For Clerk’s Use Only Name of Person Filing Document: Your Address: Your City, State, Zip Code: Your Telephone Number: ATLAS Number (if applicable): Attorney Bar Number (if applicable): Representing Self or Attorney for Petitioner OR Respondent SUPERIOR COURT OF ARIZONA MARICOPA COUNTY Case Number Name of Petitioner Name of Respondent TEMPORARY ORDER REGARDING Spousal Maintenance/Support Property and/or debt Other: NOTICE: This is an important Court Order that affects your rights. Read this Order carefully. If you do NOT understand this Order, contact an attorney for help. THE COURT FINDS: 1. A sworn “Motion for Temporary Orders” was filed with the court. The court read the Motion scheduled a hearing, took testimony as appropriate, considered all relevant matters, and issues a Temporary Order. 2. This court has jurisdiction to enter temporary orders regarding property, debt, and/or spousal maintenance/ support, and has jurisdiction over the parties under the law. Where it has the legal power to do so and where it is applicable to the facts of this case, this court has considered, approved, and made Orders relating to property, debts, and/or spousal maintenance/support. 3. (Applicable only if spousal maintenance/support and/or medical insurance premiums are ordered to be paid or reimbursed) This order is based on the inability of the party who shall receive payments to support him/herself or maintain this action without financial assistance from the party ordered to pay. THE COURT ORDERS: A. MEDICAL AND DENTAL INSURANCE, PAYMENTS AND EXPENSES. Wife or Husband is ordered to provide medical and dental insurance for the other spouse. All uninsured medical and dental expenses shall be paid as follows: % by Wife, % by Husband. and B. SPOUSAL MAINTENANCE/SUPPORT shall be paid by other spouse in the amount of $ every month until further order of this court. © Superior Court of Arizona in Maricopa County December 22, 2005 ALL RIGHTS RESERVED ORD Wife or , due on or before the Husband to the day of DRTMA82f Page 1 of 2 Use only most current version American LegalNet, Inc. www.FormsWorkflow.com Case No. C. PETITIONER SHALL BE GRANTED THE EXCLUSIVE USE AND POSSESSION OF THE FOLLOWING PROPERTY: Residence located at: Car described as: Other: D. RESPONDENT SHALL BE GRANTED THE EXCLUSIVE USE AND POSSESSION OF THE FOLLOWING PROPERTY: Residence located at: Car described as: Other: E. THE FOLLOWING DEBT(S) shall be paid by Petitioner. DEBT F. AMOUNT THE FOLLOWING DEBT(S) shall be paid by Respondent. AMOUNT DEBT G. H. TO WHOM OWED TO WHOM OWED OTHER ORDERS: LENGTH OF THIS ORDER: This order shall continue (check one box) Until further order of this court, OR Until (date): DONE IN OPEN COURT: . JUDGE/COMMISSIONER OF THE SUPERIOR COURT © Superior Court of Arizona in Maricopa County December 22, 2005 ALL RIGHTS RESERVED ORD DRTMA82f Page 2 of 2 Use only most current version American LegalNet, Inc. www.FormsWorkflow.com