Fill - Free fillable Divorce With Children Parties Dont Agree (Clerk of the Superior Court) PDF form

Revised 11.16.18

DIVORCE

WITH MINOR CHILDREN

For Petitioner Only

(When Parties DO NOT AGREE to all terms of the Divorce)

PINAL COUNTY

NON-COVENANT MARRIAGE

TO FILE FOR DISSOLUTION (DIVORCE)

OF MARRIAGE WITH CHILDREN

STEP 1

(Please complete step one before proceeding to the next step)

INSTRUCTIONS AND FORMS

Provided as a Public Service by

AMANDA STANFORD

Clerk of the Superior Court

Reset Form

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DIVORCE WITH MINOR CHILDREN

This packet contains general information and instructional forms for filing a divorce petition

for a non- covenant marriage and other court papers when there are minor children. Be sure

this packet contains the following documents:

Order

Title

# of Pages

1

Table of Contents (this page)

1

2

Representing Yourself in Family Court

3

Procedures: How to file Divorce Papers with the Court

7

4

Summons

2

5

Notice Regarding Creditors

3

6

Notice of Right to Convert Health Insurance

2

7

Court Order for Parent Education Class & Conciliation Services

2

8

Child Support Calculator for Parents Worksheet

1

9

Parenting Plan

10

Affidavit Regarding Minor Children

3

11

Preliminary Injunction

3

12

Sensitive Data Sheet (*NO COPIES REQUIRED)

2

13

Family Court Cover Sheet (*NO COPIES REQUIRED)

3

14

Petition for Dissolution of Non-Covenant Marriage

(Divorce) with Minor Children

16

*NO COPIES REQUIRED. File original only. Do not serve on other party.

You have permission to use these documents for any lawful purpose. These forms shall not be used

to engage in the unauthorized practice of law. The Court assumes no responsibility and accepts no

liability for actions taken by users of these documents, including reliance on their contents. The

documents are under continual revision and are current only for the day they were received. It is

strongly recommended that you verify on a regular basis that you have the most current documents.

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REPRESENTING YOURSELF IN FAMILY COURT

This brief guide provides some very basic information to help you understand the proceedings.

It does not tell you everything about family law or family court, and it is no substitute for understanding

Title 25 of the Arizona Revised Statutes, the Arizona Rules of Family Law Procedure, and the Arizona

Rules of Evidence. For more information, you should go to the Pinal County Superior Court website

(www.pinalcountyaz.gov/Departments/JudicialBranch/) or consult a lawyer.

Proceedings in Family Court

Proceedings in Family Court follow the

Arizona Rules of Family Law Procedure

.

In a divorce or paternity case, you may be referred to an Expedited Differentiated Case

Management Conference, Mediation, Family Assessment, or a Settlement Conference (sometimes called

an Alternative Dispute Resolution or “ADR”). These proceedings are designed to help the parties reach

agreement on all or some of their disputes. They generally are not conducted by your assigned Judge.

You may also have to appear before the Judge for a pretrial hearing. The most common pretrial

hearings are (1) a

Resolution Management Conference

, which helps the Judge manage the case by,

among other things, setting deadlines and a trial date; and (2) a

Temporary Orders Hearing

, at which

the Judge may issue temporary orders to govern the case until the trial.

If you do not reach a settlement of all issues, there will be a

trial

. This is the single hearing

where the Judge will hear your evidence and make final decisions on disputed issues.

Disclosure and Discovery

To help parties prepare for the trial, the Arizona Rules of Family Law Procedure have

disclosure

and

discovery

requirements.

Disclosure

requirements are in Rule 49. Each party must voluntarily provide certain

information to the other party. You have an obligation to disclose such information to the other party,

and you have a right to insist that the other party disclose such information to you. Failure to disclose

as required may result in sanctions, including being barred from offering evidence that was not timely

disclosed.

If you need information that is not voluntarily disclosed, you may engage in

discovery

, such as

requesting documents from a party or subpoenaing documents from non-parties. Rules 51 through 65

of the Arizona Rules of Family Court discuss the requirements for discovery.

What is a Trial?

A trial is the time for you and for the other party to present

evidence

on disputed issues.

General Issues If Children Are Involved in Your Case:

●

Legal decision-making (authority over major matters concerning the children).

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●

Parenting time (what time each parent will spend with the children).

●

Child support.

Additional Issues If Your Case Involves a Divorce:

●

Spousal maintenance.

●

Division of community property and allocation of debts.

The Judge will decide these issues based on the evidence presented during the trial.

Only

evidence you bring to the trial will be considered

.

After the trial, the Judge may issue a ruling in open court or may take the case “under

advisement,” which means that the Judge will issue a written ruling at a later time.

The judge’s ruling may be a signed

decree

or

judgment

, which officially concludes the case. If

the judge chooses, the judge may decide disputed issues and then require one or both of the parties to

submit a decree for the judge’s signature.

Preparing for The Trial

When preparing for the trial, it is critical that you read the judge’s minute entries carefully. The

minute entries typically contain the Judge’s requirements for the trial. These requirements may

include:

(1) Submitting a

pretrial statement

that describes the issues in the case and lists your witnesses and

exhibits; and (2) Giving copies of your

exhibits

to the Clerk and to the other party before the trial.

Many Judges impose

time limits

at the trial. It is your responsibility to make sure you present

all your evidence in the time allotted.

What Happens During the Trial?

The main thing that happens during the trial is the presentation of

evidence

. The Judge will

make decision based on the evidence presented during the trial. Evidence is generally of two kinds: (1)

Witness testimony and (2) Documents.

When you call a

witness

to testify, you must ask the witness questions. A witness may only

answer questions that are asked. When the party who called a witness is done with questioning, the

other party may “cross-examine” the witness by asking additional questions.

A party may testify as a witness on his or her own behalf. However, while a witness is on the

stand, the parties may only ask questions. Arguing with a witness or commenting on the answers is not

allowed.

Documents

may be evidence at the trial, but you must follow the proper procedure. Before the

trial (usually 5 days before), you must give documents that you want to use to the Clerk of the Court to

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be “marked” with an exhibit number. However, marking an exhibit does not mean it is evidence. Rather,

during the trial, you must “offer” the exhibit by asking the judge to admit it into evidence. The judge

then decides whether to admit the evidence. The judge will consider only evidence that is

admitted

.

Proper Court Behavior

Although family cases are often emotional, it is important that everyone act in an orderly and

respectful way in court. Here are some “Do’s and Don’ts:”

●

Do dress appropriately. Don’t wear hats, sunglasses, tank tops, shorts, or flip-flops.

●

Do wait your turn to speak. Don’t interrupt while someone else is talking.

●

Do treat others with respect. Don’t curse, make faces, or engage in confrontational behavior.

●

Do be honest and candid with the judge.

●

Do make sure that friends and family who accompany you sit quietly. They are not allowed to

speak unless called as a witness, and then only when they are testifying.

For Additional Information

This guide presents very basic information. For additional information, read the applicable

statutes and rules, visit the Pinal County Superior Court website

(www.pinalcountyaz.gov/Departments/Judicial Branch) and if necessary, consult a lawyer.

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PROCEDURES

How to File Papers with the Court for Dissolution of a Non-Covenant Marriage (Divorce) –

With Minor Children

STEP 1: COMPLETE FORMS –

TYPE OR PRINT IN BLACK INK

PLEASE DO NOT LEAVE ANY QUESTIONS BLACK

• Please answer all questions.

• If a question does not apply to your case mark “N/A” next to the question. By marking

“N/A” next to the question this informs the Judge or court that a question was “not

applicable” and did not apply to your case or situation.

• If there is a question that is not known to you, please indicate “unknown to me”.

STEP 2: SIGN, DATE AND NOTARIZE DOCUMENTS

• Documents must be signed and dated in front of ANY Notary Public.

• Please look over your documents to ensure all questions have been answered prior to having

your documents notarized.

• Please make sure you have a US issued photo ID or driver’s license with you when having

your documents notarized.

STEP 3: MAKE COPIES OF DOCUMENTS

• AFTER your documents have been signed, dated and notarized make two (2) copies of the

following documents:

✓ Summons

✓ Notice Regarding Creditors

✓ Notice of Right to Convert Health Insurance

✓ Parents Worksheet for Child Support Amount

✓ Parenting Plan

✓ Order to Attend Parent Education Class

✓ Affidavit Regarding Minor Children

✓ Preliminary Injunction

✓ Petition for Dissolution of Non-Covenant Marriage with Minor Children

• Separate your documents into three (3) sets in the following order:

Set 1: ORIGINAL DOCUMENTS

1. Summons

2. Notice Regarding Creditors

3. Notice of Right to Convert Health Insurance

4. Parents Worksheet for Child Support Amount

5. Parenting Plan

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6. Order to Attend Parent Education Class

7. Affidavit Regarding Minor Children

8. Preliminary Injunction

9. Sensitive Data Sheet

10. Family Court Cover Sheet

11. Petition for Dissolution of Non-Covenant Marriage with Minor Children

Set 2: COPIES FOR YOU THE PETITIONER

1. Summons

2. Notice Regarding Creditors

3. Notice of Right to Convert Health Insurance

4. Parents Worksheet for Child Support Amount

5. Parenting Plan

6. Order to Attend Parent Education Class

7. Affidavit Regarding Minor Children

8. Preliminary Injunction

9. Petition for Dissolution of Non-Covenant Marriage with Minor Children

Set 3: COPIES FOR YOUR SPOUSE THE RESPONDENT

1. Summons

2. Notice Regarding Creditors

3. Notice of Right to Convert Health Insurance

4. Parents Worksheet for Child Support

5. Parenting Plan

6. Order to Attend Parent Education Class

7. Affidavit Regarding Minor Children

8. Preliminary Injunction

9. Petition for Dissolution of Non-Covenant Marriage with Minor Children

STEP 4: FILING FEES

There is a filing fee to file the Petition for Dissolution of Non-Covenant Marriage with Minor Children

and there may be other charges associated with this case. Please check online in our current Filing

Fees section to determine your fee.

DEFERRAL OR WAIVER OF FILING FEES: If you cannot pay these fees, you may qualify for

a deferral or waiver of fees. If you are seeking a deferral or waiver of fees, please have the Application

for Deferral or Waiver of Fees completed and submitted with your forms.

ONE of the following is required to be attached to the completed and notarized Application for

Deferral or Waiver of Fees:

• A copy of your last two (2) paycheck stubs.

• A notarized statement of non-employment. Any persons you are living with at this time who

is assisting you financially may sign a notarized document stating they are supporting you at

this time.

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• If you receive Food Stamps, SSI, Unemployment or any governmental assistance we will need

a copy or your letter of assignment/award or verification of the amount of assistance you

receive each month.

STEP 5: FILE THE PAPERS WITH THE CLERK OF SUPERIOR COURT

FILING LOCATIONS / FILING IN PERSON / FILING BY MAIL

You may file your documents at any of the Clerk of the Superior Court Locations:

Florence (Main Office) 971 Jason Lopez Circle Bldg. A, Florence, AZ 85132

Open Mon-Fri 8:00 to 5:00

Casa Grande 820 E. Cottonwood Ln Bldg. B, Casa Grande, AZ 85122

Open Mon-Fri 8:00 to 5:00 CLOSING 12:00 to 1:00 for lunch

(Documents requiring a filing fee are not accepted after 4:30)

Apache Junction 575 N. Idaho Rd. Ste. 109, Apache Junction, AZ 85119

Open Mon-Fri 8:00 to 5:00 CLOSING 12:00 to 1:00 for lunch

(Documents requiring a filing fee are not accepted after 4:30)

FILING IN PERSON

To submit the Petition for Dissolution of Non-Covenant Marriage with Minor Children you

should arrive at least (2) hours before the court closes.

The following must be handed to the Clerk at the Filing Counter:

✓ Original plus (2) copies of:

• Summons

• Notice Regarding Creditors

• Notice of Right to Convert Health Insurance

• Parents Worksheet for Child Support Amount

• Parenting Plan

• Order to Attend Parent Education Class

• Affidavit Regarding Minor Children

• Preliminary Injunction

• Sensitive Date Sheet (original only)

NOTE: At the time of filing your documents through a deferral, the Clerk can only defer

your filing fees to a later date; THEY ARE NOT WAIVED. Only the Judge can waive your filing fees.

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• Family Court Cover Sheet (original only)

• Petition for Dissolution of Non-Covenant Marriage with Minor Children

✓ Required Filing Fee (or) a completed Application for Deferral or Waiver of Filing Fees with

ONE of the following attached to the application:

• A copy of your last two (2) paycheck stubs.

• A notarized statement of non-employment. Any persons you are living with

at this time who is assisting you financially may sign a notarized document

stating they are supporting you at this time.

