COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.INSTRUCTIONS: REQUEST TO MODIFY CHILD SUPPORTJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Read all forms and instructions before starting. Fill out forms by typing or printing in black ink. STEP 1:FILL OUT THE PARENT'S WORKSHEET FOR CHILD SUPPORT AMOUNTSee the PARENT'S WORKSHEET INSTRUCTIONS and the ARIZONA CHILD SUPPORT GUIDELINES in this packet. STEP 2:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FIND THE DIFFERENCE BETWEEN THE CURRENT SUPPORT AND THE NEW SUPPORTTHE PEOPLE OF THE STATE OF NEW YORK TOUse this formula to find the percent change between the current child support amount (on the current Child Support Order) and the new child support amount (item 38 on the Parent's Worksheet you filled out in Step 1). 1a.If the current support amount is more than the new support amount:GREETINGS:Current support amount: MINUSWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableNew support amount: EQUALS,Difference:located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in room1b.If the current support amount is less than the new support amount:New support amount: MINUSCurrent support amount: EQUALSDifference:Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.2.Difference: DIVIDED BY Current support amount: EQUALS, one of the Justices of theChange: MULTIPLIED BY 100:Court in Witness, Honorableday of, 20 County,X100 EQUALSPercent change:You can use this packet only if the percent change is 15% or greater. STEP 3:(Attorney must sign above and type name below)FILL OUT THE REQUEST TO MODIFY CHILD SUPPORTAttorney(s) for(1)Enter the name; street address; city, state, and zip; phone number; and, if applicable, ATLAS number of the person filing the form. (2)Enter the name, birthdate, and social security number of the Petitioner listed on the Child Support Order. (3)Office and P.O. AddressEnter the name, birthdate, and social security number of the Respondent listed on the Child Support Order. (4)Enter the case number as it appears on the Child Support Order.Telephone No.: Facsimile No.: E-Mail Address:Page 1 of 4 Revised February 2003Mobile Tel. No.:Coconino County Law Library and Self-Help Center FormsAmerican LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.(5)Enter your name. (6)Check whether you are the obligor (person paying support) or obligee (person receiving support). (7)JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Enter the date when the judge or commissioner signed the Child Support Order. (8)Enter the name of the judge or commissioner who signed the Child Support Order. (9)Enter the name of the person paying child support. (10)Enter the current child support amount and due date. (For example: "$150 per month payable on the 1st day of the month" or "$150 per month payable one-half on the first and one-half on the 15th of the month"). (11). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Enter the amount from item 38 of your Parent's Worksheet for Child Support. (12)(a)If the current support amount is more than the new support amount, subtract the new amount from the current amount, and enter the difference. If the current amount is less than the new amount, subtract the current amount from the new amount, and enter the difference. (b)THE PEOPLE OF THE STATE OF NEW YORK TOEnter the current child support amount. (c)Divide (a) by (b) and enter the result. (For example, the current child support is $225. The Parent's Worksheet calculation result is $270:$270 -$225 = 45 ) $225 = 20%) (13)GREETINGS:Check the appropriate box. (14)If an Order of Assignment automatically withholds child support, enter the date of that order. If the amount withheld pays for more than the current child support, list the additional amounts. (15)WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomEnter the amount from item 38 of your completed Parent's Worksheet. Do not date and sign until you're in front of a notary public. STEP 4:HAVE THE REQUEST TO MODIFY NOTARIZEDYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.Take the Request to Modify and a photo ID to a notary public. You can find a notary at most banks or listed in the Yellow Pages. Notaries usually charge a fee. Date and sign the form in front of the notary. The notary will fill out the Notarization section. STEP 5:, one of the Justices of theCourt in Witness, Honorableday of, 20 County,FILL OUT THE CHILD SUPPORT ORDERSee the INSTRUCTIONS: CHILD SUPPORT ORDER in this packet. STEP 6:(Attorney must sign above and type name below)FILL OUT THE ORDER OF ASSIGNMENTSee the INSTRUCTIONS: ORDER OF ASSIGNMENT in this packet. STEP 7:Attorney(s) forFILL OUT THE CURRENT EMPLOYER INFORMATION FORMFill in all the blanks except the "WA/FSC" section.Office and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Page 2 of 4 Revised February 2003Mobile Tel. No.:Coconino County Law Library and Self-Help Center FormsAmerican LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.STEP 8:FILE THE FORMS WITH THE COURTJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Take or mail the following to the Clerk's Office in the Coconino County Court House at 200 North San Francisco, Flagstaff,