Agreement To Modify Order Of Assignment Form. This is a Arizona form and can be use in Maricopa Local County.
Tags: Agreement To Modify Order Of Assignment, DRMWA11f, Arizona Local County, Maricopa
(1) Person Filing: Mailing Address: City, State, Zip Code: Daytime / Evening Phone: In this case I am: Attorney for : (IF)Attorney, Name: FOR CLERK’S USE ONLY Respondent Petitioner Bar No. Petitioner or Petitioner or SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY (2) Petitioner (in original case) (3) Case No. (4) ATLAS No. (2) Respondent (in original case) AGREEMENT TO MODIFY ORDER OF ASSIGNMENT A.R.S. § 25-504 An Order of Assignment is a court order that requires an employer or other payor to withhold money from the funds of a person ordered to pay child support and/or spousal maintenance (alimony). THIS FORM WILL NOT AFFECT THE AMOUNT OF SUPPORT ORDERED PAID; IT ONLY AFFECTS THE AMOUNT OF SUPPORT DEDUCTED FROM PAY. I, (5a) I, (5b) modify the Order of Assignment: , the person ordered to make payments, and , the person receiving payments, ask the Court to (Month/Day/Year) (Name of Court) (Name of County) (Name of State) Issued this date: (6) Issued by this Court: Located in this County: Located in this State: because: (Check the appropriate box(s)) (7) The amount shown on the Order of Assignment is wrong because: (7a) The amount was changed by Court Order issued on this date: (Month/Day/Year) in this county: , OR (7b) The person making payments no longer owes (Check all that apply) Current Child Support. Child Support arrearages (back child support) and interest Current Spousal Support Spousal Support arrearages (back alimony) and interest © Superior Court of Arizona in Maricopa County November 29, 2007 ALL RIGHTS RESERVED DRMWA11f Page 1 of 2 Use most current version of form American LegalNet, Inc. www.FormsWorkFlow.com Case No. __________________ Reason(s) why money is no longer owed for any items checked in item (7b): (List and attach any supporting documents.) (8) For the reasons listed in above, the amount ordered assigned should be changed from the current Amount of (8a) $ to the new amount of (8b) $ (9) The current Order of Assignment should be modified because the presumptive termination date (the day the order will end) is wrong. The termination date should be changed from the date listed on the current Order of Assignment: (9a) (Month/Day/Year) To the new date of : (9b) (Month/Day/Year) Explain why the presumptive termination date is wrong (list and attach any supporting documents) Do not write or sign below this line until you are instructed to do so by Court Clerk or Notary. We affirm under penalty of perjury the information provided on this document is true and correct. Date Petitioner’s Signature Affirmed before me this date: Seal/My Commission expires Deputy Clerk or Notary Public Date Respondent’s Signature Affirmed before me this date: Seal/My Commission expires Deputy Clerk or Notary Public If the State of Arizona is a party to your case, a representative of the Attorney General’s Division of Child Support Enforcement (DCSE) must also sign this form before you file. (See Instructions) Signature of DCSE representative © Superior Court of Arizona in Maricopa County November 29, 2010 ALL RIGHTS RESERVED Date Page 2 of 2 DRMWA11f Use most current version American LegalNet, Inc. www.FormsWorkFlow.com