• If you receive Food Stamps, SSI, Unemployment or any governmental

assistance we will need a copy or your letter of assignment/award or

verification of the amount of assistance you receive each month.

FILING BY MAIL

If you are filing by mail your documents must be mailed to:

Clerk of the Superior Court

P.O. Box 2730

Florence, AZ 85132

To file the Petition for Dissolution of Non-Covenant Marriage with Minor Children by mail, please

mail the following documents:

✓ Original plus two (2) copies of:

• Summons

• Notice Regarding Creditors

• Notice of Right to Convert Health Insurance

• Parents Worksheet for Child Support Amount

• Parenting Plan

• Order to Attend Parent Education Class

• Affidavit Regarding Minor Children

• Preliminary Injunction

• Sensitive Date Sheet (original only)

• Family Court Cover Sheet (original only)

• Petition for Dissolution of Non-Covenant Marriage with Minor Children

✓ Required Filing Fee (or) a completed Application for Deferral or Waiver of Filing Fees with

ONE of the following attached to the application:

• A copy of your last two (2) paycheck stubs.

• A notarized statement of non-employment. Any persons you are living with

at this time who is assisting you financially may sign a notarized document

stating they are supporting you at this time.

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• If you receive Food Stamps, SSI, Unemployment or any governmental

assistance we will need a copy or your letter of assignment/award or

verification of the amount of assistance you receive each month.

✓ One appropriate sized self-addressed

stamped

envelope for the return of your

conformed/stamped copies.

STEP 6: SERVING YOUR SPOUSE (THE RESPONDENT)

• Service means giving legal notice to the other party (the Respondent) that you have filed court

papers.

• You must provide proof of service to the Court.

• There are different ways to serve the other party (the Respondent) you may read through the

different methods of service listed below to help determine which method of service is right

for your case:

ACCEPTANCE OF SERVICE: the other party must be willing to sign the “Acceptance of Service”

form in front of a Notary Public and return it to you. The other party cannot sign the “Acceptance

of Service” until after you have filed the court papers with the court. The other party’s signature on

the “Acceptance of Service” does not mean that he/she agrees with the court papers. It means that

the other party admits receiving the papers, without being served in person by the sheriff or a process

server.

SERVICE BY CERTIFIED MAIL: This method of service allows you to give notice by a special

type of mail. You can send the court papers by giving the post office copies of the court papers in an

envelope, postage prepaid, to be sent to the other party by any form of mail requiring a signed and

returned receipt. This is often called Certified Mail, Restricted Delivery by the post office. This means that

the other party must sign for the papers. The Post Office will then return to you a Green Return

Receipt containing the other party’s signature. The Green Return Receipt will then need to be attached

to the completed Affidavit of Service by Certified Mail. The Affidavit of Service by Certified Mail form must

be completed/filled out in full and signed in front of a Notary Public. You will then submit to the

Court the original Affidavit of Service by Certified Mail

SERVICE BY REGISTERED PROCESS SERVER: This method required you to hire, and pay,

a registered qualified process server to serve the other party with court papers. A process server is a

person who will give the papers to the other party at home, work, or other location. The registered

process server will give the court a sworn Affidavit of Service and/or Certificate of Service stating that the

person was served. This method of service costs more than service by acceptance and requires the

process server to find the other party. Service is complete at the time the process server hands the

other party the court papers. If you decide to use this method, and the other party resides outside of

Arizona, you would need to find a registered process server in the state where the other party lives.

SERVICE BY SHERIFF: This method requires you to contact the Sheriff’s Office in the county

where the other party lives to arrange for a Sheriff’s Deputy to give the other party the court papers.

This method requires you to pay a fee to the Sheriff’s Office. The Sheriff’s Office will give the Court

a Sworn Affidavit of Service stating that the person was served.

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WHEN YOU CANNOT FIND THE OTHER PARTY: Service by Publication may only be

used if you do not know where the other party lives or cannot find the other party. Please consider

the following information prior to serving by publication:

• You may only Service by Publication if you do not know where the other party lives or cannot

find the other party.

• Before the Court will accept “Service by Publication,” you must have made every reasonable

effort to find the Respondent and to give actual notice of this case by personal service of the

required documents. You will be required to state, under penalty or perjury, the steps you

have taken to try to locate the Respondent and if the Court is not satisfied that you have taken

all reasonable steps, your case may be delayed until the Court is satisfied all such steps have

been taken.

• Before you begin Service by Publication, you must first complete and file the

“Declaration

of Due Diligence and Request for Alternate Means of Service (Publication)”.

• Service by Publication may only be completed if the Judge has approved the Request for

Alternate Means of Service.

• If you are serving by publication, you must read the Service of Court Papers packet for the

entire procedure to ensure you have completed service by publication properly.

For more detailed information and forms on service, please refer to our SERVICE OF

COURT PAPERS packet on our website.

STEP 7: WAITING PERIOD

Once you have served the court documents on the other party (the Respondent) and filed the

appropriate proof of service with the Clerk's office, you now have to give the other party time to

review the documents before moving on to the next step.

TIMEFRAME FOR WAITING

• Service by Acceptance - 21 Days if located in Arizona, 31 Days if located out of State

• Service by Certified Mail - 21 Days if located in Arizona, 31 Days if located out of State

• Service by Registered Process Server - 21 Days if located in Arizona, 31 Days if located out of

State

• Service by Sheriff - 21 Days if located in Arizona, 31 Days if located out of State

• Service by Publication - 61 Days from first day of publication if located in or out of Arizona

STEP 8: FINALIZING YOUR CASE

There are different ways a case may finalize in the Court. Here are four different scenarios to help

determine your next step:

• SCENARIO 1: If you (the Petitioner) and your spouse (the Respondent) both agree to all

terms of the divorce, you may submit a Consent Decree. The Consent Decree is the final

document both parties will sign in front of a Notary Public agreeing to all terms of the divorce.

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A Consent Decree may be submitted if sixty-one (61) days from the date of service has passed.

A Consent Decree with children will require additional documents to be attached to the

Consent Decree. Additional orders are also required if spousal support or child support is

being ordered.

When submitting a Consent Decree, you are required to submit the original plus two copies

of all documents and orders along with two (2) self-addressed stamped envelopes. Please refer

to our Consent Decree with Children packet on our website for more detailed information

and instructions.

• SCENARIO 2: If the Other Party (the Respondent) has been served and proof of service is

filed with the Court and the Other Party (the Respondent) has not filed a response with the

court within the allotted time frame (waiting period), you may apply for Default. Please go to

our website to view and/or print the default packet. At the time you submit your Application

and Affidavit for Default to the Court, the Clerk will provide to you a Decree Assistance

Project Screening Checklist. The checklist will instruct you to contact the Family Services of

the Conciliation Court. You will contact the Conciliation Court ten (10) Court business days

after the mailing of the Application and Affidavit for Default to the Responding party.

• SCENARIO 3: If the Other Party (the Respondent) files a response with the court, your case

will be scheduled for an Early Resolution Conference (Hearing). You will be contacted by the

Conciliation Court with your hearing date. If you do not hear from the Conciliation Court

within a few weeks of a response being filed, please contact them at: 520.866.7349. If you

miss your hearing date you will be charged $166 for not showing.

• SCENARIO 4: If both you (the Petitioner) and the Other Party (the Respondent) do not

take any type of action within 120 days of filing the Petition; your case could be dismissed due

to inactivity.

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Name of Person Filing:

Street Address:

City, State, Zip Code:

Telephone Number:

Email Address:

ATLAS Number (if applicable)

Representing Self (No Attorney)

or Represented by Attorney

If Attorney, Bar Number:

SUPERIOR COURT OF ARIZONA

PINAL COUNTY

CASE NUMBER:

S1100DO2

Name of Petitioner

SUMMONS

Name of Respondent

HONORABLE:

WARNING: This is an official document from the court that affects your rights. Read

this carefully. If you do not understand it, contact a lawyer for help.

FROM THE STATE OF ARIZONA TO

Name of Respondent

1. A lawsuit has been filed against you. A copy of the lawsuit and other court papers are served

on you with this

“Summons.”

2. If you do not want a judgment or order taken against you without your input, you must file

an

“Answer”

or a

“Response”

in writing with the court, and pay the filing fee. If you do not

file an

“Answer”

or

“Response”

the other party may be given the relief requested in his/her

Petition or Complaint. To file your

“Answer”

or

“Response”

take, or send, the

“Answer”

or

“Response”

to the Office of the Clerk of the Superior Court, 971 Jason Lopez Circle Bldg

A , Florence, Arizona 85132 or PO Box 2730, Florence, Arizona 85132-2730; or any satellite

office. Mail a copy of your

“Response”

or

“Answer”

to the other party at the address listed

on the top of this Summons.

3. If this

“Summons”

and the other court papers were served on you by a registered process

server or the Sheriff, within the State of Arizona, your

“Response”

or

“Answer”

must be

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filed within TWENTY (20) CALENDAR DAYS from the date you were served, not

counting the day you were served. If this

“Summons”

and the other papers were served

on you by a registered process server or the Sheriff outside the State of Arizona, your

Response must be filed within THIRTY (30) CALENDAR DAYS from the date you were

served, not counting the day you were served. Service by a registered process server or the

Sheriff is complete when made. Service by Publication is complete thirty (30) days after the

date of the first publication.

4. You can get a copy of the court papers filed in this case from the Petitioner at the address at

the top of this paper, or from the Clerk of the Superior Court at the address listed in Paragraph

2 above.

5. If this is an action for dissolution (divorce), legal separation or annulment, either or both

spouses may file a Petition for Conciliation for the purpose of determining whether there is

any mutual interest in preserving the marriage or for Mediation to attempt to settle disputes

concerning Legal Decision-Making and parenting time issues regarding minor children.

6. Requests for reasonable accommodation for persons with disabilities must be made to the

office of the judge or commissioner assigned to the case, at least five (5) days before your

scheduled court date.

GIVEN UNDER MY HAND AND SEAL OF THE COURT

Date

Amanda Stanford

Clerk of the Superior Court

By

Deputy Clerk

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Name of Person Filing:

Street Address:

City, State, Zip Code:

Telephone Number:

Email Address:

ATLAS Number (if applicable)

Representing Self (No Attorney)

or Represented by Attorney

If Attorney, Bar Number:

SUPERIOR COURT OF ARIZONA

PINAL COUNTY

CASE NUMBER:

S1100DO2

Name of Petitioner

NOTICE REGARDING CREDITORS

Name of Respondent

HONORABLE:

ARIZONA LAW REQUIRES all actions for DIVORCE or LEGAL SEPARATION to

include this NOTICE and for the person filing for Divorce or Legal Separation to SERVE

this NOTICE on the other party. (ARS 25-318(F).

YOU AND YOUR SPOUSE ARE RESPONSIBLE FOR COMMUNITY DEBTS. The court

usually requires/orders one spouse or the other to pay certain community debts in, or through, the

Decree of Dissolution or Legal Separation. A court order that does this is binding on the spouses

only, not the creditors. You and your spouse are legally responsible for these community debts

whether you are married, divorced, or legally separated. These debts are matters of contract between

both of you and your creditors (such as banks, credit unions, credit card companies, utility companies,

medical providers and retailers). On request, the court may impose a lien against the separate property

of a spouse to secure payment of certain community debts.

CONTACT CREDITORS: You may want to contact your creditors to discuss the debts and the

effects of your divorce/legal separation on your debts. To assist you in identifying your creditors, you

may obtain a copy of your spouse's credit report by making a written request to the court for an order

requiring a credit reporting agency to release the report to you. The credit report will help you identify

accounts, account numbers and account balances. In addition, within thirty (30) days after receipt of

a request from a spouse who is party to a divorce or legal separation, which includes the court and

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cause number of the action, creditors are required, by law, to provide information as to the balance

and account status of any debts for which you or your spouse may be liable to the creditor.

WARNING: If you do not understand this notice, you should contact an attorney for advice

about your legal rights and obligations.

The following page contains a sample form you

may

choose to mail to creditors to get

information about debts owed by you or your spouse. It is not a required form.

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REQUEST FOR ACCOUNT INFORMATION FROM CREDITORS

You may use this form to request information about debt owed by you or your spouse.

If so, send to the creditor. DO NOT FILE THIS PAGE WITH THE COURT.

DATE:

CREDITOR’S NAME:

CREDITOR’S ADDRESS:

Regarding:

Superior Court of Arizona in Pinal County

Case Name:

Case Number: S1100DO2

Pursuant to Arizona State Law (ARS 25-318), this letter requests the balance and account status of

any debt for which the following individuals may be liable to you. (Arizona law requires that you

provide this information within thirty (30) days of receipt of this letter.)

