Name: Mailing Address: Daytime Telephone: Representing Self, Without a Lawyer IN THE SUPERIOR COURT OF ARIZONA YAVAPAI COUNTY Regarding the matter of DO _________________ TEMPORARY ORDER REGARDING Petitioner [ [ [ [ [ [ [ and ] ] ] ] ] ] ] Child Custody Child Support Parenting Time Spousal Maintenance Exclusive Use of Home Attorney Fees Property/Debt Respondent NOTICE: THIS IS AN IMPORTANT COURT ORDER THAT AFFECTS YOUR RIGHTS. READ THIS ORDER CAREFULLY. IF YOU DO NOT UNDERSTAND IT, CONTACT AN ATTORNEY FOR LEGAL ADVICE. THE COURT FINDS: 1. A sworn Motion for Pre-Decree/Judgment Temporary Orders was filed with the Court on (date) by . The Court read the Motion, [ ] scheduled a hearing and took testimony as appropriate, [ ] determined that testimony was not required, considered all relevant matters, and issues a Temporary Order as follows. 2. This Court has jurisdiction to enter temporary orders based upon and has jurisdiction over the parties under the law. Where it has the legal power to do so and where it is applicable to the facts of this case, this Court has considered, approved, and made Orders relating to the above matters. 3. [ ] This Order is in the best interest of the following child(ren) who are covered by this Order because: Name _________________________________________ Date of Birth ____________________ Name _________________________________________ Date of Birth ____________________ Name _________________________________________ Date of Birth ____________________ Name _________________________________________ Date of Birth ____________________ Superior Court of Arizona in Yavapai County January 2006 Page 1 of 4 DRDTC82f American LegalNet, Inc. www.FormsWorkFlow.com 4. [ ] Child Custody. If child custody is ordered, these are the specific findings required by law. [ ] Sole custody specific findings [ ] Joint custody specific findings 5. [ ] Parenting Time. If parenting time is ordered, these are the specific findings required by law. 6. An order for [ ] child support [ ] spousal support [ ] medical insurance is appropriate and based upon the inability of the receiving spouse to support him/herself and/or minor child(ren) without financial assistance from the spouse who has the ability to pay. Specific findings [ ] [ ] CHILD SUPPORT DEVIATION: This Court, having considered the best interests of the child(ren), deviates from the Guidelines because the application of the Guidelines is: [ ] inappropriate or unjust because [ ] the parties have signed a written agreement with knowledge of the amount of support that would have been ordered by the Guidelines but for the agreement and the agreement was entered into free of duress and coercion. The child support would have been The child support after deviation is [ ] 7. [ ] $ $ Pursuant to the Parent’s Worksheet for Child Support Amount reviewed by the Court, the Obligor has the ability to pay the ordered child support. An order for exclusive use of the home is appropriate and based upon [ ] Child custody arrangements; [ ] Inability of the parties to reside together peaceably. Specific findings 8. [ ] An order for [ ] property 9. [ ] An order for attorney fees is appropriate and based upon [ ] The [ ] Petitioner [ ] Respondent does not have the funds to retain an attorney. [ ] The other party has retained an attorney. [ ] The other party has sufficient income or assets to pay the requested attorney fees in the amount of $ . Superior Court of Arizona in Yavapai County January 2006 [ ] debt division is appropriate and based upon Page 2 of 4 DRDTC82 American LegalNet, Inc. www.FormsWorkFlow.com Specific findings 10. [ ] Advance notice was required and was properly given [ ] Advance was not required because: [ ] The following irreparable injury, loss or damage would have occurred [ ] 11. Sufficient efforts to give notice were made as follows: Other THE COURT ORDERS 1. The following medical insurance and/or costs be paid by [ ] Petitioner 2. CHILD CUSTODY. [ ] Sole custody awarded to [ ] Petitioner [ ] Respondent [ ] Joint custody awarded to both parties [ ] Physical Custody Adjustment or other Adjustments 2. [ ] [ ] Respondent PARENTING TIME. Awarded to [ ] Petitioner [ ] Respondent as follows: [ ] according to the terms of the Parenting Plan attached and made a part of this Order OR [ ] pursuant to Yavapai County Child Access Guidelines. [ ] Supervised parenting time to [ ] Petitioner OR [ ] Respondent according to the terms of the attached Parenting Plan. Parenting time may only take place in the presence of another person, named below or otherwise approved by the Court. Name of supervisor: ______________________________ Restrictions on parenting time: [ ] [ ] 4. No parenting time rights to [ ] Petitioner OR [ ] Respondent. Court-ordered discretionary parenting time adjustments [ ] CHILD SUPPORT. Superior Court of Arizona in Yavapai County January 2006 Page 3 of 4 DRDTC82f American LegalNet, Inc. www.FormsWorkFlow.com [ ] The [ ] Petitioner [ ] Respondent is ordered to pay child support in the amount of $ ___________ per month beginning _____________________, pursuant to the Arizona Guidelines for child support, according to the Parent Worksheet for Child Support Amount filed with the Petition. Such amount to be paid by automatic wage assignment and to be paid through the Support Payment Clearinghouse. 5. [ ] SPOUSAL MAINTENANCE to [ ] Petitioner [ ] Respondent of $ per month, beginning on (date) (date) 6. [ ] ATTORNEY FEES in the amount of $ [ ] Petitioner [ ] Respondent by (date) 7. [ ] [ ] Petitioner EXCLUSIVE USE OF HOME: The [ ] Petitioner of the home located at in the amount and ending on to be paid to be paid to [ ] Respondent on or before [ ] Respondent is granted exclusive use subject to the following conditions 8. [ ] PROPERTY. The temporary exclusive use and possession of the following property is granted as follows: Petitioner Respondent [ ] [ ] [ ] [ ] [ ] [ ] Other 9. [ ] DEBTS. Timely payment of the following debts is ordered as follows: Petitioner [ ] [ ] [ ] Other 10. Other 11. Respondent [ ] [ ] [ ] LENGTH OF THIS ORDER: This Order shall continue until [ ] Further order of this Court; OR [ ] Until (date) DONE IN OPEN COURT this day of , 20 . _________________________________________________ JUDGE/COMMISSIONER OF THE SUPERIOR COURT Superior Court of Arizona in Yavapai County January 2006 Page 4 of 4 DRDTC82f American LegalNet, Inc. www.FormsWorkFlow.com