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Order Modifying Parenting Time And Support DRMV83f - Arizona
| Order Modifying Parenting Time And Support Form. This is a Arizona form and can be used in Family Law Superior Court Maricopa Local County . |
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FOR CLERK'S USE ONLY SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY Case Number Name of Petitioner (in original case) . . ATLAS Number AND ___________________________________ Name of Respondent (in original case) ORDER MODIFYING PARENTING TIME (Visitation) or PARENTING TIME AND CHILD SUPPORT THE COURT FINDS: 1. 2. This case has come before this court on a "Petition to Modify Parenting Time or Parenting Time and Child Support." The court has taken all testimony needed to enter a final Order. This court has jurisdiction to change parenting time and/or support, and has jurisdiction over the parties under the law. 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. This Order applies to the following children: NAME(S) DATES OF BIRTH /AGE (Month/Day/Year) 3. 4. GROUNDS FOR CHANGING PARENTING TIME OR PARENTING TIME AND SUPPORT. (Check one box and describe why the change is in the best interest of the child(ren).) There have been substantial, significant and continuing changes in circumstances that make a change in parenting time and/or child support in the best interest of the child(ren) for the reasons described below: OR One parent has not followed the Order and a change in parenting time and/or child support is in the best interest of the child(ren) for the reasons described below. OR There has been domestic violence, spousal abuse, or child abuse as described below since the date of the earlier Order, and it is in the best interest of the child(ren) that the change is made for the reasons described below: (Include a description of the domestic violence.) OR It is in the best interest of the child(ren) that no change to parenting time and/or support is made at this time for the reasons described below. © Superior Court of Arizona in Maricopa County May 10, 2006 ALL RIGHTS RESERVED Page 1 of 4 DRMV83f Use most current version American LegalNet, Inc. www.FormsWorkflow.com Case No. REASONS: (Describe why a change in parenting time and/or support is or is not in the best interest of the child(ren).) 5. SUPERVISED OR NO PARENTING TIME (or "visitation", if to non-parent): (if applicable) Supervised parenting time between the child(ren) and Mother or Father or Other, or no parenting time by Mother or Father or Other is in the best interests of the child(ren) for the following reasons: THE COURT ORDERS: The Order regarding parenting time and/or support dated is changed as follows: A. 1. PARENTING TIME: Reasonable parenting time to the parent who does not have custody according to the Maricopa County Parent/Child Parenting Time Guidelines. (OR) Reasonable parenting time to the parent who does not have custody according to the Parenting Plan attached. (OR) Supervised parenting time but only in the presence of another person, who is named below or otherwise approved by the Court: 2. 3. The cost of supervised parenting time shall be paid by: Mother or Father or Other shared equally by the parties, or as follows: Restrictions on parenting time: (OR) © Superior Court of Arizona in Maricopa County May 10, 2006 ALL RIGHTS RESERVED Page 2 of 4 DRMV83f Use most current version American LegalNet, Inc. www.FormsWorkflow.com Case No. 4. 5. No parenting time rights to Mother or Father or Other Other parenting time (or "visitation", if to non-parent): (explain) B. CHILD SUPPORT. Child Support is unchanged, or Mother shall pay child support to Father or to Other in the amount of $ . Father shall pay child support to Mother or to Other in the amount of $ . per month, payable on the first day of each month, beginning the first day of month following the signing of this Order. All child support payments shall be made through the Support Payment Clearinghouse by the attached Order of Assignment, and shall include an additional statutory fee for processing. Child Support is based on the information in the Child Support Worksheet attached hereto and incorporated by reference, and the Arizona Child Support Guidelines, OR 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, DENTAL, VISION CARE. Mother is responsible for providing: Father is responsible for providing: Other Party is responsible for providing: medical medical medical dental dental dental vision care insurance. vision care insurance. vision care insurance. Medical, dental, and vision care insurance, payments and expenses are based on the information in the Child Support Worksheet attached and incorporated by reference. The party ordered to pay must keep the other party informed of the insurance company name, address and telephone number, and must give the other party the documents necessary to submit insurance claims. Non-Covered Expenses. Mother is ordered to pay __________ %, AND Father is ordered to pay ________ % of all reasonable uncovered and/or uninsured medical, dental, vision care, prescription and other health care charges for the minor child(ren), including co-payments. © Superior Court of Arizona in Maricopa County May 10, 2006 ALL RIGHTS RESERVED Page 3 of 4 DRMV83f Use most current version American LegalNet, Inc. www.FormsWorkflow.com Case No. D. FEDERAL INCOME TAX DEDUCTION. Child's Name Date of Birth (Month, Day, Year) Parent Entitled to Deduction For Calendar Year Mother Mother Mother Mother Father Father Father Father For years following those listed above while this Child Support Order remains in effect, the parties shall repeat the pattern above of claiming deductions for each child. E. MEDIATION. The parties are required pursue court sponsored or private mediation or some form of ADR (Alternative Dispute Resolution) prior to filing for any future modification of custody or parenting time, or if regarding non-parent, "visitation". 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 May 10, 2006 ALL RIGHTS RESERVED Page 4 of 4 DRMV83f Use most current version American LegalNet, Inc. www.FormsWorkflow.com
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