INFORMATION ABOUT DEBTORS/SPOUSES:

Your Name:

Your Address:

Your Phone Number:

Your Spouse’s Name:

Your Spouse’s Address:

INFORMATION ABOUT THE ACCOUNT:

Account Number(s):

If you have any questions or if I can be of further assistance, please feel free to contact me.

Sincerely,

Your Name:

Your Signature:

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SUPERIOR COURT OF ARIZONA

PINAL COUNTY

CASE NUMBER:

S1100DO2

Name of Petitioner

NOTICE OF YOUR RIGHTS ABOUT

HEALTH INSURANCE COVERAGE

WHEN A PETITION FOR

DISSOLUTION (DIVORCE) IS FILED

(A.R.S. 20-1377 AND 20-1408)

Name of Respondent

HONORABLE:

WARNING: THIS IS AN IMPORTANT LEGAL NOTICE. YOUR RIGHTS TO

HEALTH INSURANCE COVERAGE COULD BE AFFECTED AFTER YOUR

DIVORCE IS FINAL. READ THIS NOTICE CAREFULLY. IF YOU DO NOT

UNDERSTAND THIS NOTICE, YOU SHOULD CALL AN ATTORNEY FOR

ADVICE ABOUT YOUR LEGAL RIGHTS AND OBLIGATIONS.

IMPORTANT INFORMATION IF YOU ARE ON YOUR SPOUSE'S INSURANCE

PLAN: When a Petition for Dissolution of Marriage (papers for a divorce decree) is filed, you and/or

your children may continue to be covered under your spouse's health insurance policy. Arizona law

allows the dependent spouse and/or children to continue to be covered, but you must take some

steps to protect your rights.

WHAT INSURANCE COVERAGE APPLIES TO YOU, AND HOW TO GET IT: If you are

covered by your spouse's health insurance, and you want to continue to be covered after the divorce

is final, you must contact the insurance company as soon as possible, and you must start to pay the

monthly insurance premium within 31 days of the date the insurance would otherwise stop.

If you decide you want to be covered, the insurer can choose whether to continue coverage under

the current policy, or to change the policy to your name. If the policy is changed to your name, it is

called a "converted"; policy. If the policy is converted by the insurer, the insurer must provide you

the same or the most similar level of coverage available, unless you ask for a lower level of coverage.

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WHAT COVERAGE APPLIES TO YOUR CHILDREN: If you choose to continue coverage

as a dependent spouse, you can also choose to continue coverage for your dependent children if you

are responsible for their care or support.

PREEXISTING CONDITIONS OR EXCLUSIONS FROM INSURANCE COVERAGE:

Whether the insurance is continued or converted, the insurance must be provided to you without

proof of insurability and without exclusions for coverage other than what was previously excluded

before the insurance was continued or converted.

LIMITS ON RIGHTS TO INSURANCE COVERAGE FOR YOU AND YOUR

CHILDREN: You may not be entitled to continued or converted coverage if you are eligible for

Medicare or for coverage by other similar types of insurance which together with the continued

coverage would make you over-insured. However, dependent children of a person who is eligible for

Medicare may be covered by a continuance or a conversion. If you have questions about coverage,

check with the insurer and/or the spouse's employer.

WARNING TO THE SPOUSE FILING THE PETITION FOR DISSOLUTION

(DIVORCE): This Notice must be served on your spouse together with the Petition for

Dissolution, the Summons, and the Preliminary Injunction.

ARIZONA SUPERIOR COURT, PINAL COUNTY

ORDER TO PARENT EDUCATION CLASS

THIS IS AN OFFICIAL ORDER. IF YOU DISOBEY THIS ORDER, THE COURT MAY FIND

YOU IN CONTEMPT.

Pursuant to A.R.S. '25-352, IT IS ORDERED you must attend and complete a parent education course

within the following time limits:

1.

Petitioner: You must complete the course within 45 days from the filing of the petition.

2.

Respondent

:

You must complete the course within 45 days of being served with or accepting service

of the petition. The Respondent must complete the course whether or not a response to the action is

filed.

3.

Paternity Proceeding: If paternity has been established, you must complete the class as described

above. If paternity has not been established, you are welcome to complete the class at your earliest

convenience. However, you are not required to complete the class until paternity has been

established by the court.

4. Compliance: A.R.S. '25-353. Failure to comply - if a party fails to complete the educational program

as ordered pursuant to section 25-352, the court may deny relief in favor of that party, hold that

party in contempt of court or impose any other sanction reasonable under the circumstances. The

court will be notified if you fail to complete the class.

Exceptions: If you have completed the class

within less than 1 year or the court excuses a party’s participation.

5.

Class Fee: Each party shall pay the $40.00 fee to, or obtain a valid fee deferral from, the Clerk of

the Superior Court (see attached Notice for fee payment instructions).

6.

Disability: If, due to a disability, you need special accommodations for your attendance such as

auxiliary aids, or materials in alternative formats, please contact Family Services of the Conciliation

Court as soon as you receive this notice.

7.

Information: Additional information about Parent Education is available at

www.pinalcountyaz.gov/Judicial/ConciliationCourt.

8.

Registration: You may register for the course online at

www.pinalcountyaz.gov/Judicial/ConciliationCourt/Pages/ParentEducationClass.aspx, or by

phone at 520-866-5760.

Joseph R. Georgini

Honorable Joseph R. Georgini, Date

Presiding Judge, Family Court

CASE NUMBER S1100DO2

You have been ordered to attend a Parent Education Class. The Parent Education Class is taught by

counselors from Family Services of Conciliation Court. You are required to complete the entire class to

receive a copy of the

Notice of Completion and Certificate

that will be filed with the court. If you fail to comply,

the Court may deny relief, hold you in contempt of court, or impose any other sanction reasonable under the

circumstances. (A.R.S. 25-352)

The court will be notified if you fail to attend the class.

THIS IS A 3 STEP PROCESS.

1.

PAY FOR THE CLASS WITH CLERK OF SUPERIOR COURT

2.

REGISTER FOR THE CLASS WITH FAMILY SERVICES OF CONCILIATION COURT

3.

ATTEND the 4 HOUR CLASS IN FLORENCE WITH PROOF OF PAYMENT

1.

Use one of the following methods to pay for the Class: The cost is $40.00 per person.

• ONLINE: Make payment to via website:

https://client.pointandpay.net/recurring/PinalCountySuperiorCourtAZ

• PHONE: Call 800.487.4567.

• MAIL: Mail personal checks, cashier’s check or money order for $40.00 payable to Clerk of the

Superior Court at the following address:

Clerk of the Superior Court Parent Education Course

P.O. Box 2730

Florence, AZ 85132-2730

Write your court case number and “

Parent Education Class”

on the cashier’s check, money order or

personal check. IMPORTANT: You MUST enclose a self-addressed stamped envelope so the clerk’s office will

mail your receipt to you.

• IN PERSON: Payments can be made by cash, money order, MasterCard, Visa, Discover and American

Express with valid ID of card holder at any of our office locations listed below.

Florence – 971 N Jason Lopez Cir., Bldg. A

Apache Junction – 575 N Idaho, Ste. 109

Casa Grande – 820 E. Cottonwood Ln., #B

For more information about obtaining a fee deferral, contact any clerk’s office

Contact Information for all Offices

Toll Free: 888.431.1311 • Local: 520.509.3555 or 311 • Fax: 520.866.5320

www.coscpinalcountyaz.gov/office.html

2.

Register for the Class with Family Services of Conciliation Court: Sign up online at

www.pinalcountyaz.gov/Judicial/ConciliationCourt or by phone at 520-866-5760.

3.

Attend the Class: Bring photo I.D. and proof of payment or fee deferral to the class. Please arrive 15 minutes

early.

Justice Complex (Highway 79)

Pinal County Superior Courthouse

971 Jason Lopez Cir., Bldg. A Florence, AZ 85132

*No children are allowed in class

*

If you reside outside of Pinal County, you are still required to complete a parent education class (A.R.S. 25-

352). Please visit the website for information:

http://www.pinalcountyaz.gov/Judicial/ConciliationCourt/Pages/DVDRequestForm.aspx

PARENT EDUCATION CLASS NOTICE

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CHILD SUPPORT CALCULATOR for

Parent’s Worksheet to determine Child Support Amount

The Court Self Help website offers a Free Child Support Calculator

and Fillable Forms.

Simple

•

Quick

• Accurate

If you have a personal computer with Internet access,

you can access the Child Support Calculator at:

http://www.azcourts.gov/familylaw

You may also visit the Law Library at the

Pinal County Superior Court House for access and further assistance.

Your computer must be connected to a printer. Begin by selecting which Child Support Calculator applies to you,

2005 or 2011, and then press the Tab button on your keyboard to move through the form, or click on each field with

your mouse.

Enter the appropriate information in each blank field. Not every blank field needs to be completed in every case. If

you are not sure whether you should complete a blank field, click on the question mark (?) next to the blank field.

You will receive additional information in accordance with the Arizona Child Support Guidelines.

When you have completed the Entry Form, click the "Print Worksheet" button to receive an estimate of the amount

of child support the non- custodial parent may have to pay to the custodial parent for the support of their child(ren).

After clicking on "Print Worksheet" the form will automatically be filled in with the information from the Entry Form.

Print the form and bring it with you at the time of filing your initial paperwork.

The Court Self Help website also offers the following fillable forms required to set up Child Support, select the

“Forms” tab to make your selection:

• Child Support Order

• Post Paternity Establishment of Child Support Order

• Paternity Judgment Child Support Order

To have the Child Support amount automatically deducted from payroll, either of the below forms must be

submitted:

• Income Withholding Order – May be completed by either party

• Current Employer Information – To be completed by the non-custodial parent/obligor/payer only

Calculate Support for Parent’s Worksheet

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Name of Person Filing:

Street Address:

City, State, Zip Code:

Telephone Number:

Email Address:

ATLAS Number (if applicable):

Representing Self (No Attorney) or Represented by Attorney

If Attorney, Bar Number:

SUPERIOR COURT OF ARIZONA

PINAL COUNTY

CASE NUMBER:

S1100DO2

Name of Petitioner

PARENTING PLAN FOR:

JOINT LEGAL DECISION-MAKING

OR

SOLE LEGAL DECISION-MAKING

TO PETITIONER

TO RESPONDENT

Name of Respondent

HONORABLE:

GENERAL INFORMATION

A. MINOR CHILDREN This Plan concerns the following children common to the parents:

Name Birth Date

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B. LEGAL DECISION-MAKING:

Select One.

If you select sole legal decision-making, you

have the option of also selecting restrictions on the parenting time of the other parent.

SOLE LEGAL DECISION-MAKING

Sole legal decision-making should be granted to

Petitioner or

Respondent

JOINT LEGAL DECISION-MAKING

Both parents will make major educational decisions together.

Optional: If the parents do not agree,

select one

the final decision will be with Petitioner

the final decision will be with Respondent

the decision will be addressed as follows:

Both parents will make major religious decisions together.

Optional: If the parents do not agree,

select one

the final decision will be with Petitioner

the final decision will be with Respondent

the decision will be addressed as follows:

Both parents will make major medical decisions together.

Optional: If the parents do not agree,

select one

the final decision will be with Petitioner

the final decision will be with Respondent

the decision will be addressed as follows:

Both parents will make major personal care decisions together.

Optional: If the parents do not agree,

select one

the final decision will be with Petitioner

the final decision will be with Respondent

the decision will be addressed as follows:

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C. PARENTING TIME Write your detailed parenting plan below. Include specific times,

locations, and details regarding transportation. You will have the opportunity to request

supervised parenting time or no parenting time, later in this document.

1. Regular Parenting Time:

2. Summer Months:

3. School Breaks Longer Than 4 Days:

4. Three Day Weekends:(for example, Labor Day, Columbus Day, Martin Luther King, Jr.

Day, Presidents' Day and Memorial Day)

The parents agree that whichever of them has the child(ren) for the weekend occurring

nearer in time to the holiday will spend time with the child(ren) for the holiday, OR

Explain your request:

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5. Transportation: Write your procedure for exchanges of the child(ren) including location

and responsibility for transportation.

6. Holiday, Birthday and Special Occasion Schedule Use the table below or the blank

space to write your schedule.

