Arizona > Local County > Maricopa > Superior Court > Family Law
Petition To Modify Child Parenting Time And Child Support DRMV11f - Arizona
| Petition To Modify Child Parenting Time And Child Support Form. This is a Arizona form and can be used in Family Law Superior Court Maricopa Local County . |
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Name of Person Filing Document: Your Address: Your City, State, Zip Code: Your Telephone Number: ATLAS Number (if applicable): Attorney 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) PETITION TO MODIFY CHILD PARENTING TIME (formerly known as Visitation or PARENTING TIME AND CHILD SUPPORT Name of Respondent (in original case) I, am the Petitioner or Respondent or Other (Print your name) and make the following statements to the court, under oath: GENERAL INFORMATION: 1. Information about Me Name: Address: Social Security Number: This is how I am related to child(ren) for whom the PARENTING TIME order should be changed: Mother or Father or Other: (explain) 2. Information about the Other Party Name: Address: Social Security Number: This is how the Other Party is related to child(ren) for whom the PARENTING TIME order should be changed: Mother or Father or Other: (explain) 3. Information about the child(ren) for whom I want the parenting time order changed: Childs Name Childs Name Birth date Age: Birth date Age: Superior Court of Arizona in Maricopa County DRMV11f September 23,2004 Page 1 of 4 Use only most current version ALL RIGHTS RESERVED PTT <<<<<<<<<********>>>>>>>>>>>>> 2 Childs Name Childs Name Birth date Age: Birth date Age: 4. Affidavit regarding Minor Child(ren). The child(ren) has/have resided in Arizona since the entry of the last Arizona Custody Order or I have attached an Affidavit regarding Minor Child(ren). 5. Information about the Order I want to change: (Check A or B, then complete the information) A. The Order is from the Superior Court in Maricopa County. 1. Order/Decree is dated: (month, day, year). 2. The name of the judge who signed the order is: OR B. The Order is from the Superior Court in Arizona but from another county or the Order is not from Arizona . The child(ren) has/have lived in Arizona for at least six (6) months before the date I am filing this Petition. I have filed a certified copy of this Order with the Clerk of the Court, and a copy of the order/decree is att ached to this Petition. Order/decree is dated: (month, day, year). Name of state: Name of county in state: 6. Domestic Violence. No significant domestic violence has occurred or domestic violence has occurred. Explain: 7. What your Order now says: Put in WORD FOR WORD the part of the decree/order you want to change. (Use extra paper if necessary) OR incorporate the Order which is already a part of the courts file, and attach a copy of the Order to the judges copy of this Petition and all other parties copies of this Petition. (I have not attached a copy of the Order to the original Petition.) 8. Why the Decree/Order should be changed: These are my reasons why I believe that a change of parenting time is in the best interest of the child(ren) (Use extra p ages if necessary): 9. What you want the changed Order to say: Explain what you want the changed order to say regarding parenting time and/or child support. (Use extra paper if nec essary.) Superior Court of Arizona in Maricopa County DRMV11f September 23,2004 Page 2 of 4 Use only most current version ALL RIGHTS RESERVED PTT <<<<<<<<<********>>>>>>>>>>>>> 3 REQUESTS I MAKE TO THE COURT: A. PARENTING TIME 1. Reasonable parenting time to the parent/party who does not have custody according to the Maricopa County Parent/Child Parenting time/Access Guidelines. OR, 2. Reasonable parenting time to the parent/party who does not have custody according to the Parenting Plan to be submitted at a later time. OR, 3. Supervised parenting time but only in the presence of another person. OR, 4. No parenting time rights to Mother or Father. Supervised parenting time or no parenting time is requested for the following reasons: 5. Other. B. CHILD SUPPORT. Mother or Father should pay child support to the other party in the amount of $ per month and payable on the first day of every month, beginning the first day of month following the filing of this Petition based upon the Child Support Worksheet (short v ersion) attached. All child support payments should be made through the Clerk of the Superior Court/Clearinghouse, plus an applicable statutory fee through an automatic Order of Assignment. C. MEDICAL AND DENTAL INSURANCE, PAYMENTS AND EXPENSES. Mother or Father should provide medical and dental insurance for the minor child(ren) a nd that the parties should be ordered to pay for all reasonable unreimbursed medical, dental , health-related expenses incurred for the child(ren) in proportion to their respective incomes or % by Mother and % by Father. D. OTHER ORDERS. I request further Orders relating to this matter as follows: OATH AND VERIFICATION STATE OF ARIZONA ) Superior Court of Arizona in Maricopa County DRMV11f November 5, 2002 Page 3 of 4 Use only most current version ALL RIGHTS RESERVED PTT <<<<<<<<<********>>>>>>>>>>>>> 4County of Maricopa ) sworn statement I swear under oath, state that I have read this Petition and all the sta tements are true and correct and complete to the best of my knowledge and belief. Signature of Person Filing Document Subscribed and sworn to before me this date: (month, date, year) My commission expires: Notary Public Superior Court of Arizona in Maricopa County DRMV11f November 5, 2002 Page 4 of 4 Use only most current version ALL RIGHTS RESERVED PTT
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