1) Person Filing: Mailing Address: City, State, Zip Code: Daytime / Evening Phone: Person Filing Document is: (If Attorney) State Bar No.: For Clerk Use Only / Self or Attorney for Plaintiff Atty. Phone: Respondent SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY Case Number: (3) ATLAS Number: (2) (3) Name of Petitioner (in original case) PETITION FOR HEARING (2) (Simplified Procedure) Name of Respondent (in original case) A Petition to Modify (change) Child support pursuant to the guidelines’ simplified procedure has been filed. The information provided on the “Parent's Worksheet” that was the basis for the request to modify (change) child support is not accurate. I am attaching the required completed “Parent's Worksheet” that shows what I believe to be accurate information. I request that a hearing be set so that I can explain to the judge or commissioner my position. I further request that costs and fees incurred in responding to this matter be ordered to be paid by the other party. (4) COUNTER PETITION – I further request the child support be modified to an amount different from the amount requested by the other party. (5)Dated: Requesting Party’s Signature Signed and sworn to or affirmed before me this date: by: Notary Public OR My commission expires: By: Deputy Clerk of Superior Court 1. Upon filing the Request for Hearing, the filing party must immediately mail or otherwise deliver a copy of this Request to the other party or his/her attorney. If either party is currently using or has used the State IV-D Agency for child support services (Division of Child Support Enforcement or their representative), the State must also be mailed or provided with a copy of the Request, which can be mailed to: Attorney General, Child Support Enforcement P. O. Box 6123, Site Code 775 C Phoenix, Arizona 850052 2. If a hearing or conference is scheduled, the court may enter a judgment for past-due support, clerk’s fees, service costs, other court costs, and/or attorney fees. Superior Court of Arizona November 29, 2007 ALL RIGHTS RESERVED Page 1 of 1 DRMSS31f Use current version of document American LegalNet, Inc. www.FormsWorkflow.com