Event Even Years Odd Years

New Year’s Eve Petitioner Respondent Petitioner Respondent

New Year’s Day Petitioner Respondent Petitioner Respondent

Easter Petitioner Respondent Petitioner Respondent

4

th

of July Petitioner Respondent Petitioner Respondent

Halloween Petitioner Respondent Petitioner Respondent

Veteran’s Day Petitioner Respondent Petitioner Respondent

Thanksgiving Petitioner Respondent Petitioner Respondent

Christmas Eve Petitioner Respondent Petitioner Respondent

Christmas Day Petitioner Respondent Petitioner Respondent

Child(ren)’s Birthday Petitioner Respondent Petitioner Respondent

Mother’s Day Petitioner Respondent Petitioner Respondent

Father’s Day Petitioner Respondent Petitioner Respondent

Petitioner’s Birthday Petitioner Respondent Petitioner Respondent

Respondent’s Birthday Petitioner Respondent Petitioner Respondent

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7. Telephone Contact with Children

Each parent may have telephone contact with the child(ren) during the child(ren)’s normal

waking hours, OR

Explain your request:

8. Travel with Child(ren) (all of the following are optional)

Each parent is entitled to consecutive days of vacation time per year with the

child(ren). Each parent will give the other parent days notice prior to the vacation.

Should either parent travel out of the area with the minor child(ren), each parent will keep

the other parent informed of travel plans, address(es), and telephone numbers at which that

parent and the minor child(ren) can be reached.

Neither parent shall travel with the minor child(ren) outside of Arizona for longer than

______ days without the prior written consent of the other parent or order of the court.

SUPERVISED PARENTING TIME

Supervised parenting time is in the best interest of the minor child(ren) because:

Name of the agency or person who will supervise:

NO PARENTING TIME BETWEEN CHILD(REN) AND

PETITIONER

OR

RESPONDENT

No parenting time is in the best interest of the minor child(ren) because:

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D. Medical and Dental Arrangements

 Both parents have the right to authorize emergency medical treatment, if needed, and the

right to consult with physicians and other medical practitioners. Both parents agree to advise

the other parent with physicians and other medical practitioners. Both parents agree to advise

the other parent immediately of any emergency medical/dental care sought for the minor

children, to cooperate on health matters concerning the children and to keep one another

reasonably informed. Both parents agree to keep each other informed as to names, addresses

and telephone numbers of all medical/dental care providers.

E. Other Arrangements

Each parent will inform the other parent of any change of address and/or phone number

in advance OR within days of the change.

Both parents will promptly inform the other parent of any emergency or other important

event that involves the minor children.

Both parents will consult and agree with the other parent regarding any extra activity that

affects the minor children’s access to the other parent.

Each parent will consider the other parent as care-provider for the minor children before

making other arrangements.

Each parent will keep all communication regarding the minor child(ren) between the

parents and will not use the minor child(ren) to convey information or to set up parenting

time changes.

Each parent will encourage love and respect between the minor child(ren) and the other

parent and neither parent shall do anything that may hurt the other parent’s relationship with

the minor children.

Both parents will exert their best efforts to work cooperatively in future plans consistent

with the best interests of the minor children and to amicably resolve such disputes as may

arise.

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If either parent is unable to follow through with the time-sharing arrangements involving

the minor child(ren), that parent will notify the other parent as soon as possible.

Both parents agree that if either parent moves out of the area and returns later, they will

use the most recent “Parenting Plan/Access Agreement” in place before the move.

If the parents are unable to reach a mutual agreement regarding a legal change to their

parenting orders, they will request mediation through the court or a private mediator of their

choice.

Obtain Written Consent or Court Order Before Moving: Notice required by ARS 25-408

shall be made by certified mail, return receipt requested, or pursuant to the Arizona rules of

family law procedure. The court shall sanction a parent who, without good cause, does not

comply with the notification requirements of this law. The court may impose a sanction that

will affect the legal decision-making or parenting time only in accordance with the child’s best

interests.

Parental Access to Records and Information Pursuant to Arizona law, unless otherwise

provided by court order or law, on reasonable request both parents are entitled to have equal

access to documents and other information concerning the minor child(ren)’s education and

physical, mental, moral and emotional health including medical, school, police, court and other

records. A person who does not comply with a reasonable request for these records shall

reimburse the requesting parent for court costs and attorney fees incurred by that parent to

make the other parent obey this request. A parent who attempts to restrict the release of

documents or information by the custodian of the records without prior court order is subject

to legal sanctions.

Notice: Do not deviate from Parenting Plan until dispute is resolved. Both parents are

advised that while a dispute is being resolved, neither parent shall deviate from this Parenting

Plan or act in a way that is inconsistent with the terms of this agreement.

Once this plan has been made an order of the Court, if either parent disobeys the court order

related to parenting time with the children, the other parent may submit court papers to

request enforcement.

SIGNATURE OF ONE OR BOTH PARENTS

Signature of Petitioner: Date:

Signature of Respondent: Date:

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IF YOU ARE REQUESTING SOLE LEGAL DECISION MAKING, THE FORM IS

COMPLETE. DO NOT SIGN SECTION F OR G.

F. STATEMENT REGARDING CONTACT WITH SEX OFFENDERS AND

PERSONS CONVICTED OF DANGEROUS CRIMES AGAINST CHILDREN.

According to A.R.S. §25-403.05, a child’s parent or custodian must immediately notify the other

parent or custodian if the person knows that a convicted or registered sex offender or someone who

has been convicted of a dangerous crime against children may have access to the child.

According to A.R.S. §13-705 (P) (1), “Dangerous crime against children” means any of the following

that is committed against a minor who is under fifteen years of age:

(a) Second degree murder.

(b) Aggravated assault resulting in serious physical injury or involving the discharge, use or

threatening exhibit on of a deadly weapon or dangerous instrument.

(c) Sexual assault.

(d) Molestation of a child.

(e) Sexual conduct with a minor.

(f) Commercial sexual exploitation of a minor.

(g) Sexual exploitation of a minor.

(h) Child abuse as prescribed in section 13-3623, subsection A, paragraph 1.

(i) Kidnapping.

(j) Sexual abuse.

(k) Taking a child for the purpose of prostitution as prescribed in section 13-3212.

(l) Child prostitution as prescribed in section 13-3212.

(m) Involving or using minors in drug offenses.

(n) Continuous sexual abuse of a child.

(o) Attempted first-degree murder.

(p) Sex trafficking.

(q) Manufacturing methamphetamine under circumstances that causes physical injury to a minor.

(r) Bestiality as prescribed in section 13-1411, subsection A, paragraph 2.

(s) Luring a minor for sexual exploitation.

(t) Aggravated luring a minor for sexual exploitation.

(u) Unlawful age misrepresentation.

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The parent or custodian must provide notice by first class mail, return receipt requested, by electronic

means to an electronic mail address that the recipient provided to the parent or custodian for

notification purposes or by another form of communication accepted by the court.

I/We have read, understand, and agree to abide by the requirements of A.R.S. §25-403.05(B)

concerning notification of other parent or custodian if someone convicted of dangerous crime against

children may have access to the child.

Signature of Petitioner: Date:

Signature of Respondent: Date:

G. JOINT LEGAL DECISION-MAKING: If requested or agreed to by the parties, the

following will apply, subject to approval by the Judge:

1. DOMESTIC VIOLENCE: Arizona Law (A.R.S. §25-403.03) states that joint Legal

Decision-Making shall NOT be awarded if there has been “a history of significant domestic

violence”.

Domestic Violence has not occurred between the parties, OR

Domestic Violence has occurred but it has not been “significant” or has been committed

by both parties.* Complete Section 3 below.

2. DUI or DRUG CONVICTIONS:

Neither party has been convicted of driving under the influence or a drug offense within

the past 12 months, OR

One of the parties HAS been convicted of driving under the influence or a drug offense

within the past 12 months, but the parties feel Joint Legal Decision-Making is in the best

interest of the children. * Complete Section 3 below.

3. * IF THERE HAS BEEN DOMESTIC VIOLENCE OR A DUI OR DRUG

CONVICTION:

Explain why Joint Legal Decision-Making is still in the best interests of the children:

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4. REVIEW: The parents agree to review the terms of the / this agreement and make any

necessary or desired changes every months from the date of this document.

5. CRITERIA. Our joint Legal Decision-Making agreement meets the criteria required by

Arizona law A.R.S. §25-403.02, as listed below:

a. The best interest of the minor children are served;

b. Each parent’s rights and responsibilities for personal care of the minor children and

for decisions in education, health care and religious training are designated in this Plan;

c. A schedule of the physical residence of the minor children, including holidays and

school vacations is included in the Plan;

d. The Plan includes a procedure for periodic review;

e. The Plan includes a procedure by which proposed changes, disputes and alleged

breaches may be mediated or resolved;

f. A procedure for communicating with each other about the child, including methods

and frequency.

SIGNATURE OF PARENT(S) REQUESTING JOINT LEGAL DECISION-MAKING

Signature of Petitioner: Date:

Signature of Respondent: Date:

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Name of Person Filing:

Street Address:

City, State, Zip Code:

Telephone Number:

Email Address:

ATLAS Number (if applicable)

Representing Self (No Attorney)

or Represented by Attorney

If Attorney, Bar Number:

SUPERIOR COURT OF ARIZONA

PINAL COUNTY

CASE NUMBER:

S1100DO2

Name of Petitioner

AFFIDAVIT REGARDING

MINOR CHILDREN

Name of Respondent

HONORABLE:

NOTICE: This

“Affidavit Regarding Minor Children”

is required for all legal decision-

making cases. You must fill out this Affidavit completely, and provide accurate information.

Use additional paper if necessary. You must give copies of this Affidavit and all other

required documents to the other party, and to the judge.

1. CHILDREN OF THE PARTIES WHO ARE UNDER 18 YEARS OLD. The

following child(ren) are under age 18 and were born to, or adopted by, me and the other

party:

Name:

Birth Date:

Age:

Birth Date:

Age:

Name:

Birth Date:

Age:

Birth Date:

Age:

2. INFORMATION REGARDING WHERE THE CHILDREN UNDER 18 YEARS

OLD HAVE LIVED FOR THE LAST 5 YEARS: (Attach additional pages if necessary)

Child’s Name:

Dates: From

To

Address:

Lived with:

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City, State:

Relationship to Child:

Child’s Name:

Dates: From

To

Address:

Lived with:

City, State:

Relationship to Child:

Child’s Name:

Dates: From

To

Address:

Lived with:

City, State:

Relationship to Child:

3. COURT CASES IN WHICH I HAVE BEEN A PARTY/WITNESS THAT

INVOLVED THE LEGAL DECISION-MAKING PARENTING TIME OF THE

CHILD(REN): (Check one box)

I have or I have not been a party/witness in court in this state or in any other state that

involved the legal decision-making parenting time of the child(ren) named above. (If so,

explain on separate paper. If not, go on.)

Name of each child:

Name of Court:

Court Location:

Court Case Number:

Current Status:

How the child is involved:

Summary of any Court Order:

4. INFORMATION REGARDING PENDING COURT CASES RELATED TO THE

LEGAL DECISION-MAKING OF THE CHILD(REN): (Check one box)

I do have or I do not have information about a legal decision-making parenting time

court case relating to any of the children named above that is pending in this state or in any

other state. (If so, explain. If not, go on.)

Name of each child:

Name of Court:

Court Location:

Court Case Number:

Current Status:

How the child is involved:

Summary of any Court Order:

5. LEGAL DECISION-MAKING OR PARENTING TIME CLAIMS OF ANY

PERSON: (Check one box)

I do know or I do not know a person other than the Petitioner or the Respondent who

has physical legal decision-making or who claims legal decision-making or parenting time

rights to any of the children named in this Affidavit.

(If so, explain below. If not, go on.)

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Name of each child:

Name of person with the claim:

Address of person with the claim:

Nature of the claim:

OATH OR AFFIRMATION AND VERIFICATION:

I swear or affirm that the information on this document is true and correct under penalty of

perjury.

Date

Signature

State of Arizona )

)

County of )

Subscribed and sworn (or affirmed) before me this

day of

,

20

(Day)

(Month)

(Year)

by

(Name of Signer)

(Affix notary seal here)

Notary Public (Notary’s Signature)

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✓ the written permission of your spouse or written permission from the court. The law allows

for situations in which you may need to transfer joint or community property as part of the

everyday running of a business, or if the sale of community property is necessary to meet

necessities of life, such as food, shelter, or clothing, or court fees and attorney fees associated

with this action. If this applies to you, you should see a lawyer for help, AND

✓ Do not harass or bother your spouse or the children, AND

✓ Do not physically abuse or threaten your spouse or the children, AND

✓ Do not take the minor children, common to your marriage, out of the State of Arizona for

any reasons, without a written agreement between you and your spouse or a Court Order,

before you take the minor children out of the State.

Do not remove, or cause to be removed, the other party or the minor children of the parties from

any existing insurance coverage, including medical, hospital, dental, automobile and disability

insurance. Both parties shall maintain all insurance coverage in full force and effect.

