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ARIZONA SUPERIOR COURT, COUNTY OF YAVAPAI

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Superior Court of Arizona in Yavapai County Page 1 of 3 Request and Order for Protected Address
Jan 2020
Name:
[ ] Petitioner [ ] Respondent
ADDRESS PR
OTECTED
ARIZONA SUPERIOR COURT, COUNTY OF YAVAPAI
Case No. U 1300
Petitioner
ATLAS No.
REQUEST FOR PROTECTED ADDRESS
Respondent
I reasonably believe that physical or emotional harm may result to me or my minor child(ren) if my address
is not protected from disclosure, and I request that the court order that my address be protected from
public disclosure
S,S for the following reasons:
[ ] I have a valid Order of Protection against a party in this case issued by the following court (a copy
is attached if available):
[ ] I have a val
id Order of Protection against a party in this case issued by this court.
[ ] I have a valid Order of Protection against a person not involved in this case issued by the following
court (a copy is attached if available):
[ ] I do not hav
e a valid Order of Protection, but want my address protected for the following reasons:
My addres
s is currently unknown to the other party. I have listed my address on a separate sheet of
paper for court use.
I unders
tand that I have a continuing duty to provide the clerk of the court with a current and correct
mailing address where I can be served with process until one of the following events stated in Rule 7(f),
Arizona Rules of Family Law Procedure, occurs.
Date Requester’s Signature
PERSON WHOSE ADDRESS IS PROTECTED:
[ ] Petitioner [ ] Respondent
For Clerk’s Use Only
Case No. 1300
Superior Court of Arizona in Yavapai County Page 2 of 3 Request and Order for Protected Address
Jan 2020
ADDRESS TO BE PROTECTED:
Street:
City:
State, Zip Code:
Telephone Number:
Superior Court of Arizona in Yavapai County Page 3 of 3 Request and Order for Protected Address
Jan 2020
ARIZONA SUPERIOR COURT, COUNTY OF YAVAPAI
Case No. 1300
Petitioner
ATLAS No.
ORDER FOR PROTECTED ADDRESS
Respondent
Upon Request of [ ] Petitioner [ ] Respondent, and good cause appearing,
IT IS ORDERED that:
The address of [ ] Petitioner [ ] Respondent shall be protected from public disclosure
until further order of this court.
The Clerk of the Court shall protect the address of [ ] Petitioner [ ] Respondent from
public disclosure until further order of this court.
[ ] The request is denied.
The Clerk and the parties hereto shall comply with the requirements of Rule 7, Arizona
Rules of Family Law Procedure, as follows:
Any person required under these rules to serve a response or other document upon a
person whose address is ordered protected from disclosure under this rule may serve the
same by delivering true and correct copies of the documents to be served, together with
the proper fee established by administrative order to cover the cost of service, to the clerk
of the court. The clerk shall promptly mail the documents by regular first-class mail to the
most recent protected address provided to the clerk, and service shall be deemed complete
upon mailing. The clerk shall promptly file a written statement verifying the documents that
were mailed and the date of mailing to the protected address signed by the clerk or deputy
clerk who mailed the documents. All documents mailed to a protected address shall bear
the clerk’s return address, and a notation of any process returned as undelivered shall be
made in the court file.
Date Judicial Officer
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ARIZONA SUPERIOR COURT, COUNTY OF YAVAPAI

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Completed 13 November 2020

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