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Agreement To Modify Order Of Assignment DRMWA11f - Arizona
| Agreement To Modify 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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FOR CLERK'S USE ONLY (1) Person Filing: Mailing Address: City, State, Zip Code: Daytime / Evening Phone: In this case I am: Attorney for : (IF)Attorney, Name: Petitioner or Petitioner or Respondent Petitioner Bar No. SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY (2) Petitioner (in original case) (2) Respondent (in original case) (3) Case No. (4) ATLAS No. AGREEMENT TO MODIFY ORDER OF ASSIGNMENT A.R.S. § 25-504 An Order of Assignment is a court order that requires an employer to withhold money from the pay of a person ordered to pay child support and/or spousal maintenance (alimony). THIS FORM WILL NOT AFFECT THE AMOUNT OF SUPPORT ORDERED PAID; IT ONLY AFFECTS THE AMOUNT OF SUPPORT DEDUCTED FROM PAY. I, (5a) I, (5b) modify the Order of Assignment: Issued this date: (6) Issued by this Court: Located in this County: Located in this State: because: (Check the appropriate box(s)) (7) The amount shown on the Order of Assignment is wrong because: (7a) The amount was changed by Court Order issued on this date: (Month/Day/Year) in this county: , the person ordered to make payments, and , the person receiving payments, ask the Court to (Month/Day/Year) (Name of Court) (Name of County) (Name of State) , OR (7b) The person making payments no longer owes (Check all that apply) Current Child Support. Child Support arrearages (back child support) and interest Current Spousal Support Spousal Support arrearages (back alimony) and interest © Superior Court of Arizona in Maricopa County February 12, 2007 ALL RIGHTS RESERVED DRMW11f Page 1 of 2 Use most current version of form American LegalNet, Inc. www.FormsWorkflow.com Case No. __________________ Reason(s) why money is no longer owed for any items checked in item (7b): (List and attach any supporting documents.) (8) For the reasons listed in above, the amount ordered assigned should be changed from the current Amount of (8a) $ to the new amount of (8b) $ The current Order of Assignment should be modified because the presumptive termination date (the day the order will end) is wrong. The termination date should be changed from the date listed on the current Order of Assignment: (9a) (Month/Day/Year) To the new date of : (9b) (Month/Day/Year) Explain why the presumptive termination date is wrong (list and attach any supporting documents) (9) OATH OR AFFIRMATION We swear or affirm that the information on this document is true and correct under penalty of perjury. (10) Petitioner's Signature Date Petitioner's Printed Name Respondent's Signature Date Respondent's Printed Name If the State of Arizona (DES) is a party to your case, a representative of DES or its Division of Child Support Enforcement (DCSE) must also sign this form before you file. (See Instructions) Signature of DES / DCSE Representative Date © Superior Court of Arizona in Maricopa County January 23, 2007 ALL RIGHTS RESERVED Page 2 of 2 DRMWA11f Use most current version American LegalNet, Inc. www.FormsWorkflow.com
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