STATUTORY REQUIREMENTS: Arizona Law, A.R.S. 25-315(A) provides:

1(a). RESTRICTIONS ON PROPERTY OF THE MARRIAGE: That both parties are

enjoined from transferring, encumbering, concealing, selling, or otherwise disposing of any of

the joint, common or community property of the parties, except if related to the usual course

of business, the necessities of life, or court fees and reasonable attorney fees associated with

an action filed under this article, without the written consent of the parties or the permission

of the court.

1(b). REQUIREMENTS OF BEHAVIOR: That both parties are enjoined from molesting,

harassing, disturbing the peace, or committing an assault or battery on, the person of the other

party or any natural or adopted child of the parties.

1(c). RESTRICTIONS ABOUT YOUR MINOR CHILDREN: That both parties are enjoined

from removing any natural or adopted minor child(ren) of the parties, then residing in Arizona,

from the jurisdiction of the court without the prior written consent of the parties or the

permission of the court.

1(d). RESTRICTIONS ABOUT INSURANCE: That both parties are enjoined from removing,

or causing to be removed, the other party or the minor children of the parties from any existing

insurance coverage, including medical, hospital, dental, automobile and disability insurance.

Both parties shall maintain all insurance coverage in full force and effect.

2. EFFECTIVE DATE OF THIS ORDER: This Order is effective against the person who

filed for divorce, annulment, or legal separation (the Petitioner) when the Petition was filed

with the court. It is effective against the other party (the Respondent) when it is served on the

other party, or on actual notice of the Order, whichever is sooner. This Order shall remain in

effect until further order of the court, or the entry of a Decree of Dissolution, Annulment, or

Legal Separation.

3. ORDER TO PETITIONER: You must serve a copy of this Order upon the Respondent,

along with a copy of the Petition for Dissolution, Annulment or Legal Separation, the

Summons, and other required court papers.

4. WARNING: This is an official Court Order. If you disobey this Order, the court may find

you in contempt of court. You may also be arrested and prosecuted for the crime of interfering

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Name of Person Filing:

Telephone Number:

Email Address:

ATLAS Number (if applicable)

Representing Self (No Attorney)

or Represented by Attorney

If Attorney, Bar Number:

SUPERIOR COURT OF ARIZONA

PINAL COUNTY

CASE NUMBER:

S1100DO2

Name of Petitioner

SENSITIVE DATA SHEET

(CONFIDENTIAL RECORD)

Name of Respondent

HONORABLE:

Fill out. File with Clerk of Court. Social Security Numbers should appear on this

form only and should be omitted from other court forms. Access Confidential

pursuant to A.R.F.L.P. 43(G)(1).

A.

Personal Information:

Petitioner

Respondent

Name

Gender

Male or Female

Date of Birth (Month/Day/Year)

Social Security Number

Driver’s License Number

WARNING: DO NOT INCLUDE MAILING ADDRESS ON THIS FORM IF

REQUESTING ADDRESS PROTECTION

Mailing Address

City, State, Zip Code

Contact Phone

Email Address

Current Employer Name

Employer Address

Employer City, State, Zip Code

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Employer Telephone Number

Employer Fax Number

B.

Child(ren) Information:

Child Name

Gender

Child Social Security Number

Child Date of Birth

Clerk of Court Issued:

*For Court Use Only. NOT Public Record.

Do NOT Provide a Copy of This Document to The Other Party.

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Arizona Superior Court, Pinal County

Family Court Cover Sheet

CASE NUMBER

S1100DO2

Judge

ATLAS NUMBER(S)

PETITIONER’S NAME AND

ADDRESS

RESPONDENT’S NAME AND

ADDRESS

Name:

Address:

City/State/Zip:

Phone Number:

Email Address:

DOB:

PETITIONER’S ATTORNEY

EMERGENCY ORDER SOUGHT

Name/State Bar #:

Order of

Protection

Address:

Temporary Order

City/State/Zip:

Other

Phone Number:

(Specify)

Do you or the other party need an

interpreter?

FEES: PAID NOT PAID - REASON

Yes No

Political Subdivision/Government

Agency

If yes, what language:

Deferred

Waived

ACTION REQUESTED: Check Only One

Box

DISSOLUTION (Divorce)

With Children

Without Children

Legal Separation

Paternity/Maternity

Annulment

Legal Decision-Making

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Order of Protection

Foreign Judgment

Domesticated Decree

Foreign Judgment for Legal Decision-

Making

Establish Support

Habeas Corpus

Visitation

Emergency Order of Protection

Other

(Specify)

I receive or have received public assistance which may include AFDC, TANF, or AHCCS for my

child(ren) or me.

Yes No

I have a case with the Division of Child Support Enforcement.

Yes No

If yes, list the case number(s)

_________________________________________________________________

Do you currently have ANY other Pinal County Superior Court cases?

Yes No

If yes, list the case number(s)

_________________________________________________________________

Have you ever had ANY other Pinal County Superior Court cases?

Yes No

If yes, list the case number(s)

_________________________________________________________________

PETITIONER'S DECLARATION OF INFORMATION FOR

CONCILIATION COURT

The wife is pregnant: Yes No

The respondent is being served by publication: Yes No

Please enter the number of children under the age of 18 of either or both parties who are in Legal

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Decision-Making of either or both parties:

NAMES OF MINOR CHILDREN &

DATE OF BIRTH:

NAMES OF MINOR CHILDREN &

DATE OF BIRTH:

There is an agreement as to the parenting arrangements of the minor children:

Yes No

To the best of my knowledge, all information is true and correct.

Attorney / Pro Per Signature

(If no attorney, your signature is required)

NOTICE

Effective September 8, 1992 and pursuant to Superior Court (Pinal County), Administrative Order

No. 92-15, the Superior Court requires that a "Cover Sheet", which categorizes the cause of action,

accompany any new action filed with the Superior Court in Pinal County. PLEASE DO NOT

INCLUDE THIS FORM WITH CASES THAT HAVE ALREADY BEEN FILED. This

form can only be processed at the time of filing New Complaints and Petitions.

Revised 6/22/09

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Name of Person Filing:

Street Address:

City, State, Zip Code:

Telephone Number:

Email Address:

ATLAS Number (if applicable):

Representing Self (No Attorney) or Represented by Attorney

If Attorney, Bar Number:

SUPERIOR COURT OF ARIZONA

PINAL COUNTY

CASE NUMBER:

S1100

Name of Petitioner

(Leave Blank)

PETITION FOR DISSOLUTION OF

A NON-COVENANT MARRIAGE

(DIVORCE) WITH MINOR

CHILDREN

Name of Respondent

HONORABLE:

(Leave Blank)

SERVICE BY PUBLICATION:

If Respondent is served by publication and is not personally served, this Court may be unable to

make a legal order with respect to issues of child support, medical and dental insurance, payments,

expenses for the minor child(ren), community property or debt, or spousal maintenance/support.

The Court reserves jurisdiction until personal service is made upon Respondent to consider the

maintenance/support of either spouse, the disposition of community property or debts, child

support, and any other relief requested in the Petition or orders deemed necessary by the court.

GENERAL INFORMATION

Information about me, the Petitioner:

Name:

Address:

Date of Birth:

Job Title:

How long you have lived in Arizona:

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Information about my spouse, the Respondent:

Name:

Address:

Date of Birth:

Job Title:

How long the Respondent has lived in Arizona:

Information about my marriage:

Date of Marriage:

Location of Marriage:

THIS IS A PETITION FOR A FINAL

“DECREE OF DISSOLUTION OF MARRIAGE WITH MINOR CHILDREN.”

This Court has jurisdiction over the parties under the law, and the provisions of this Petition are

fair and reasonable under the circumstances and are in the best interests of the minor child(ren) as

to legal decision-making, parenting time, and support.

*These statements (1-3) must be true and the boxes must be checked for your case to

proceed using this paperwork.

1. *90 Day Requirement

At the time this action is filed, the Petitioner and/or the Respondent has lived in Arizona

for more than 90 days, or had been stationed in Arizona while a member of the United States

Armed Forces for more than 90 days.

2. *Conciliation Court

You may request a free meeting with yourself, the other party and a counselor to determine if

divorce is the right decision for you. You do not need the other party’s consent to request this

meeting. Please contact Family Services of Conciliation Court at 520.866.7349 for more

information.

We have tried to resolve our problems through Conciliation Services OR going to

Conciliation Services would not work.

3. *Irretrievably Broken

The marriage is irretrievably broken and there is no hope of reconciliation.

4. Covenant Marriage

The marriage is NOT a covenant marriage.

The marriage is a covenant marriage. (See Arizona Revised Statutes 25-901 and following).

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5. Pregnancy

Neither spouse is pregnant.

Wife is pregnant and the other party is the natural father of the child.

Wife is pregnant and the other party is not the natural father of the child.

6. Paternity

INSTRUCTIONS: If any of the minor children, common to the parties, were born

BEFORE your marriage, check the box and list the name(s) and date of birth(s) of those

children. If all of your children were born during the marriage, skip this question and continue

to #7.

Husband is the natural father of the following child(ren) born to the parties BEFORE the

marriage:

Name(s) Date of Birth(s)

7. Domestic Violence

INSTRUCTIONS: Domestic violence may affect a request for legal decision-making. Check

the relevant box below.

Domestic violence has not occurred during this marriage.

Significant domestic violence occurred during this marriage.

Domestic violence has occurred during this marriage. Even though domestic violence has

occurred, it was not significant or committed by both parties and joint legal decision-making is

in the best interest of the minor child(ren) because:

8. Substance Abuse

INSTRUCTION: Substance abuse may affect a request for legal decision-making. Check the

relevant boxes below.

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Neither party has abused drugs or alcohol or has been convicted of a drug offense or drug

violation within the twelve months before the Petition was filed.

Petitioner has abused drugs or alcohol or has been convicted of a drug offense or drug

violation within the twelve months before the Petition was filed.

Respondent has abused drugs or alcohol or has been convicted of a drug offense or drug

violation within the twelve months before the Petition was filed.

9. Minor Children

INSTRUCTIONS: List all children under the age of 18 that are common to you and the other

party. Here, it does not matter whether they were born before or during the marriage. List all

addresses where the child(ren) have lived within the past six months. Use and attach additional

pages if necessary.

Child’s Name: Birth Date:

Addresses for the last 6 months:

Address: Length of time at address

Child’s Name: Birth Date:

Addresses for the last 6 months:

Address: Length of time at address

Child’s Name: Birth Date:

Addresses for the last 6 months:

Address: Length of time at address

Child’s Name: Birth Date:

Addresses for the last 6 months:

Address: Length of time at address

10. Spousal Maintenance: Money paid from one spouse to the other spouse after the divorce,

also known as alimony.

INSTRUCTIONS: Check the box if you do not want either spouse to receive spousal

maintenance.

Neither party is entitled to spousal maintenance

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INSTRUCTIONS: If you want the other party to pay you spousal maintenance, check the

box that says “Petitioner”. If you want to pay the other party spousal maintenance, check the

box that says “Respondent”.

Petitioner OR Respondent is entitled to spousal maintenance because s/he

INSTRUCTIONS: You must also check at least one of the following four boxes

explaining why spousal maintenance is appropriate.

Lacks sufficient property, including given to him or her as part of this divorce, to

provide for his or her reasonable needs.

Is unable to be self-sufficient through appropriate employment or is the custodian of

a child whose age or condition is such that the custodian should not be required to seek

employment outside the home or lacks earning ability in the labor market adequate to be

self-sufficient.

Contributed to the educational opportunities of the other spouse.

Had a marriage of long duration and is of an age that may preclude the possibility of

gaining employment adequate to be self-sufficient.

11. Child Support Deviation

INSTRUCTIONS: Within this packet you will find a child support calculator form for the

Parent's Worksheet. You must fill out the child support calculator entry form online; there are

instructions in this packet. Fill this section out ONLY if you want a different amount of

child support than is given on the child support calculator.

• First, fill in the amount the child support calculator gives.

• Second, give reasons why the amount of child support should be different.

• Third, fill in the amount of child support that should be ordered.

The amount of child support based on the Parent’s Worksheet for Child Support is $ ,

however, this amount is inappropriate or unjust and not in the best interest of the child(ren)

because

The amount of child support should be $ .

REQUESTS THE COURT TO ORDER

1. Marriage is Dissolved

The marriage of the parties is dissolved and the parties are restored to the legal status of

single persons.

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2. Parenting Plan

There is a parenting plan filed with this Petition, which addresses parenting time and legal

decision-making.

