251 Superior Court of Arizona in Maricopa County DRP11f - 010119 ALL RIGHTS RESERVED Page 1 of 12 Person Filing: Address (if not protected): City, State, Zip Code: Telephone: Email Address: ATLAS Number: Representing Self, without a Lawyer or Attorney for Petitioner OR Respondent SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY Case Number: Name of Petitioner / Party A PETITION FOR COURT ORDER FOR PATERNITY and (check box below if applicable) LEGAL DECISIO N - MAKING ( legal custody ) PARENTING TIME CHILD SUPPORT VITAL RECORDS (Check this box if the Department of Vital Records is ordered to change the birth records of a child born in Arizona.) Name of Respondent / Party B A. STATEMENTS TO THE COURT: 1. INFORMATION ABOUT ME: Name: Address : Date of Birth : Occupation: My r elationship to the children listed in Petition : Mother Father (or may be the father) Other: (Explain) American LegalNet, Inc. www.FormsWorkFlow.com Case No. 251 Superior Court of Arizona in Maricopa County DRP11f - 010119 ALL RIGHTS RESERVED Page 2 of 12 2.INFORMATION ABOUT OTHER PARTY: Name: Address : Date of Birth : Occupation : r elationship to the children listed in this Petition : Mother Father (or may be the father) 3.VENUE: (Check here if the following statement is true): This is the proper court to bring this lawsuit under Arizona law because it is the county of residence of either party or of the minor children. 4.JURISDICTION: WHY I AM FILING THIS COURT CASE AGAINST THE OTHERPARTY IN ARIZONA: (Place a check mark in the boxes that are true.) The person is a resident of Arizona I believe that I will personally serve the person in Arizona (see packet on service to know about this.) The person agrees to have the case heard here and will file written papers in the court case; The person lived with the minor child in this state at some time; The person lived in this state and provided pre-birth expenses or support for the minor child; The minor child lives in this state as a result of the acts or directions of the person; The person had sexual intercourse in this state as a result of which the minor child may have been conceived; The person signed an affidavit acknowledging paternity that is filed in this state; The person did any other acts that substantially connect the person with this state (see a lawyer to help you determine this). Other: (Explain) American LegalNet, Inc. www.FormsWorkFlow.com Case No. 251 Superior Court of Arizona in Maricopa County DRP11f - 010119 ALL RIGHTS RESERVED Page 3 of 12 B. STATEMENTS ABOUT PATERNITY: 5. WHY YOU THINK THE PERSON IS THE FATHER OF THE MINOR CHILD(REN): (Check which box applies) AFFIDAVIT: Both parties signed an Affidavit of Paternity acknowledging that Party A or Party B is the minor child(ren)'s natural father. A copy is attached. BIRTH CERTIFICATE: Party A or Party B is named as the natural father on one or more minor child(ren)'s birth certificate(s). Copy (or copies) attached. BLOOD TEST: DNA Testing indicates Party A or Party B is the minor child(ren)'s natural father. Report(s) of test results attached. PARTIES LIVING TOGETHER: Parties A and B were not married to each other at any time during the ten months before birth of the minor child(ren). However, the parties lived together during the period(s) when the minor child(ren) could have been conceived. SEXUAL INTERCOURSE: Parties A and B were not living together but had sexual intercourse at the probable date(s) of conception of the minor child(ren). The mother of the minor children did not have sexual intercourse with anyone else during the periods in which the minor child(ren) could have been conceived. OTHER : (explain) 6. ABOUT MARRIAGE (if applicable, check one box.) Mother was not married at the time minor child(ren) were born or conceived or at least 10 months before minor child(ren) were born or conceived, OR Mother was married when minor child(ren) were born or conceived or at least 10 months before minor child(ren) were born or conceived, but pouse is not a parent of the minor child(ren). is a party to this court case because of marriage.) American LegalNet, Inc. www.FormsWorkFlow.com Case No. 251 Superior Court of Arizona in Maricopa County DRP11f - 010119 ALL RIGHTS RESERVED Page 4 of 12 C. INFORMATION ABOUT MINOR CHILDREN: 7. INFORMATION ABOUT CHILD SUPPORT FOR MINOR CHILDREN: There is an order for Child Support, dated from (name of court) . This order needs does not need to be changed. There is a pending child support petition or modification currently filed in this court or another. To my knowledge there is no child support order for the minor child(ren) and the court should order child support in this case along with legal decision-making (custody), and parenting time. Party A Party B made voluntary/direct support payments in the amount of $ that need to be taken into account, if past support is requested. Party A Party B owes past support for the period between: the date this petition was filed and the date current child support is ordered. OR the date the parties started living apart, but not more than three years before the date of this petition was filed, and the date current child support is ordered. OR - the date the parties started living apart, which is MORE THAN three years before the date of this petition was filed, and the date current child support is ordered. * If you check this box, you must explain why the Court should award past support for this time period. EXPLAIN: 8. residence: Gender: Female Male Place o f Birth: Date of Birth: Current Address: How long at this address: County: Lived with Party A Party B Other (Name & Relation to Child): (If less than 5 years, provide 5 years prev ious address information for each child.) Previous Address: How long at this address: Lived with Party A Party B Other: Previous Address: How long at this address: Lived with Party A Party B Other: American LegalNet, Inc. www.FormsWorkFlow.com Case No. 251 Superior Court of Arizona in Maricopa County DRP11f - 010119 ALL RIGHTS RESERVED Page 5 of 12 Gender: Female Male Place of Birth: Date of Birth: Current Address: How long at this address: County: Lived wi th Party A Party B Other (Name & Relation to Child): (If less than 5 years, provide 5 years previous address information for each child.) Previous Address: How long at this address: Liv ed with Party A Party B Other: Previous Address: How long at this address: Lived with Party A Party B Other: C. Gender: Female Male Place of Birth: Date of Birth: Current Address: How long at this address: County: Lived with Party A Party B O ther (Name & Relation to Child): (If less than 5 years, provide 5 years previous address information for each child.) Previous Address: How long at this address: Lived with Party A Party B Other: Previous Address: How long at this address: Lived with Party A Party B Other: Gender: Female Male Place of Bi rth: Date of Birth: Current Address: How long at this address: County: Lived with Party A Party B Other (Name & Relation to Child): (If less than 5 years, provide 5 years previous address information for each child.) Previous Address: How long at this address: Lived with Party A Party B Other: Previous Address: How long at this address: Lived with Party A Party B Other: Continues on attached page(s) made part of this document by reference. American LegalNet, Inc. www.FormsWorkFlow.com Case No. 251 Superior Court of Arizona in Maricopa County DRP11f - 010119 ALL RIGHTS RESERVED Page 6 of 12 9. COURT CASES INVOLVING PHYSICAL CUSTODY, LEGAL DECISION-MAKING (LEGAL CUSTODY) OR PARENTING TIME, RELATED TO CHILDREN UNDER 18 YEARS OLD: (Check one box) I HAVE I HAVE NOT been a party or witness or participated in any court case involving the physical custody, legal decision-making (legal custody), or parenting time for any of the minor children named above in this state or in any other state (If you have, explain below, using extra pages if necessary. IF NOT, GO ON). Name of each child: Court State: Court locati on (county/city): Court case number: Current case status: Nature (type) of court proceeding: Summary of any Court Order: 10. COURT CASES NOT INVOLVING PHYSICAL CUSTODY, LEGAL DECISI