Name: ___________________________________ Address: _________________________________ City, State, ZIP: ____________________________ Daytime Telephone No: ______________________ Representing Self, Without a Lawyer ARIZONA SUPERIOR COURT, PIMA COUNTY ______________________________________ Case No. _________________ Plaintiff and ______________________________________ ANSWER TO PATERNITY COMPLAINT Defendant STATEMENTS MADE TO THE COURT, UNDER OATH 1. ABOUT THE OTHER PARENT Name:_________________________________________________________________________________ Address: _______________________________________________________________________________ Date of Birth: ___________________________________________________________________________ Occupation: ____________________________________________________________________________ 2. ABOUT ME, THE DEFENDANT Name:_________________________________________________________________________________ Address: _______________________________________________________________________________ Date of Birth: ___________________________________________________________________________ Occupation: ____________________________________________________________________________ INFORMATION ABOUT OUR CHILDREN LESS THAN 18 YEARS OF AGE: 3. DOMESTIC VIOLENCE – check the box that is true if you or the Plaintiff intends to ask for joint custody. Domestic violence has has not occurred during this marriage. 4. SUMMARY OF WHAT I SAY ABOUT DOMESTIC VIOLENCE THAT IS DIFFERENT FROM WHAT THE PLAINTIFF SAID IN THE COMPLAINT: (here summarize what is different between what the Plaintiff says and what you say about domestic violence): ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ 1 paternity response.form Revised 1.3.08 American LegalNet, Inc. www.FormsWorkflow.com 5. CHILDREN OF THE PARTIES WHO ARE LESS THAN 18 YEARS OLD – check one box The following child(ren) are under age 18 and was/were born to me and the Plaintiff: (Attach extra pages if necessary). 1. Name: Birthdate: Address: 2. Name: Birthdate: Address: 3. Name: Birthdate: Address: 4. Name: Birthdate: Address: I deny that: I am the father that the Plaintiff is the father I request a paternity test prior to the entry of judgment in this matter. Other: ____________________________________________________________________________ ____________________________________________________________________________________ 6. WRITTEN PARENTING PLAN – check only if true The Plaintiff and I have a written agreement signed by both of us about the parenting plan for our child(ren). I have attached a copy of this agreement. 7. CHILD SUPPORT JURISDICTION – This Court has jurisdiction under A.R.S § 25-623 to order the other party to pay child support because: That person is a resident of Arizona I believe I will personally serve that person in Arizona That person agrees to have the case heard here and will file written court papers in this case That person resided with the child in this state That person resided in this state and provided pre-birth expenses or support for the child The child resides in this state as the result of the acts or directives of that person The person had sexual intercourse in this state and the child may have been conceived by that act of intercourse That person signed a birth certificate that is filed in this state That person did other acts, which substantially connect that person with this state 8. SUMMARY OF WHAT I SAY ABOUT OUR CHILDREN THAT IS DIFFERENT FROM WHAT THE PLAINTIFF ASKED FOR IN THE COMPLAINT: (here summarize what is different between what you say about the children and what the Plaintiff said in the Complaint): ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ 2 paternity response.form Revised 1.3.08 American LegalNet, Inc. www.FormsWorkflow.com 9. GENERAL DENIAL: I deny anything stated in the Complaint that I have not specifically admitted, qualified or denied here. ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ REQUESTS I MAKE TO THE COURT: Last Name: Order that each child’s last name be changed to:____________________________________. Child Custody and Parenting Time: Award custody and parenting time of the children common to the parties and less than 18 years old as follows: SOLE CUSTODY of the minor child(ren) awarded to: time as follows: Plaintiff OR Defendant, subject to parenting Reasonable parenting time to the parent not having custody, according to the terms of the Parenting Plan attached to this Petition OR Supervised parenting time between the child(ren) and the Plaintiff OR Defendant is in the best interest of the child(ren) because ________________________________________ The cost of supervised parenting time will be paid by the parent being supervised; the parent having custody; shared equally by the parties. OR No parenting time to the parent not having custody is in the best interest of the child(ren) because _________________________________________________________________ JOINT CUSTODY: Plaintiff and Defendant agree to act as joint custodians of the child(ren) as set forth in the Joint Custody Agreement or Parenting Plan signed by the parties, and attached to this Complaint. CHILD SUPPORT: Order that child support shall be paid by: Plaintiff Defendant to Plaintiff Defendant in an amount as determined by the court under the Arizona Child Support Guidelines (Child Support Order to be attached to the Paternity Order). Support payments to begin on the first day of the month after the Judge or Commissioner signs the Paternity Order or on the first day of the month after service of the Complaint with all payments, plus the statutory handling fee, to be paid through The Support Payment Clearinghouse, PO Box 52107, Phoenix, Arizona 85072-7107 to be paid by automatic wage assignment. EXPENSES OF MOTHER: Order that Plaintiff Defendant pay a reasonable amount to cover unreimbursed expenses incurred by the mother related to the birth of each child(ren). INSURANCE AND HEALTH CARE EXPENSES FOR CHILDREN: Order that Plaintiff Defendant shall pay for medical and dental insurance coverage for the child(ren) common to the parties and less than the age of 18 years old. Plaintiff and Defendant will pay for all reasonable unreimbursed medical, dental, and heath-related expenses incurred for the child(ren) in proportion to their respective incomes as described on the Parents' Worksheet, which shall be submitted with the Paternity Order. 3 paternity response.form Revised 1.3.08 American LegalNet, Inc. www.FormsWorkflow.com TAX EXEMPTION: The parties shall claim as income tax dependency exemptions on federal and state income tax returns as follows: Parent entitled to claim Name of child Current tax year Later tax years Plaintiff Defendant ________ _______________ _______________ Plaintiff Defendant ________ _______________ _______________ Plaintiff Defendant ________ _______________ _______________ Plaintiff Defendant ________ _______________ _______________ TESTING and COSTS: Order that if paternity is contested, Plaintiff and Defendant be ordered to submit to such blood and tissue tests as may be necessary by this court to establish paternity, AND that Defendant must pay all costs and expenses of this lawsuit under Arizona law, A.R.S.§25-809, if he/she unsuccessfully contests these proceedings, including the costs of the blood tests or other genetic testing; filing each child’s birth certificate; attorney’s fees and court costs. OTHER ORDERS THAT I AM REQUESTING: (explain request here) ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ OATH AND VERIFICATION OF DEFENDANT: STATE OF ARIZONA County of Pima ) )ss. ) I, the Defendant, being duly sworn and under oath, state that I have read this Answer. All the statements in the Response are true, correct and complete to the best of my knowledge and belief. SIGNED: _____________________________________ (Defendant) Subscribed and sworn to before me this ________ day of ________________________, 20___ by __________________________________________. (Defendant’s Name) ____________________________________________ Notary Public My Commission Expires: ____________________ 4 paternity response.form Revised 1.3.08 American LegalNet, Inc. www.FormsWorkflow.com