Name: Mailing Address: Daytime Telephone: ATLAS # For Office Use Only : [ ] IV-D (If Child Support or Medical) [ ] NON IV-D IN THE SUPERIOR COURT OF ARIZONA, YAVAPAI COUNTY DO Petitioner ORDER TO ENFORCE SUPPORT vs. Respondent [ [ [ [ [ [ ] Child Support ] Child Support Arrearages only ] Medical Insurance Coverage ] Spousal Support ] Medical, Dental or Vision Costs ] Other sums owed pursuant to child support order THE COURT FINDS 1. This case has come before this Court for an Order concerning enforcement of support. The Court has taken [ ] all testimony needed to enter an Order, or [ ] has determined testimony is not needed to enter the Order. This Court has jurisdiction over the parties under the law, and the provisions of this Order are fair and reasonable under the circumstances. Specific findings 2. 3. [ ] The [ ] Petitioner payments. Other OR [ ] Respondent is more than days late in 4. THE COURT ORDERS 1.  $ Judgment entered against [ ] Petitioner for [ ] Respondent in the amount of as of (date) [ ] interest to accrue at the statutory rate beginning (date) with Superior Court of Arizona in Yavapai County Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com until 2.  The [ ] Petitioner [ ] Respondent post bond to the Clerk of Superior Court of Yavapai County in the amount of $ by (date) Other 3.  The [ ] Petitioner to Other [ ] Respondent provide evidence of medical insurance by (date) 4.  Other DATE JUDICIAL OFFICER Superior Court of Arizona in Yavapai County Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com
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