(A)Name: Mailing Address: Daytime Telephone: Representing Self, Without a Lawyer IN THE SUPERIOR COURT OF ARIZONA, YAVAPAI COUNTY Regarding the Matter of (C) DO (B)________________________________ Petitioner and (B) Respondent PETITION FOR ORDER TO APPEAR STATEMENTS TO THE COURT: 1. INFORMATION ABOUT THE PETITIONER Name: Date of Birth Address: INFORMATION ABOUT THE RESPONDENT Name: Date of Birth Address: 2. [ ] The Petition/Motion identified below was filed, or is being filed with this Petition, and is incorporated here by this reference in support of this Petition for Order to Appear. Date petition was filed Type of petition New facts that support this Petition for Order to Appear 3. TYPE OF MATTER: [ ] Pre-Decree/Pre-Judgment [ ] Post-Decree/Post-Judgment [ ] Temporary Orders [ ] Other 4. BASIS FOR REQUEST: [ ] Matter will require testimony at an evidentiary hearing; [ ] Matter will require testimony because Superior Court of Arizona in Yavapai County January 2006 Page 1 of 2 DRDTC11f American LegalNet, Inc. www.FormsWorkflow.com [ ] Other 5. PREVIOUS MATTERS THAT WERE HEARD BY JUDICIAL OFFICER (include date and identify the judicial officer): 6. ESTIMATED TIME FOR ENTIRE HEARING: [ ] minutes 7. COURT REPORTER REQUIRED: [ ] 8. RELIEF SOUGHT: [ ] Pursuant to Petition identified above. [ ] New or additional relief sought 9. THE OPPOSING PARTY IS REPRESENTED BY: [ ] Self; [ ] Attorney name and address [ ] Yes OR [ ] hours. No I verify under penalty of perjury that the information and statements provided above are true and correct. DATE Superior Court of Arizona in Yavapai County January 2006 SIGNATURE Page 2 of 2 DRDTC11f American LegalNet, Inc. www.FormsWorkflow.com