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Order Of Assignment DRS82f - Arizona

Order Of Assignment Form. This is a Arizona form and can be used in Family Law Superior Court Maricopa Local County .
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SELF SERVICE CENTER INSTRUCTIONS: HOW TO COMPLETE AN ORDER OF ASSIGNMENT DEFINITIONS: Obligor is the person ordered to make support payments. Obligee is the person or agency entitled to receive support COMPLETE THIS FORM FOR AN ORDER OF ASSIGNMENT IF: You have completed a Request for an Ex Parte Assignment or You have been ordered by the court to prepare an Order of Assignment or You are a party to a case in which the court may establish or modify a support obligation. HOW TO COMPLETE THIS FORM: Step Instructions Number TYPE OR PRINT NEATLY USING BLACK INK. Follow the instructions given below. Match each numbered step in the instructions with the item on the Order of Assignment that has the same number. (1) Type or print the name of the county in which this order is being filed. (This may already be printed on the form.) (2) Type or print the name of the person who is shown as the Petitioner/Plaintiff on the order that established the support obligation. If there is no order, type or print the name of the person shown as the Petitioner/Plaintiff in the original petition filed in the case. (3) Type or print the name of the person shown as the Respondent/Defendant on the order that established the support obligation. If there is no order, type or print the name of the person shown as the Respondent/Defendant in the original petition filed in the case. (4) Type or print the case number that appears on the support order. If the order was issued in a county other than the one where you are filing this request and order, leave this item blank. If you do not have an order establishing a support obligation, leave this item blank.(5) If you are completing this order because you have completed a Request for an Ex Parte Assignment, mark the Ex Parte box. OR Superior Court of Arizona in Maricopa County DRS82i November 1, 2001 Use current version ALL RIGHTS RESERVED Page 1 of 2 <<<<<<<<<********>>>>>>>>>>>>> 2 If you are completing this order for any other reason, mark the Automatic/After Hearing box unless the court orders you to do otherwise. (6) Type or print the complete name (first, middle and last) and the Social Security Number of the Obligor (the person ordered to make support payments.) (7) If you marked the Automatic/After Hearing box in item (6), leave this item blank. If you marked the Ex Parte box in item (6), fill in the monthly amount of each obligation that you are including in your request for assignment. The current child support and spousal maintenance/support amounts must be the same as the amounts listed in the Request, items (9) and (10). If you are requesting payment on arrearages (past due child support), the amount entered must be the same as the amount listed on the Request, item (14) of the Request. Then enter the total amount of all monthly obligations. (8) Type or print your case number that appears in item (5) above. (9) Indicate where payments are to be sent. (10) Leave this area blank. The Judicial Officer or Clerk will date and sign the order. Superior Court of Arizona in Maricopa County DRS82i November 1, 2001 Use current version ALL RIGHTS RESERVED Page 2 of 2 <<<<<<<<<********>>>>>>>>>>>>> 3 THE SUP E RIOR C OURT OF ARIZONA IN MARICOPA COUNTY ( 1 ) _ _ _ __ _ _ _ _ __ _ _ _ _ __ _ _ _ _ __ _ _ _ _ __ _ _ _ _ __ _ _ ) Pe titioner/Plai ntiff ) ) v s ) ( 3 ) Case No. _ _ _ _ _ __ _ _ _ _ __ _ _ ) ( 2 ) _ _ _ __ _ _ _ _ __ _ _ _ _ __ _ _ _ _ __ _ _ _ _ __ _ _ _ _ __ _ _ ) ( 4 ) At las No _ _ _ _ _ __ _ _ _ _ __ _ _ R espondent/De fe nda nt ) ORDER OF ASSIGNMENT TO: CURR ENT AND FUTURE EMPLOYERS OR OTHER PAYORS OF: ( 5 ) Na me : _ _ __ _ _ _ _ __ _ _ _ _ __ _ _ _ _ __ _ _ _ _ __ _ _ _ _ _ __ _ _ _ _ _ SSN:______ _ _ __ _ _ _ _ __ _ _ _ _ __ THIS ORDER M ODIFIES AND R EPLACES ANY PR EVIOUS OR DER OF AS SIGNME NT WITH THE SAME CAS E NUMBER. You shall withhold court -ordered payments a s follows: Curre nt Child Sup port $ Current Spou sal Maintenance/ $ Support Payments o n Arrears/I nterest $ Cleari nghouse Handl ing Fee $ 2.25 per month* TOTAL AMOUNT per month $ but no more than 50 % of disposab le earni ngs (A.R.S . 33 -1131). *The Clearing house handling fee is set by statute and subject to change (A.R.S . 2 5 -510). This Order of Assi gn ment is effect ive imm ediat ely upon receipt by an employer or other payor, including self -e mployed person s, an d continues unt il further Order, or until a period of nine ty (90) continuous day s from the last paymen t t o t he Obligor. If you are again obligated to pa y mo nies to t he Obligor wit hin 90 day s, you are again bound by th is Order o f Assign ment . Payme nt must be sent to t he Sup port Payment Cleari nghous e within two (2) busi ness days of the date the moni es were with held. You sh all not di scharge or ot h e rwis e dis cipline th e pers on n a med in thi s assi gn ment, because of servic e of this Ord er of Assi gn ment. The above ATLAS num ber and em ployees name must appear on the Transmittal Form or check. Make c heck s payabl e to - a nd se nd to: Support Clearinghouse, PO Bo x 52 107, Phoenix, AZ 8507 2-2107. Dated t his day o f , 20 . Judicial Officer or Clerk of S uperior Cour t SUP ERIOR COURT OF ARIZ ONA IN MARIC OPA COUNTY DRS82F March 8, 2004 Page 1 of 1 USE C URRENT VERSIO N ALL RIGHTS RESERVED
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