Name: ___________________________________ Address: _________________________________ City, State, ZIP: ____________________________ Daytime Telephone No: ______________________ Representing Self, Without a Lawyer ARIZONA SUPERIOR COURT, PIMA COUNTY ______________________________________ Petitioner/Plaintiff and Case No. _________________ ______________________________________ Respondent/Defendant PENDING FINAL ORDER OR DECREE 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 LEGAL ADVICE. FINDINGS OF THE COURT: 1. A Verified Motion for Temporary Orders was filed with the Court on (date) ____________ by ___________________________. The Court read the Motion and associated documents, scheduled a hearing, took testimony as appropriate, considered all relevant matters, and issues a temporary order as follows. TEMPORARY ORDER RE: For Spousal Maintenance For Property and/or Debt For Child Custody/Visitation For Child Support Other 2. This order is in the best interest of the following children who are covered by this Order: Name________________________________ Name________________________________ Name________________________________ Name________________________________ Date of Birth ___________________________ Date of Birth ___________________________ Date of Birth ___________________________ Date of Birth ___________________________ ORDER OF THE COURT: It is hereby ordered, pendente lite, as follows: 1. SPOUSAL MAINTENANCE in the amount of $_________________ shall be paid by __________________________________ to _________________________________ commencing on __________________________20___. MEDICAL INSURANCE AND/OR COSTS for ______________________________ and the minor children shall be paid by _______________________________________. 2. 1 to-to.form Revised 02.24.12 American LegalNet, Inc. www.FormsWorkFlow.com 3. THE FOLLOWING PROPERTY SHALL BE GRANTED TO THE EXCLUSIVE USE AND POSSESSION OF ___________________________________. (List property here) : ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ THE FOLLOWING PROPERTY SHALL BE GRANTED TO THE EXCLUSIVE USE AND POSSESSION OF ___________________________________. (List property here) : ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ 4. THESE COMMUNITY DEBTS shall be paid by ____________________________________ DEBT ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ AMOUNT ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ TO WHOM OWED _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ THESE COMMUNITY DEBTS shall be paid by ____________________________________ DEBT ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ 5. AMOUNT ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ TO WHOM OWED _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ CHILD CUSTODY: The temporary care and custody of the minor children common to or adopted by the parties who identified above shall be awarded to __________________________ PARENTING TIME: Temporary parenting time with the children shall be awarded to ________________ as follows: During the summer months: ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ For Holidays and Birthdays: ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ 6. 2 to-to.form Revised 02.24.12 American LegalNet, Inc. www.FormsWorkFlow.com  For Telephone Calls: ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ [ ] Transportation will be provided by (name): ________________________________________________ [ ] Other: ______________________________________________________________________________________ ______________________________________________________________________________________ ___________________________________________________________ 7. [ ] CHILD SUPPORT in the amount of $_____________ per month shall be paid by wage assignment to _________________________________ [ ] OTHER: ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ DONE IN OPEN COURT this ______ day of ________________________, 20_____. 8. ________________________________ Judge/Commissioner of the Superior Court 3 to-to.form Revised 02.24.12 American LegalNet, Inc. www.FormsWorkFlow.com