Arizona > Local County > Maricopa > Superior Court > Family Law
Order Modifying Custody Parenting Time And Child Support (When Parties Agree) DRMC78f - Arizona
| Order Modifying Custody Parenting Time And Child Support (When Parties Agree) Form. This is a Arizona form and can be used in Family Law Superior Court Maricopa Local County . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
Petitioners Name: Your Address: Your City, State, Zip Code: Your Telephone Number: ATLAS Number (if applicable): Attorneys Bar Number (if applicable): Representing Self (Without a Lawyer) OR Attorney for Petitioner OR Respondent Respondents Name: Your Address: Your City, State, Zip Code: Your Telephone Number: Attorneys Bar Number (if applicable): Representing Self (Without a Lawyer) OR Attorney for Petitioner OR Respondent SUPERIOR COURT OF ARIZONA MARICOPA COUNTY Case Number: Name of Petitioner (in original case) ORDER MODIFYING CUSTODY, PARENTING TIME (Formerly known as Name of Respondent (in original case) VISITATION) AND CHILD SUPPORT THE COURT FINDS: 1. This case has come before this court for a final Order based upon the ag reement of the parties. 2. This court has jurisdiction to change child custody, parenting time, and support, and has jurisdiction over the parties. Where it has the legal power to do so and where it is applicable to the facts of this case, this court has considered, approved, and made Orders relating to child custod y, parenting time and support. 3. This Order applies to the following child(ren). NAME OF CHILD(REN) BIRTH DATE(s)/AGE(s) SOCIAL SECURITY NUMBER(s) 4. GROUNDS FOR CHANGING CUSTODY AND PARENTING TIME. Based upon the stipulation of the parties, it is in the best interest of the child(ren ) to change custody and parenting time at this time. 5. JOINT CUSTODY CASES ONLY. Domestic Violence. There has been no domestic violence, or no significant domestic violence. (Check one box only if you are asking for joint custody.) THE COURT ORDERS: 1. The Order regarding custody, parenting time and support dated is changed as follows: A. CUSTODY AND PARENTING TIME. Joint Legal Custody. Mother and Father are awarded joint legal custody of the minor child(re n) subject to the attached Parenting Plan signed by both parties: OR Superior Court of Arizona in Maricopa County DRMC78f September 22, 2004 Page 1 of 3 Use only most current version ALL RIGHTS RESERVED ORD <<<<<<<<<********>>>>>>>>>>>>> 2 Sole Custody Mother is awarded sole custody of . and/or Father is awarded sole custody of , subject to the parenting time schedule described in the attached Parenting Plan signed by both parties. B. CHILD SUPPORT. Mother or Father shall pay child support to the other party in the amount of $ per month payable on the first day of each month, beginning the first day of the month following the signing of this Order. Child support is based on Exhibit 1 attached hereto and incorporated by reference. All child support payments shall be made through the Cler k of the Superior Court/Clearinghouse, plus an applicable statutory fee by Order of Assignment, attached as Exhibit 2. CHILD SUPPORT DEVIATION. The court, having considered the best interests of the child(ren), d eviates from the guidelines for the following reasons. (Describe reasons.) C. MEDICAL AND DENTAL INSURANCE, PAYMENTS AND EXPENSES. Mother or Father is ordered to provide medical and dental insurance for the minor child(ren). All uninsured medical and dental expenses shall be paid as follows: % by Mother, and the remaining percentage by Father. D. TAX DEDUCTIONS. Mother shall claim the tax deduction for every year or every other year. Father shall claim the tax deduction for every year or every other year. E. MEDIATION. If Mother and Father cannot agree to custody, parenting time, and/or sup port, the parties are required to seek a private mediator, or court-provided mediator before starting any court actions. F. OTHER ORDERS. This court makes further Orders relating to this matter as follows: DONE IN OPEN COURT: JUDGE OR COURT COMMISSIONER Superior Court of Arizona in Maricopa County DRMC78f September 22, 2004 Page 2 of 3 Use only most current version ALL RIGHTS RESERVED ORD <<<<<<<<<********>>>>>>>>>>>>> 3 ORDER REGARDING CUSTODY, PARENTING TIME and SUPPORT State of Arizona ) County of Maricopa )ss SIGNATURE BY PETITIONER AND RESPONDENT. Everything stated by me in this Order and the documents accompanying it is true and correct. Petitioners Signature Respondents Signature Subscribed and sworn to before me on by Petitioner. (month, day, year) My commission expires: Notary Public Subscribed and sworn to before me on by Respondent. (month, day, year) My commission expires: Notary Public Approved as to form and content by the parties lawyers (if applicab le): Petitioners Lawyer: Respondents Lawyer: Attorney General Signature: Superior Court of Arizona in Maricopa County DRMC78f September 22, 2004 Page 3 of 3 Use only most current version ALL RIGHTS RESERVED ORD
|
|||||||
