Request To Adjust An Order Or Assignment Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Request To Adjust An Order Or Assignment Form. This is a Arizona form and can be use in Coconino Local County.
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Tags: Request To Adjust An Order Or Assignment, Arizona Local County, Coconino
(1) Person Filing:
Street Address:
City, State, Zip:
Phone Number:
Representing Self
SUPERIOR COURT OF ARIZONA, COUNTY OF COCONINO
(2) Petitioner:
Case Number: DO
REQUEST TO ADJUST AN ORDER OF
ASSIGNMENT
Respondent:
(3) ATLAS Number:
(4) I, [ ] Petitioner or [ ] Respondent, am the obligor on the Order of Assignment dated
, which I ask the court to adjust as follows:
(5)
Change
Current Child Support
Current Spousal Maintenance
Child Support Arrearages/Interest
Spousal Maintenance Arrearages/Interest
From
$
$
$
$
To
$
$
$
$
I ask for this adjustment because, though I still have other amounts due:
(6) [ ]
The amount is listed incorrectly on the current Order of Assignment.
(7) [ ]
I have paid all past-due court-ordered [ ] child support and/or [ ] spousal maintenance.
(8) [ ]
My court-ordered child support obligation has ended for all children because:
Is at least 18 and
Child’s Name
not in high school
Is married
Has been adopted
Is deceased
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Other:
Current Child Support Order Date:
Monthly Amount: $
(9) [ ]
(10) [ ]
My court-ordered spousal maintenance obligation has ended because:
[]
The receiving party is [ ] remarried or [ ] deceased.
[]
Other:
Other:
(11) Date:
Signature:
Notice to the Other Party: If you do not file a written hearing request by 20 days after you were served
with this Request, or 30 days if you were served outside of Arizona, the court may approve this Request
without your input. To request a hearing, see the Self-Help Center packet Changing or Stopping an
Order of Assignment: Response.
Revised March 2007
Coconino County Law Library and Self-Help Center Forms
American LegalNet, Inc.
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