every Other E. OTHER ORDERS. I request further Orders relating to this matter as follows: F. DECLARATION UNDER PENALTY OF PERJURY UNDER OATH OR BY AFFIRMATION I swear
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