3. Name Change Optional

INSTRUCTIONS: Check this box only if you want to use your maiden or former name. If

you check the box, also check the box next to whoever is changing his or her name, either

Petitioner or Respondent. In the first blank, write out the complete married name, including

the middle name. In the second blank, write out the complete maiden name/former name.

The name of the Petitioner OR Respondent, whose complete married name is:

is restored to: (List the complete legal name or maiden name as before the marriage)

Children’s Names Optional

INSTRUCTIONS: If you are requesting to change your child(ren)’s last name(s), list each

child’s current legal name and the new name you are requesting.

The names of one or more of the minor children shall be changed as follows:

Current Legal Name New Name

4. Financial Information Exchanges

INSTRUCTIONS: Under Arizona law it is REQUIRED that parties with minor children

exchange financial information every 24 months.

The parties shall exchange financial information (tax returns, spousal affidavits, earning

statements and/or other related financial statements) every twenty-four months.

5. Child Support

Neither party shall pay child support until further Order of the court.

There is an Order for Child Support dated (date) from .

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To my knowledge there is no child support order for the minor child(ren) and the court

should order child support in this case along with legal decision making (custody), and

parenting time.

INSTRUCTIONS: Tell the court who should pay child support by checking either Petitioner

or Respondent. On the space provided, enter the amount calculated on the Parent’s Worksheet

for Child Support OR the amount previously requested. Choose whether you want the child

support payments to begin the month after the Decree is signed by a judge or on a previous

date.

Petitioner OR Respondent shall pay child support to the other party in the amount of

$ per month, beginning

the month following the date the Decree is signed by the judge

OR

(date)

until further Order of the court. Child Support is based on the information in the Parent’s

Worksheet for Child Support calculated pursuant to the Arizona Child Support Guidelines. All

child support payments shall be made by wage assignment (if applicable) through the Support

Payment Clearinghouse (P.O. Box 52107, Phoenix, AZ 85072-2107), and must include the

statutory fee by the Income Withholding Order or the Order of Assignment.

Past Support

There is a request for past support. There is not a request for past support.

Petitioner OR Respondent made voluntary/direct support payments that need to be

taken into account if past support is requested.

Petitioner OR Respondent owes past support for the period between:

the date this petition was filed and the date current child support is ordered.

OR

the date the parties started living apart, but not more than three years before the

date this petition was filed and the date current child support is ordered

6. Medical, Dental, and Vision Insurance for Minor Children

INSTRUCTIONS: Tell the court who should be paying for medical, dental, and vision

insurance for the children.

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Petitioner is responsible for providing:

Medical Dental Vision

Respondent is responsible for providing:

Medical Dental Vision

The child(ren) are on AHCCCS. Both parents are responsible for providing medical

insurance for the minor children as soon as it becomes accessible and available at a reasonable

cost, as neither parent currently has the ability to obtain such insurance.

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.

7. Uncovered Medical, Dental, and Vision Expenses

INSTRUCTIONS: Tell the court who will pay for medically necessary (as defined by Internal

Revenue Service Publication 502) uncovered medical, dental, and vision expenses such as co-

pays. You can request that each party pays a percentage of any uncovered medical expenses or

that you each pay in proportion to your respective incomes.

All reasonable uncovered and/or uninsured medical, dental, vision care, prescription and other

health care charges for the minor child(ren), including co-payments shall be allocated as follows:

Petitioner and Respondent are to pay in proportion to their respective incomes according

to the child support calculator.

OR

Petitioner to pay %

Respondent to pay %

8. Tax Exemptions

INSTRUCTIONS: The child support calculator provides guidelines regarding who should

claim the child(ren) as tax exemptions each year. If you wish to deviate from these guidelines

check the “other” box and write in what you are requesting.

The parents shall claim the child(ren) as income tax dependency exemptions on federal and

state tax returns as follows:

Petitioner OR Respondent will claim the children every year.

Petitioner OR Respondent will claim the children every odd year.

Petitioner OR Respondent will claim the children every even year.

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Other:

The parent required to pay child support is only entitled to claim the child(ren) as an income

tax dependency exemption if that parent has paid all of the child support due and owing for

the year.

9. Spousal Maintenance

INSTRUCTIONS: Earlier in the Petition you told the court whether or not one of the parties

should receive spousal maintenance from the other party. Here, you tell the court how much

per month and for how long that spouse should receive spousal maintenance or if neither party

should pay spousal maintenance to the other party.

Neither party to pay spousal maintenance to the other party.

OR

Petitioner shall receive spousal maintenance from Respondent in the amount of $

per month and the payments to continue until the receiving party is remarried or deceased.

OR

Petitioner shall receive spousal maintenance from Respondent in the amount of $

per month and the payments to continue until the receiving party is remarried or deceased or

for months, whichever comes first.

OR

Respondent shall receive spousal maintenance from Petitioner in the amount of $

per month and the payments to continue until the receiving party is remarried or deceased.

OR

Respondent shall receive spousal maintenance from Petitioner in the amount of $

per month and the payments to continue until the receiving party is remarried or deceased or

for months, whichever comes first.

INSTRUCTIONS: Do you want either the other party or yourself to be able to modify spousal

maintenance in the future? If so, check the first box. If not, check the second box.

Spousal maintenance shall be modified in accordance with Arizona law.

Spousal maintenance shall NOT be modifiable for any reason.

10. Debt

INSTRUCTIONS: You must identify all of your debt as either community debt or separate

debt. Community debts are debts that you or the other party incurred during the marriage.

Separate debts are debts that you or the other party incurred before the marriage.

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a. Community Debt: Community debts are debts incurred by either party during the

marriage. You should see a lawyer about how to divide secured and unsecured debts.

Community debts shall be divided as follows:

INSTRUCTIONS: Check this box if you do not have any community debt.

My spouse and I do not have any community debts.

INSTRUCTIONS: Check this box if you have community debt. List all community debts, the

total owed, and the amount OR percentage to be paid by each party. If you need more space

attach an additional sheet of paper and check the box “The list continues on attached page.”

My spouse and I have community debts which shall be divided as follows:

Amount or

Percent to be

paid by Petitioner

Amount or

Percent to be

paid by Respondent

Creditor Name

Amount Owed

The list continues on attached page.

Petitioner is ordered to pay all debts unknown to Respondent.

Respondent is ordered to pay all debts unknown to Petitioner.

Each party is ordered to pay his or her debts incurred since (date) .

Any debts or obligations incurred by either party before the date of separation, that are not

identified in the list above or attached, shall be paid by the party who incurred the debt or

obligation and that party shall indemnify and hold the other party harmless from such debts.

b. Separate Debt: Separate debts are debts incurred before the marriage. Check ONLY

one of the three boxes. If you check the last box, list your separate debts, the total owed,

and the amount or percentage to be paid by each party. Separate debts shall be divided

as follows:

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Neither my spouse nor I have any separate debt.

My spouse and/or I have separate debts and Husband must pay his separate debt and Wife

must pay her separate debt.

My spouse and/or I have separate debts and they shall be divided as follows:

Amount or

Percent to be

paid by Petitioner

Amount or

Percent to be

paid by Respondent

Creditor Name

Amount Owed

11. Property

IMPORTANT

: If there is a piece of property with a debt attached such as a car with a

loan, you must list the property under “Property” and the debt under “Debt”.

INSTRUCTIONS: You must identify all of your property as either community property or

separate property. Community property is property that you acquired during the marriage,

but was not gifted to either you or the other party and that was not inherited. Separate

property is property that you acquired before the marriage, property that was gifted to either

you or the other party, or that was inherited.

a. Community Property: Community Property is property that was acquired during the

marriage, which was not gifted to one party or inherited. Community Property shall be

divided as follows:

My spouse and I did not acquire any community property during the marriage.

OR

My spouse and I acquired community property during the marriage and it should be

divided as follows: Include vehicles on this list.

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Description of Property

Awarded to

Petitioner

Awarded to

Respondent

Value

$

This list continues on attached page

b. Separate Property: Separate property is property acquired before the marriage,

property that was gifted to one party, or that was inherited. Separate Property to be

divided as follows:

My spouse and I do not have separate property.

My spouse and/or I have separate property and each party shall be awarded his or her

own separate property.

My spouse and/or I have separate property, which shall be divided as follows:

Description of Property

Awarded to

Petitioner

Awarded to

Respondent

Value

$

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c. Real Property: Real property is the house and land you own. You can ask the court to

give you the home, to give the home to the other party, or to sell the home and divide

any loss or proceeds. Write the complete address of the property under “real property

located at”. Most property has a legal description such as “LOT 77, PINE TREE

ACRES, according to Book 111 of Maps” which appears on your deed papers. You

should use this description. A cemetery plot is considered real property.

My spouse and I do not have real property.

My spouse and I have real property located at:

valued at approximately $ . The legal description of the property is (this information is

needed prior to an order being entered regarding real property):

The real property shall be sold and any loss or proceeds divided with Petitioner being

awarded % and Respondent being awarded %.

The real property shall be awarded to Petitioner.

The real property shall be awarded to Respondent.

The party being awarded the real property will refinance the real property solely in his

or her name on or before (insert date). If unsuccessful, the real property will be

INSTRUCTIONS: Complete only if there is a second property.

My spouse and I do not have additional real property.

My spouse and I have additional real property located at:

valued at approximately $ . The legal description of the property is (this information is

needed prior to an order being entered regarding real property):

The real property shall be sold and any loss proceeds divided with Petitioner being

awarded % and Respondent being awarded %.

The real property shall be awarded to Petitioner.

The real property shall be awarded to Respondent.

The party being awarded the real property will refinance the real property solely in his

or her name on or before (insert date). If unsuccessful, the real property will be

.

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d. Retirement:

WARNING: You should see a lawyer about your retirement accounts. If you do not see a

lawyer regarding these assets, you risk losing any interest you have in these plans and/or

benefits. There are certain documents the plan administrator must have. It is recommended

that you consult with a lawyer to help you prepare these documents.

INSTRUCTIONS: A retirement account is considered property. Any part of the retirement

that grew during the marriage is community property. Any part of the retirement that existed

before the marriage, is separate property. You do not need to list the retirement under

“Property” if you list it here.

IMPORTANT: If you want to divide the retirement account(s) you must see an attorney

about a document called a Qualified Domestic Relations Order (QDRO) or a Court Order

Acceptable for Processing (COAP). A QDRO or a COAP is a very specialized legal document.

It is recommended that you seek professional assistance to prepare the QDRO or COAP. Do

not have this done until a judge signs your Decree.

Neither party has a retirement account.

Each party waives and gives up his/her interest in any and all retirement benefits, pension

plans, or other deferred compensation of the other party.

Divide retirement accounts as follows:

12. Taxes

INSTRUCTIONS: This question is asking how you and the other party have filed taxes during

the time you were married.

a. For previous calendar years, pursuant to IRS rules and regulations, the parties have filed or

will file:

INSTRUCTIONS: If you and the other party ever filed jointly, check this box and list the tax

years you filed jointly.

Joint federal and state income tax returns for (years) and hold each other

harmless from half of all income taxes and costs, if any, and each party will share equally in tax

refunds, if any.

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INSTRUCTIONS: If you and the other party ever filed separately, check this box and list

the tax years you filed separately.

Separate federal and state income tax returns for (years) .

Other:

This calendar year and continuing thereafter, each party will file separate federal and state

income tax returns.

Each party shall give the other party all necessary documentation to file all tax returns, unless

that information is protected.

Other information and request(s) regarding taxes:

13. Other Requests:

INSTRUCTIONS: Use this space to ask the court for anything that you want the court to

do but have not asked for yet.

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OATH OR AFFIRMATION AND VERIFICATION:

I swear or affirm that the information on this document is true and correct under penalty

of perjury.

Date

Signature

State of Arizona )

)

County of )

Subscribed and sworn (or affirmed) before me this

day of

,

20

(Day)

(Month)

(Year)

by

(Name of Signer)

(Affix notary seal here)

Notary Public (Notary’s Signature)

Revised 03.06.18

SERVICE

OF COURT PAPERS

FAMILY COURT CASES ONLY

(When Parties DO NOT AGREE to all terms of the Divorce)

PINAL COUNTY

HOW TO SERVE NOTICE AS

REQUIRED OR PERMITTED BY LAW

STEP 2

(Please complete step two before proceeding to the next step)

INSTRUCTIONS AND FORMS

Provided as a Public Service by

AMANDA STANFORD

Clerk of the Superior Court

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SERVICE OF COURT PAPERS

CHECKLIST

“Service” means giving legally required notice to other parties that you have filed papers that

may result in a court order that may affect them. The court papers can ONLY be delivered in

a manner permitted by law, and proof of proper delivery must be filed with the court.

You may use the forms and instructions in this packet if . . .

