COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)REQUEST TO MODIFY CHILD SUPPORTINSTRUCTIONSCOMPLETE THIS FORM IF:You have an Arizona child support order and believe the amount of support should be changed, and. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Youhave completed a Parent's Worksheet for Child Support Amount and it results in a child support amount (item 38) that varies 15% or more from the amount of your current order. See example for item 12 of this form.THE PEOPLE OF THE STATE OF NEW YORK TOTO COMPLETE THIS FORM YOU WILL NEED:A copy of your current Arizona Child Support Order, the Order of Assignment for this case, if there is one, and a completed Parent's Worksheet for Child Support Amount.GREETINGS:NOTE : Generally you should file this Request for Modification in the County where the order you are seeking to modify was entered.WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomNOTE : There will be a charge for filing this request. There may be other charges including an appearance fee if this is your first appearance in this case. If you are unable to pay these amounts, they can be waived or deferred. The Clerk of the Superior Court has the necessary forms to ask for a waiver or deferral.Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.FOLLOW THESE INSTRUCTIONS WHICH ARENUMBERED TO MATCH THE IDENTIFYING NUMBERS ON THE FORM. PLEASE TYPE OR PRINT NEATLY USING BLACK INK.(1)Fillin the name, address, and phone number of the person filing the form. (The spaces marked representing and state bar number are used only if an attorney is preparing this form.), one of the Justices of theCourt in Witness, Honorableday of, 20 County,(2)Fill in the name of the county where youare filing this Request to Modify. (This may already be printed on the form.)(Attorney must sign above and type name below)(3)Fill in the name of the person shown as the petitioner on your order for child support.Attorney(s) for(4)Fill in the name of the person shown as the respondent on your order for child support.(5)Fillin the case number and ATLAS number (if you have one) that appears on your Arizona Order for Child Support.Office and P.O. Address(6)Fill in your name and check the correct word to identify yourself as the Obligor (person paying support) or Obligee (person receiving support).Telephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:02/16/01 reqmodinst.wpdAmerican LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.(7)Fill in the date on which the judge or commissioner signed your current child support order.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)(8)Fill in the name of the judge or commissioner who signed your current child support order. (9)Fill in the name of the obligor (person ordered to make child support payments).(10)Fillin the amount and payment due date of your current child support order as it was ordered by the court. (EXAMPLE: $150 per month payable on the 1st day of the month or $150 per month payable one-half on the first and one-half on the 15th of the month).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(11)Fill in the amount from item 38 of your completed Parent's Worksheet for Child Support Amount.THE PEOPLE OF THE STATE OF NEW YORK TO(12)Calculate the percentage of change between your current support amount and the amount calculated pursuant to the Parent's Worksheet for Child Support Amount. To determine the percentage, subtract the larger amount from the smaller amount. Divide that number by the current support amount. See example.a. Fill in the difference between the amount of child support ordered and the amount requested to beGREETINGS:ordered.WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorableb. Fill in the amount of the child support currently ordered.,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomc. Enter the percentage change calculated by dividing the amount for "a" by the amount for "b".Ex.: The current child support order is $225. The Parent's Worksheet calculation result is $270.Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.$270 -$225 = 45 รท $225 = 20%(13)If you receive services from the Department of Economic Security (DES) or you know the other party does, mark the box for "yes". Otherwise, mark the box for "no"., one of the Justices of theCourt in Witness, Honorableday of, 20 County,(14)If there are other court-ordered payments included in the current Order of Assignment (14) enter the amounts and frequency of payment.(Attorney must sign above and type name below)(15)Fill in the amount from item 11 of this request.(16)You must date and sign here in person before a Notary Public or a Clerk of Superior Court. By signing, you are stating under oath that the contents of this Request are true and correct to the best of your knowledge.Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:02/16/01 reqmodinst.wpdAmerican LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.WHEN YOU HAVE COMPLETED THIS FORM:JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)File the following forms with the Clerk of the Su
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