CLERK OF THE SUPERIOR COURT MARICOPA COUNTY Visit us at our website: www.clerkofcourt.maricopa.gov Central Court Building 201 West Jefferson Street Phoenix, Arizo na 85003 602 - 37 - CLERK ( 25375) Fax 602 - 506 - 7684 Arrearage Calculation Request $67.00 Fee Date: Case Number: ATLAS Number: Parties in Case: VS. Child(ren) Information Date of Birth Graduation Date 1 2 3 4 Requestor Information Name: Address: City State Zip Code Phone Number: OFFICE USE ONLY Date Payment History Requested: Date Legal File Requested: Date Legal File Received: Date Arrears Calc Started: Date Arrears Calc Reviewed: Date Arrears Calc Mailed: Comments: Please NOTE the following important information regarding this request and the information that will be provided: Calculated amounts will be for informational purposes only. These calculations will NOT be the official payoff amount. An official payoff can only be determined by the Superior Court. If any or all of this calculated amount is paid, it will not change the official record unless the Clerk of Court receives an order signed by a Judicial Officer. American LegalNet, Inc. www.FormsWorkFlow.com