✓ You have filed a Petition, Complaint, or other document in the Superior Court in a Civil or

Family Court case and you are required to serve notice on other parties of what you have filed

with the court,

AND

✓ You understand that your case cannot proceed until you have provided proof to the court that

notice has been given in a manner permitted by law,

AND

✓ You understand that you may NOT hand-deliver the papers to the other party unless he or

she (and no one else) will sign a

“Family Court Acceptance of Service

” form in front of a

Notary and return the form for you to file with the Court.

NOTE: If you know you are going to have the papers served by the Sheriff’s Department or by a

private process server in Pinal County and you do not need information about other methods of

service, both the Sheriff and private process servers will have their own forms and you will not need

this packet.

NOTE: If you are required to serve notice on a person outside the United States, you may need to

see a lawyer or research international law to determine what methods of service are permitted in your

situation.

READ ME: Consulting a lawyer before filing documents with the court may help prevent unexpected

results.

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HOW TO SERVE COURT PAPERS ON THE OTHER PARTIES

TABLE OF CONTENTS

This packet contains general information, court forms, instructions and procedures for

serving

court papers, delivering court papers as permitted or required by law. Use only the

forms that apply to the method of service you have chosen. Do NOT copy or file information,

instruction or procedures pages with the Court.

Order

Title

# of Pages

1

Checklist

1

2

Table of Contents (this page)

1

3

Instructions: Serving the Other Party

4

Family Court Acceptance of Service

4

5

How to Serve the Other Party by Certified Mail

1

6

Affidavit Supporting Service by Certified Mail

2

7

How to Serve by Registered Process Server

2

8

How to Serve by Sheriff

3

9

How to Serve by Publication

3

10

Declaration of Due Diligence and Request for Alternate Means

of Service (Publication)

2

11

Order for Alternate Means of Service (Publication)

1

12

Affidavit Supporting Publication

3

You have permission to use them for any lawful purpose. These forms shall not be used to engage

in the unauthorized practice of law. The Court assumes no responsibility and accepts no liability

for actions taken by users of these documents, including reliance on their contents. The documents

are under continual revision and are current only for the day they were received. It is strongly

recommended that you verify on a regular basis that you have the most current documents.

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INSTRUCTIONS

Serving the Other Party

1. SERVING THE OTHER PARTY:

• After you have filed your court papers with the Clerk of the Court, you must serve the

papers on the other party.

• Service means giving legal notice to the other party (or parties) that you have filed court

papers. You must provide proof of service to the court.

• This packet explains the steps you need to take to serve the other party and what forms

you must use.

• By completing the steps for service, you tell the court that the other party has received a

copy of the court papers. After the other party is served, the other party will be given a

time limit to file a Response or Answer. The Response or Answer is the other party’s

written statement to your request. The Response or Answer tells you, and the court, what

the other party wants.

2. METHODS OF SERVICE:

Read the choices below to make sure that you are using the correct method of service. Select the

method of service that works best for you. (If the other party lives outside of the United States, you should

see a lawyer to find out which method of service will work best for you.)

A. Service by Acceptance. This method requires you to give, or mail the court papers to the

other party and include a

“Family Court Acceptance of Service”

form. The other party

must sign the

“Family Court Acceptance of Service”

form in front of a Notary Public and

return it to you. The other party cannot sign the

“Family Court Acceptance of Service”

until after you have filed the court papers with the court. The other party’s signature on the

“Family Court Acceptance of Service”

does not mean that he/she agrees with the court

papers. It means that the other party admits receiving the papers, without being served in

person by the sheriff or a process server.

Service is complete at the time the other party signs the

“Family Court Acceptance of

Service.”

If you choose this method of service, use the

“Family Court Acceptance of

Service”

form.

WARNING: Do not use this method of service if you are the victim of domestic violence,

or believe the other party will hurt you, take your money, or take your children. If you believe

the other party will become violent or uncooperative when you ask him/her to accept service,

use one of the methods of service described below.

B. Service by Registered Process Server. This method requires you to hire, and pay, a

registered process server to serve the other party with court papers. A process server is a

person who will give the papers to the other party at home, work, or other location. This

method of service costs more than service by acceptance and requires the process server to

find the other party. If you decide to use this method, look under "Process Server" in the

Yellow Pages to find someone who can serve your papers. Service is complete at the time the

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process server hands the other party the court papers. If you decide to use this method, and

the other party lives outside of Arizona, you would need to find a registered process server in

the state where the other party lives.

C. Service by Sheriff. This method requires you to contact the Sheriff's Office in the county

where the other party lives to arrange for a Sheriff's deputy to give the other party the court

papers. This method requires you to pay a fee to the Sheriff's Office. The Sheriff’s Office will

give the Court a Sworn Affidavit of Service stating that the person was served.

NOTE: Pinal County Sheriff’s Deputy can only serve parties that are located within Pinal

County. If the other party lives outside Pinal County, you will need to contact the Sheriff’s

Office in that county for information regarding service.

D. Service by Certified Mail. This method of service allows you to give notice by a special type

of mail. You can send the court papers by giving the post office copies of the court papers in

an envelope, postage prepaid, to be sent to the other party by any form of mail requiring a

signed and returned receipt. This is often called Certified Mail, Restricted Delivery by the

post office. This means that the other party must sign for the papers.

If the other party signs a receipt (green receipt) for the papers, the green receipt will be

returned to you in the mail. You must then file an affidavit with the court stating (1) that the

court papers were sent to the other party, (2) that the papers were received by the other party,

as evidenced by the original green receipt you attach to the affidavit; and (3) the date the party

received the documents. A copy of the affidavit you will need is provided in the packet.

E. Other Methods of Service. There may be other ways to serve the other party. To learn more

about these other ways, you should see a lawyer for help.

3. WHEN YOU CANNOT FIND THE OTHER PARTY:

Before you begin service by Publication, you must first complete the

“Declaration of Due

Diligence and Request for Alternate Means of Service (Publication)”

for the Judge to grant

service by Publication.

If the Judge approves service by Publication the

“Order for Alternate Means of Service”

will

be signed and a copy of the Order mailed to you, at that time you can continue with Publication.

A. Service by Publication. You may use this method only if you do not know where the

other party lives, or cannot find the other party. Service by publication is your "last resort."

It is used only if you do not have a current address for the other party and have tried,

unsuccessfully, to find the other party. Use a paper of general circulation and that are familiar

with the requirements and regularly publishes legal notices.

Tips for Finding the Other party: Before the Court will accept

“Service by Publication,”

you must have made every reasonable effort to find the Respondent and to give actual notice

of this case by personal service of the required documents. You will be required to state, under

penalty of perjury, the steps you have taken to try to locate the Respondent and if the Court

is not satisfied that you have taken all reasonable steps, your case may be delayed until the

Court is satisfied all such steps have been taken.

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• LOOK AT THE TIMETABLE BELOW. If the last day for the other party to

respond falls on a Saturday, Sunday, or legal holiday, you do not count that day. The

last day you count to determine if you can file the default papers, must be a day when

this court is open for business.

• INCLUDE WEEKENDS AND HOLIDAYS. In counting the days, include

weekends and holidays until you reach the number of days in the Timetable below. If

the other party files a written Response or Answer with the court, you CANNOT

FILE BY DEFAULT.

DEFAULT TIMETABLE

SERVICE BY

•

“Acceptance of Service”

(in

Arizona)

• Process Server (in Arizona)

• Sheriff (in Arizona)

•

“Acceptance of Service”

(out

of State)

• Registered mail (out of State)

• Process Server (out of State)

• Sheriff (out of State)

• Publication

COUNT

20 Days

30 Days

60 Days

EVENT

after other party signs

“Acceptance of

Service

”

after other party receives papers from

process server

after other party receives papers from

sheriff

after other party signs

“Acceptance of

Service”

after other party signs green card

after other party receives papers from

process server

after other party receives papers from

sheriff

after the 1st day of publication

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DO_FCAS_COSCPinal_03.05.18

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Name of Person Filing:

Street Address:

City, State, Zip Code:

Telephone Number:

Email Address:

ATLAS Number (if applicable)

Representing Self (No Attorney)

or Represented by Attorney

If Attorney, Bar Number:

SUPERIOR COURT OF ARIZONA

PINAL COUNTY

CASE NUMBER:

S1100DO2

Name of Petitioner

FAMILY COURT

ACCEPTANCE OF SERVICE

A.R.F.L.P. RULE 40

Name of Respondent

HONORABLE:

Check the box to indicate each document you received. Do not check the box unless you received

the document listed beside it. If your case is not one of the types listed, list the type of case and the

documents you received from the other party under “Other Type Case” on the next page.

1. BY SIGNING THIS DOCUMENT, I STATE UNDER OATH OR AFFIRMATION

THAT I HAVE RECEIVED AND ACCEPTED THE LEGAL PAPERS INDICATED

(CHECKED) BELOW

DIVORCE (OR

ANNULMENT)

WITH CHILDREN

Petition

Summons

Preliminary Injunction

Health Insurance Notice

Parent Info. Program

Notice

Notice to Creditors

LEGAL SEPARATION

WITH CHILDREN

Petition

Summons

Preliminary Injunction

Health Insurance Notice

Parent Info. Program

Notice

Notice to Creditors

Affidavit Regarding

Minor Children

TEMPORARY ORDERS

Motion for Temporary

Order

Order to Appear

Temporary Orders

Affidavit of Financial Info.

Child Support Worksheet

Parenting Plan

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Affidavit Regarding Minor

Children

Parenting Plan

Child Support Worksheet

Parenting Plan

Child Support Worksheet

DIVORCE (OR

ANNULMENT) WITHOUT

CHILDREN

Petition

Summons

Preliminary Injunction

Health Insurance Notice

Notice to Creditors

LEGAL SEPARATION

WITHOUT CHILDREN

Petition

Summons

Preliminary Injunction

Health Insurance Notice

Notice to Creditors

PATERNITY (TO

ESTABLISH)

Petition

Summons

Parent Info. Program Notice

Affidavit Regarding Minor

Children

Parenting Plan

Child Support Worksheet

CHILD LEGAL DECISION-MAKING,

PARENTING TIME, SUPPORT

(to establish when paternity already legally

established)

Petition

Summons

Parent Info. Program Notice

Affidavit Regarding Minor Children

Parenting Plan

Child Support Worksheet

CHILD SUPPORT

(to establish when paternity already legally

established)

Petition

Order to Appear

Child Support Worksheet

ENFORCEMENT

Petition Order to Appear

MODIFY CHILD SUPPORT 15% OR

MORE

(“Simplified Mod”)

Petition to Modify

Parents Worksheet for Child Support

Blank Request for Hearing

MODIFY SPOUSAL MAINTENANCE

OR

SPOUSAL

AND

CHILD SUPPORT

(“Standard Mod”)

Petition to Modify Support Order

Order to Appear

Affidavit of Financial Information

MODIFY CHILD SUPPORT (“Standard

Mod”)

Petition to Modify Child Support – Std.

Process

MODIFY CHILD LEGAL DECISION-

MAKING &/OR PARENTING TIME

AND SUPPORT

Petition to Modify

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Affidavit of Financial Information

Order to Appear

Parents’ Worksheet for Child Support

Notice of Filing for Modification of Legal

decision-making

Affidavit Regarding Minor Children

STOP ORDER OF ASSIGNMENT/

INCOME WITHHOLDING ORDER

Petition to Stop Order of Assignment

Blank Request for Hearing

MODIFY (Change) ORDER OF

ASSIGNMENT/

INCOME WITHHOLDING ORDER

Petition to Modify Order of Assignment

Blank Request for Hearing

LIST OTHER CASE TYPE HERE: (Example: “Annulment”)

________________________________________

(Below, list name of each document you received: Example: “Petition for Annulment”,

“Summons”, etc.)

2. ACCEPT AND WAIVE FORMAL SERVICE. I waive formal service of process by a process

server or sheriff. I understand accepting these papers is the same as if I were personally served

under Arizona Law [A.R.F.L.P. Rule 40 (F)]

3. RESPONSE DEADLINE. I am aware that accepting service of these court papers and signing

this paper does not affect my right or obligation to file a written Response or Answer to this

action if I do not agree with any relief asked for in the Petition. I understand I must Respond or

Answer within 20 days from the day I signed the original of this Acceptance of Service if I

accepted service in Arizona, or 30 days if I received the papers somewhere other than in Arizona.

4. DEFAULT JUDGMENT, ORDER OR DECREE. I understand that if I do not appear and

defend in this action in court, within the time allowed by law, that I may lose my right to be heard

in this case. I understand that failure to Respond or Answer could result in the court giving the

other party any and all things requested in his or her legal papers, through a Default Judgment,

Order or Decree.

