251 Superior Court of Arizona in Maricopa County Page 1 of 3 DRMCS11f 030719 ALL RIGHTS RESERVED MCS Person Filing: (A) 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 (B) Case No . (C) Name of Petitioner / Party A and ATLAS No. (C) (B) PETITION TO MODIFY A C HILD SUPPORT ORDER (Standard Process) Name of Respondent / Party B 1. INFORMATION ABOUT PARTY A : Name: Address: City, State, Zip Code: County of Residence: Date of Birth: Job Title: 2. INFORMATION ABOUT PARTY B : Name: Address: City, State, Zip Code: County of Residence: Date of Birth: Job Title: American LegalNet, Inc. www.FormsWorkFlow.com Case No. 251 Superior Court of Arizona in Maricopa County Page 2 of 3 DRMCS11f 030719 ALL RIGHTS RESERVED 3. INFORMATION ABOUT THE CURRENT CHILD SUPPORT ORDER : (the Order I want to CHANGE) The Order was issued on: (Month/Day/Year) The Order was issued by: (Name of Court) Located in this County: Name of Person ordered to pay: Total Current Amount Ordered Paid: $ PER The current total court - ordered support payment listed above consists of: Child Support $ per Spousal Maintenance/Support $ per Other (i.e. Clearinghouse fee): $ per Payments in Arrears: $ per The order I wish to change is on page , section/paragraph of the Order identified above. The Order is either in the official file of this Court or attached. You must attach to this Petition a copy of the Child Support Worksheet for the Order you want to change, if available. 4. INFORMATION ABOUT OTHER COURT CASES TO ENFORCE OR CHANGE THIS COURT ORDER INVOLVING THE PETITIONER AND THE RESPONDENT: (check each box if true) No other cases are pending in any court for modification of this court order. (This must be a true statement for this Court to hear your request.) Neither party has previously filed to enforce or modify this court order. One or both parties has filed for enforcement or modification of this court order in the past. Information about the case(s) is below. Use additional paper if necessary. Names of Parties: Date of order, judgment, decree: Explain what order or judgment said: Court Case Number: Location of court (city and county): American LegalNet, Inc. www.FormsWorkFlow.com Case No. 251 Superior Court of Arizona in Maricopa County Page 3 of 3 DRMCS11f 030719 ALL RIGHTS RESERVED List type of Case: (modification or enforcement of legal decision making or physical custody, parenting time or support, etc.). Explain: There must be a substantial and continuing change in circumstances before you can ask the court to change the current child support order. 5. DEPARTMENT OF ECONOMIC SECURITY (DES). Is the Division of Child Support Enforcement (DCSE) providing Child Support Services to at least one of the parties? Yes (If yes, see instructions.) No Unknown. 6. I AM ENTITLED TO HAVE CHILD SUPPORT CHANGED FOR THE FOLLOWING REASONS: (Describe the substantial and continuing change in your circumstances and reasons for the change of child support.) 7. child support obligation should be changed to: Payments of $ PER . UNDER OATH OR AFFIRMATION I swear or affirm under penalty of perjury that the contents o f this document are true and correct to the best of my knowledge and belief . Date Signature STATE OF COUNTY OF Subscribed and sworn to or affirmed before me this: (date) b y . (notary seal) Deputy Clerk or Nota ry Public American LegalNet, Inc. www.FormsWorkFlow.com