For Clerk’s Use Only Petitioner’s Name or Attorney’s Name: Address: City, State, Zip Code: Telephone: ATLAS Number: Lawyer’s Bar Number: Representing Self, (Without Attorney) or Attorney for Respondent Respondent’s Name or Attorney’s Name: Address: City, State, Zip Code: Telephone: ATLAS Number: Lawyer’s Bar Number: Representing Self, (Without Attorney) or Attorney for Petitioner or Respondent or Petitioner SUPERIOR COURT OF ARIZONA MARICOPA COUNTY Case Number: Name of Petitioner (Optional) AGREEMENT NOT TO ESTABLISH TEMPORARY CHILD SUPPORT AT THIS TIME (UNDER ADMINISTRATIVE ORDER 99-029) Name of Respondent STATE OF ARIZONA County of Maricopa ) ) ss. 1. AGREE AND UNDERSTAND. I have read this Agreement and understand and agree with what is written in this document. 2. 20 DAY REQUIREMENT. I understand, and, by signing this Agreement, state that this Agreement is being filed no later than 20 days after the filing of the Affidavit or Acceptance of Service of the Petition for Dissolution of Marriage with Children, or Petition for Legal Separation with Children. 3. NO TEMPORARY CHILD SUPPORT ORDER AT THIS TIME. I understand and agree that the Court will not be signing an Order for Temporary Child Support at this time. I also understand that if I want to pay or receive temporary child support prior to the conclusion of my case, I will need to file and serve a Petition for Temporary Child Support. 4. NO APPEARANCE BY RESPONDENT. I understand that by signing this document the Respondent has not made a formal appearance and is not submitting to the jurisdiction of this Court. 5. NO DURESS OR COERCION. COMPLETE AGREEMENT. I am not under any force, threats, duress, coercion, or undue influence from anyone, including the other party, to sign this Agreement. DRS17f © SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY March 22, 2005 ALL RIGHTS RESERVED Page 1 of 2 USE CURRENT FORM ANE American LegalNet, Inc. www.FormsWorkflow.com Case No. 6. LEGAL ADVICE. I understand that even if I am representing myself without a lawyer, I have the right to be represented by a lawyer. I have the right to call a lawyer and get legal advice before I sign this Agreement. SIGNATURE BY PETITIONER: I declare under penalty of perjury that the foregoing is true and correct. Executed on [Date] PETITIONER’S SIGNATURE SIGNATURE BY RESPONDENT: I declare under penalty of perjury that the foregoing is true and correct. Executed on [Date] RESPONDENT’S SIGNATURE SIGNATURE OF EACH LAWYER (if applicable): Approved by Petitioner’s Lawyer: Date: Approved by Respondent’s Lawyer: Date: DRS17f © SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY March 22, 2005 ALL RIGHTS RESERVED Page 2 of 2 USE CURRENT FORM ANE American LegalNet, Inc. www.FormsWorkflow.com