Petitioner’s Name:(A) Address: City, State and Zip Code: Telephone Number: ATLAS Number (if applicable): Attorney Bar Number (if applicable): Self (Without a Lawyer) OR Representing Attorney for Petitioner OR Respondent For clerk use only Respondent’s Name: Address: City, State and Zip Code: Telephone Number: Attorney Bar Number (if applicable): Self (Without a Lawyer) OR Representing Petitioner OR Respondent Attorney for SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY Case Number: (C) Name of Petitioner (in original case), (B) STIPULATION TO MODIFY THE PRIOR COURT ORDER REGARDING CUSTODY, PARENTING TIME AND CHILD SUPPORT AND Name of Respondent (in original case) Petitioner and Respondent agree as follows: 1. AGREE AND UNDERSTAND: I have read this Stipulation and the “Order to Change Prior Child Custody, Parenting time and Support Order.” I understand and agree with what is written in the Stipulation and Order which is attached. Child Custody, Parenting Time, and Child Support shall be ordered in accordance with the attached Order which has been approved and signed by both parties.(D) 2. PRIOR ORDER. If the new custody, parenting time and/or support order is granted by this court it will replace the court order dated and issued by (name of judge). If the Superior Court of Arizona in Maricopa County did not issue the order, we have attached a copy of the order to the original and all copies of this Stipulation. If the Superior Court of Arizona in Maricopa County issued the order, we have attached a copy of the order to the copy of the papers for the judge. We have not attached a copy to the original Stipulation. (E) 3. CUSTODY, PARENTING TIME AND CHILD SUPPORT. The agreement regarding custody, parenting time and child support is in the best interest of the minor child(ren). (F) SIGNATURE BY PETITIONER AND RESPONDENT : Everything stated by me in this Stipulation is true and correct to the best of my knowledge, information, and belief. (G) PETITIONER Date RESPONDENT DRMC71f © Superior Court of Arizona in Maricopa County November 20, 2007 ALL RIGHTS RESERVED SMC Date Page 1 of 1 Use only most current version American LegalNet, Inc. www.FormsWorkflow.com