Name: ___________________________________ Address: _________________________________ City, State, ZIP: ____________________________ Daytime Telephone No: ______________________ Representing Self, Without a Lawyer ARIZONA SUPERIOR COURT, PIMA COUNTY Case No._______________ _____________________________________ Petitioner v. VERIFIED MOTION FOR TEMPORARY ORDERS [PRE] (Check all that apply) For Legal Decision-Making and Parenting Time For Child Support For Spousal Maintenance (alimony) For Property and/or Debt Other ______________________________________ Respondent REQUIRED INFORMATION FROM ME, UNDER OATH, CHECK ALL THAT APPLY: 1. Information about the Petition for Dissolution (divorce) or Petition for Paternity with Legal Decision-Making, Parenting Time, and Child Support. (NOTE: You cannot request a temporary or a temporary/emergency order unless you or the other party has completed and filed a Petition for Dissolution of Marriage or a Petition for Paternity with Legal Decision-Making, Parenting Time, and Child Support.) Date petition was filed: ________________________________ The allegations of the Petition for Dissolution or the Petition for Paternity with Legal DecisionMaking, Parenting Time, and Child Support are incorporated herein by reference. 2. (You must check here, and this must be true) To the best of my knowledge, no temporary orders regarding these matters have been entered in any other court, and no court proceedings are pending for temporary orders. 3. The minor children affected by this Petition, if any, are: (include an additional page, if necessary) Name __________________________ Name ___________________________ Date of Birth _____________________ Date of Birth ______________________ Address _________________________ Address __________________________ ________________________________ _________________________________ County of residence _______________ County of residence ________________ Name __________________________ Date of Birth _____________________ Address _________________________ ________________________________ County of residence _______________ Name ___________________________ Date of Birth ______________________ Address __________________________ _________________________________ County of residence ________________ 1 American LegalNet, Inc. www.FormsWorkFlow.com THIS IS WHAT I WANT THE COURT TO ORDER: 4. LEGAL DECISION-MAKING FOR THE MINOR CHILD(REN) IN COMMON: I am the fit and proper person to be awarded temporary sole legal decisionmaking of the minor child(ren) and such legal decision-making is in the best interests of the child(ren). I believe that both parents are fit and proper persons to be awarded temporary joint legal decision-making for the minor child(ren) and such legal decision-making is in the best interest of the child(ren). 5. PARENTING TIME FOR THE MINOR CHILD(REN) IN COMMON: Each party should be granted reasonable temporary parenting time as described in the attached Parenting Plan. 6. CHILD SUPPORT FOR THE MINOR CHILD(REN) IN COMMON: An order requiring the opposing party to pay to me a reasonable sum for temporary child support as determined by the Arizona Child Support Guidelines, according to the Parent's Worksheet for Child Support that is attached. 7. SPOUSAL MAINTENANCE: a. Attached is a Financial Affidavit showing that I currently lack sufficient property or income to provide for my reasonable needs. b. The other party is employed or employable and is financially capable of providing temporary spousal maintenance to me. c. An order requiring temporary spousal maintenance in the amount of $ ________ per month. 8. MEDICAL INSURANCE AND/OR COSTS: An order requiring a party to provide temporary medical, dental, and health insurance for my benefit and for the children, and how the uncovered medical, dental, and health expenses incurred will be paid. 9. PROPERTY: (include an additional page, if necessary) a. To me: __________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ b. To the other party:_________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 10. DEBTS: (include an additional page, if necessary) a. I Should Pay: DEBT AMOUNT __________________ _________________ __________________ _________________ __________________ _________________ __________________ _________________ CREDITOR _________________ _________________ _________________ _________________ 2 American LegalNet, Inc. www.FormsWorkFlow.com b. The Other Party Should Pay: DEBT __________________ __________________ __________________ __________________ AMOUNT _________________ _________________ _________________ _________________ CREDITOR _________________ _________________ _________________ _________________ 11. OTHER REASONS AND/OR OTHER REQUESTS: (Please explain here in detail anything else you want the judge to order on a temporary basis and why you need the order). (include an additional page, if necessary) ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ I REQUEST THE COURT: 1. Order the other party to appear before this Court so that this Court can determine whether a temporary order should be entered granting what I requested, pending a final order of the Court in this proceeding. 2. Grant such further relief that this Court deems just and proper under the circumstances. OATH AND VERIFICATION STATE OF ARIZONA County of Pima ) ) ) I, ____________________________________ being duly sworn and under oath, state that I have read this Motion. All the statements in this Motion are true and correct and complete to the best of knowledge and belief. ___________________________________ Petitioner Respondent Subscribed and sworn to before me this __________ day of _____________________, 20 ___ By ________________________. ___________________________________ Notary Public My Commission Expires: ______________________________ 3 American LegalNet, Inc. www.FormsWorkFlow.com