Name: Mailing Address: Daytime Telephone: ATLAS#: Representing Self, Without a Lawyer IN THE SUPERIOR COURT OF ARIZONA, YAVAPAI COUNTY Regarding the Matter of: DO NOTICE OF FILING PETITION FOR MODIFICATION OF CHILD CUSTODY Petitioner and Respondent IMPORTANT! DO NOT USE THIS FORM UNLESS YOU ARE REQUESTING A MODIFICATION OF CHILD CUSTODY OR THE PETITION TO RELOCATE OR PREVENT RELOCATION OF MINOR CHILD(REN) ALSO REQUESTS A CHANGE OF LEGAL CUSTODY. NOTICE Pursuant to Rule 91, Arizona Rules of Family Law Procedure (ARFLP), a Petition for Modification of Custody has been filed. A copy of the Petition is attached to this Notice. You have 20 days from the date you were served with this Notice and the Petition to file a Response with the Superior Court of Arizona in Yavapai County, unless otherwise ordered by this Court. If you choose to file a Response, you are required to provide a copy to the other party or his or her attorney if s/he has one. If you choose not to file a Response, the Judicial Officer may enter an Order that affects your custodial rights, with or without a hearing. To respond, file a Response with the Clerk of the Superior Court at one of the following addresses: The Clerk of Superior Court YAVAPAI COUNTY COURTHOUSE 120 South Cortez St. Prescott AZ 86301 The Clerk of Superior Court VERDE VALLEY JUDICIAL DISTRICT 3505 West Highway 260 Ste 102 Camp Verde AZ 86322 No sooner than five (5) days after expiration of the time permitted for the filing of the response, either party or attorney shall provide a Request for Order Granting or Denying Custody Hearing to the assigned division of the court. The court shall determine whether a custody hearing should be granted. A copy of the court’s determination shall be mailed by the court to all persons entitled to notice. Signed and sealed this date: ___________________________________ JEANNE HICKS CLERK OF THE SUPERIOR COURT By:_____________________________________ Deputy Clerk Superior Court of Arizona in Yavapai County Page 1 of 1 American LegalNet, Inc. www.FormsWorkflow.com