Arizona > Local County > Maricopa > Superior Court > Family Law
Order Modifying Parenting Time And Or Child Support DRMV78f - Arizona
| Order Modifying Parenting Time And Or Child Support Form. This is a Arizona form and can be used in Family Law Superior Court Maricopa Local County . |
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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 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 Respondent SUPERIOR COURT OF ARIZONA MARICOPA COUNTY Case Number: Name of Petitioner (in original case) ORDER MODIFYING PARENTING TIME (formerly known as VISITATION) or Name of Respondent (in original case) PARENTING TIME 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 parenting time and/or 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 parenting time and/or support. 3. This Order applies to the following child(ren). NAME OF CHILD(REN) BIRTH DATE(s) SOCIAL SECURITY NUMBER(s) 4. GROUNDS FOR CHANGING PARENTING TIME and/or Child Support. Based upon the stipulation of the parties, it is in the best interest of the child( ren) to change parenting time and/or child support at this time. Superior Court of Arizona in Maricopa County DRMV78f September 23, 2004 Page 1 of 3 Use only most current version ALL RIGHTS RESERVED ORD <<<<<<<<<********>>>>>>>>>>>>> 2 THE COURT ORDERS: 1. The Order regarding parenting time and support dated is changed as follows: A. PARENTING TIME is changed pursuant to the attached Parenting Plan. 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 da y of the month following the signing of this Order. Child support is based on Exhibit 1 (Child Support Worksheet/Short Version) attached hereto and incorporated by reference. All child support payments shall be made through the Clerk 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), deviates 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. 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. E. 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 DRMV78f September 23, 2004 Page 2 of 3 Use only most current version ALL RIGHTS RESERVED ORD <<<<<<<<<********>>>>>>>>>>>>> 3 ORDER REGARDING PARENTING TIME and/or 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: N otary Public Subscribed and sworn to before me on by Respondent. (month, day, year) My commission expires: N otary 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 DRMV78f September 23, 2004 Page 3 of 3 Use only most current version ALL RIGHTS RESERVED ORD
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