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5. RESTORE NAME. (ONLY in Divorce, Legal Separation or Annulment Cases.)

My complete married name is: (Complete ONLY if you want to change your name)

I want my legal name restored to: (List complete maiden name or legal name before

this marriage)

BY SIGNING BELOW, I swear or affirm that I have read and understand the contents of

this document and that I have received and accepted the legal documents indicated above.

Date

Signature

State of Arizona )

)

County of )

Subscribed and sworn (or affirmed) before me this

day of

,

20

(Day)

(Month)

(Year)

by

(Name of Signer)

(Affix notary seal here)

Notary Public

(Notary’s Signature)

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DO_SCM_COSCPinal_02.27.18

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PROCEDURES

How to Serve Court Papers by Certified Mail

USE THIS PROCEDURE ONLY after you have filed your papers with the court.

STEP 1: GO TO THE POST OFFICE and tell the clerk you would like to mail the other

party a letter as follows:

• Certified Mail, and

• Deliver to Addressee Only, and

• Restricted Delivery, and

• Return Receipt Requested, and

• Pay the postage.

STEP 2: WAIT for green receipt to be returned with the other party’s signature. When you get

the green receipt, note the date the other party received and signed for the papers.

STEP 3: PAPERS FOR THE COURT

• COMPLETE: Original of

“Affidavit of Service by Certified Mail.”

Fill in

ALL information requested on the form before proceeding. Be sure you fill

in the date the other party received the papers. If you are unsure of the date,

use the date you received the return receipt card. If you fail to list a date, the

court may not process your papers and your case may be delayed.

• ATTACH: You must attach the original green receipt to the Affidavit to prove

how you served the other party.

• COPY: Make yourself a copy of the

“Affidavit of Service by Certified Mail”

and a copy of the green receipt to keep for your files.

STEP 4: FILE PAPERS WITH THE COURT. File the Original

“Affidavit of Service by

Certified Mail”

and the original green receipt with the Clerk of the Court.

STEP 5: COUNT. Note the date the other party was served the papers and start counting the

days the other party has to file a Response or Answer. (When counting the days, start

counting with the day after the other party signed the green receipt.)

DO NOT BRING CHILDREN TO COURT

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DO_ASRM_COSCPinal_03.05.18

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Name of Person Filing:

Street Address:

City, State, Zip Code:

Telephone Number:

Email Address:

ATLAS Number (if applicable)

Representing Self (No Attorney)

or Represented by Attorney

If Attorney, Bar Number:

SUPERIOR COURT OF ARIZONA

PINAL COUNTY

CASE NUMBER:

S1100DO2

Name of Petitioner

AFFIDAVIT OF SERVICE BY

CERTIFIED MAIL

Name of Respondent

HONORABLE:

1. I am familiar with the facts stated in this Affidavit, and I make this Affidavit to show that I have

served the court papers on the other party by certified mail, postage prepaid, return receipt requested,

pursuant to Arizona Rules of Civil Procedure, Rule 4.2(c).

Person served (name of other party):

Address where other party was served:

Date of receipt by the other party:

Date of return of receipt to sender:

2. The following documents were sent to the other party by certified mail (List all the documents

sent to the other party):

These court papers were received by the other party as shown by the

original RETURN

receipt that

is attached to this Affidavit.

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Date

Signature

State of Arizona )

)

County of )

Subscribed and sworn (or affirmed) before me this

day of

,

20

(Day)

(Month)

(Year)

by

(Name of Signer)

(Affix notary seal here)

Notary Public (Notary’s Signature)

ATTACH THE ORIGINAL MAIL RETURN RECEIPT HERE

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DO_SPS_COSCPinal_02.27.18

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INSTRUCTIONS

How to Serve Court Papers by Registered Process Server

STEP 1: FIND. You must hire a Registered Process Server. You may locate process servers in

the commercial section of the phone book under "Process Server," or online by using

the search term “Arizona Process Servers” or similar, or at the web site of the Arizona

Process Server’s Association at http://arizonaprocessservers.org/.

NOTICE: There are fees for service of court papers.

• May offer greater flexibility in serving papers “after-hours” or on short notice.

• Are paid directly by you, not through the court.

• If you qualify, Process Server Fees may be deferred or waived within Pinal

County only.

• Out of County Process Server Fees may not be deferred or waived by the

court.

STEP 2: GO. Go to the Registered Process Server’s office. TAKE with you the following

items:

• Copy of

“Summons”

(if your case has a summons).

• Other party’s set of copies of the court papers.

• A picture or a written physical description of the other party.

• A written description of the automobile that the other party drives.

• The address where the other party can be served.

• The amount you need to pay for this service. (You can call ahead of time to

ask the Process Server what type of payment they require.)

STEP 3: WAIT. The Process Server will mail you a copy of the

“Affidavit of Service”

after

he/she serves the other party with the papers. IMPORTANT: If the Process Server

does not file an

“Affidavit

of Service”

with the Clerk of the Court, you must get the

“Affidavit of Service”

from the Process Server and file it.

STEP 4: COUNT. Look at the

“Affidavit of Service”

to find out the date the other party was

served with the court papers and start counting the days for the other party to file a

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Response or Answer. When counting the days, start counting with the day after the

other party was served the papers. Look at the

“Affidavit of Service”

to find out the

date the other party was served with the court papers and start counting the days for

the other party to file a Response or Answer. When counting the days, start counting

with the day after the other party was served the papers.

DO NOT BRING CHILDREN TO COURT.

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DO_SBS_COSCPinal_03.12.18

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PROCEDURES

How to Serve Court Papers by Sheriff

STEP 1: GO. Contact the Sheriff’s Office in the county where the other party lives.

Bring your court papers with you, or send a copy of the court papers to the

Sheriff’s Office if the other party does not live in the same county as you do.

The Pinal County Sheriff’s Office is located at:

Pinal County Sheriff's Office

971 Jason Lopez Circle, Bldg C

Florence, AZ 85132

1-800-420-8689

NOTICE: There are fees for service of court papers.

STEP 2: WRITE. If you are asking that the papers be served by a Sheriff’s Department

other than Pinal County’s, fill out the attached sheet for identifying the other

party and provide:

• Other party’s set of copies of the court papers.

• A picture or written physical description of the other party.

• A written description of the automobile the other party drives.

• The address where other party can be served.

•

“Certified Order Waiving/Deferring Fees,”

or a $200.00

deposit fee - cash/money order.

STEP 3: WAIT. The Sheriff may mail you a copy of the

“Affidavit of Service”

after

the other party is served with the papers, or the Sheriff may file these papers

instead of sending them back to you.

STEP 4: COUNT. Read the

“Affidavit of Service”

to find out the date the other party

was served with the court papers and start counting the days the other party

must file a Response or Answer. (When counting the days, start counting with

the day after the other party was served with the court papers.)

DO NOT BRING CHILDREN TO COURT.

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DO_SBS_COSCPinal_03.12.18

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(YOUR NAME)

(ADDRESS)

(CITY/STATE/ZIP)

(TELEPHONE NUMBER)

(DATE)

County Sheriff

(COUNTY NAME)

(ADDRESS)

COURT CASE NO. S1100 DO2

(CITY/STATE/ZIP)

REGARDING: (NAME OF PERSON TO BE

SERVED)

I enclose a copy of the following documents: (LIST ALL DOCUMENTS YOU WANT TO BE

SERVED)

Please serve these papers on the other party. His or her current address and physical description are:

(OTHER PARTY’S NAME)

(HOME ADDRESS)

(WORK ADDRESS)

(HOME CITY/STATE/ZIP)

(WORK CITY, STATE, ADDRESS)

SEX

RACE

BIRTH

HGT.

WGT.

EYES

HAIR

SSN

Please return a notarized

“Affidavit of Service”

to my address at your earliest convenience. The

court requires that each document served be named in the

“Affidavit of Service.”

I also enclose a deposit of $200. I understand there is a $16.00 service fee, a travel fee of $2.40

per mile (one way), for each attempt at service, and a $8.00 notary fee. I understand that the

difference between my deposit and the fees accrued for service will be billed, or returned, to

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me. OR,

I also enclose a certified copy of the

“Order for Waiver/Deferral of Fees for Service of

Process.”

Thank you for your cooperation in this matter.

(YOUR SIGNATURE)

Enclosures

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DO_SBP _COSCPinal_02.27.18

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PROCEDURE

How to Serve the Court Papers by Publication

STEP 1: PUBLISH THE COURT PAPERS. As per A.R.S., Rules of Civil Procedure, Rule 4.2

(f).

A. How to serve the court papers by publication if you do not know if the other

party lives in the county in which your case is pending (Pinal County) and/or

the other party’s last known address was not in Arizona.

1. If you are paying the costs to publish, use any paper of general circulation and that

are familiar with the requirements and regularly publishes legal notices.

NOTICE: There are fees for service of court papers.

B. How to publish service if the other party’s last known address is in Arizona and

that address is not in the county in which your case is pending:

1. You must publish in the county in which your case is pending and you must

publish in a newspaper in the county of the last known residence of the person to

be served.

2. To publish in Pinal County follow the instructions in “A” above how to publish

service of process if the other party lives in the same county in which your case is

pending.

3. To publish in another county (not Pinal County) you will need to contact a

newspaper company in that county.

C. How to publish service if the other party is known to live in another country:

1. You will have to contact an attorney to see if this method of service is appropriate

for your situation.

STEP 2: WAIT. Wait for the newspaper to send you the original of the document called

“Affidavit

of Service”

in about five weeks.

STEP 3: COMPLETE YOUR PAPERWORK.

A. Fill out the

“Affidavit Supporting Publication,”

where you will list everything you

did to attempt to find the other party before resorting to publication.

NOTICE: If the Court is not satisfied that you have made every reasonable effort to locate

the other party, you may be required to take additional steps adding delay and expense

to your case, including being required to publish notice again.

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DO_DDDRAMS_COSCPinal_03.05.18

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Name of Person Filing:

Street Address:

City, State, Zip Code:

Telephone Number:

Email Address:

ATLAS Number (if applicable)

Representing Self (No Attorney)

or Represented by Attorney

If Attorney, Bar Number:

SUPERIOR COURT OF ARIZONA

PINAL COUNTY

CASE NUMBER:

S1100DO2

Name of Petitioner

DECLARATION OF DUE DILIGENCE AND

REQUEST FOR ALTERNATE MEANS OF

SERVICE (PUBLICATION)

Name of Respondent

HONORABLE:

1. I make this Affidavit to tell the Court why service by publication is needed.

2. Pursuant to Arizona Rules of Civil Procedure, Rules 4.1(e) and 4.2(e), service by publication

is the best way to notify the other party of this court case because the other party is:

Avoiding Service of Process. I have mailed, postage prepaid, a copy of the following

legal documents:

to the last known address of the other party on or before the first date of publication, OR

The other party’s residence is unknown. I have not mailed copies of the proceedings to

the other party.

3. The residence and whereabouts of the other party is unknown to me, even though I have

made a diligent search to find out. My search failed to reveal any information that might lead

to knowledge about the other party’s residence or whereabouts. This is what I did to try to

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find the other party. (Explain in detail here everything you did to try to find the other party.)

4. To the best of my knowledge, information and belief, the other party is not in the military

service of the United States.

5. I have read this statement and know of my own knowledge that the facts stated herein are true

and correct.

Date

Signature

State of Arizona )

)

County of )

Subscribed and sworn (or affirmed) before me this

day of

,

20

(Day)

(Month)

(Year)

by

(Name of Signer)

(Affix notary seal here)

Notary Public

(Notary’s Signature)

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DO_OAMS_COSCPinal_02.27.18

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SUPERIOR COURT OF ARIZONA

PINAL COUNTY

CASE NUMBER:

S1100DO2

Name of Petitioner

ORDER FOR ALTERNATE MEANS OF

SERVICE (PUBLICATION)

Name of Respondent

HONORABLE:

The Court having reviewed the

“Declaration of Due Diligence and Request for Alternate Means

of Service,”

and good cause appearing,

IT IS HEREBY ORDERED granting

“Declaration of Due Diligence and Request for

Alternate Means of Service.”

DONE IN OPEN COURT this day of , 20____

JUDGE/COMMISSIONER OF THE SUPERIOR COURT

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7. I have read this statement and know of my own knowledge that the facts stated herein are true

and correct.

Date

Signature

State of Arizona )

)

County of )

Subscribed and sworn (or affirmed) before me this

day of

,

20

(Day)

(Month)

(Year)

by

(Name of Signer)

(Affix notary seal here)

Notary Public

(Notary’s Signature)

INSTRUCTIONS: ATTACH the original of the Affidavit of Publication from the

Newspaper(s) to this page.

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