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Arrearage Calculation Request 401 - Arizona
| Arrearage Calculation Request Form. This is a Arizona form and can be used in Family Law Superior Court Maricopa Local County . |
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CLERK OF THE COURT SUPERIOR COURT OF ARIZONA (602) 506-3762 MARICOPA COUNTY Michael K. Jeanes Fax - (602) 506-7684 201 West Jefferson TDD - (602) 506-3211Clerk Phoenix, Arizona 85003 $41.00 FEE ARREARAGE CALCULATION REQUEST DATE: _____________ CASE NUMBER: ___________________________ ATLAS NUMBER: __________________________ CASE NAME: _________________________________________ VS. ___________________________________________ CHILDREN: FULL NAM E: ______________________ D.O.B. ____/___/___ GRADUATED: ____ /____ FULL NAM E: ______________________ D.O.B. ____/___/___ GRADUATED: ____ /____ FULL NAM E: ______________________ D.O.B. ____/___/___ GRADUATED: ____ /____ FULL NAM E: ______________________ D.O.B. ____/___/___ GRADUATED: ____ /____ REQUESTED BY: NAME: ________________________________________________________________ ADDRESS: _____________________________________________________________ CITY: ______________________________ STATE: ____________ZIP: _________ _ PHONE: (____) ______________________________ FOR OFFICE USE ONLY Date Payment History Requested: __________________ Date Legal File Requested: ______________________ Date Legal File Received: _______________________ Date Arrears Calc Started: _______________________ Date Arrears Calc Reviewed: ____________________ Date Arrears Calc Mailed: _______________________ COMMENTS: Visit us at our website: www.clerkofcourt.maricopa.go v Form #401 LRD 01/14/2004 ALL RIGHTS RESERVED Clerk of Superior Court of Arizona in Maricopa County
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