Free Severance Cover Sheet - Arizona


File Size: 123.1 kB
Pages: 2
Date: June 14, 2007
File Format: PDF
State: Arizona
Category: Court Forms - Local
Author: MGriglak
Word Count: 257 Words, 2,169 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://pinalcountyaz.gov/Departments/JudicialBranch/ClerkoftheCourt/Documents/Downloads/Severence/Severance%20Cover%20Sheet.pdf

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Arizona Superior Court, Pinal County
Severance Cover Sheet
Pursuant to Rule 4.1 Superior Court Local Rules - Pinal County, please provide the following information. (Type or print)

CASE NUMBER SV-___________________

ASSIGNED TO HON. _________________________

INITIATING AGENCY'S NAME and ADDRESS
Name: Address: City/State/Zip: City/State/Zip: Telephone: Social Security Number: DOB: Name: Address:

MINOR'S NAME

PETITIONER'S NAME and ADDRESS
Name:

PETITIONER'S ATTORNEY'S NAME and ADDRESS
Name:

State Bar #: Address: Address: City/State/Zip: City/State/Zip: Telephone: Telephone

NATURE OF ACTION

Place an "X" next to the one which describe the nature of the case.

SEVERANCE

__________ SV1

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NAMES OF ADDITIONAL MINORS

Soc. Sec. #

BIRTH DATES OF ADDITIONAL MINORS:

________________________________ ________________________________ ________________________________ ________________________________ ________________________________

_______________ _______________ _______________ _______________ _______________

_____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________

To the best of my knowledge, all information is true and correct

________________________________________________________ Attorney / ProPer Signature

NOTICE

Effective September 8, 1992 and pursuant to Pinal County Superior Court Administrative Order No. 92-15, the Superior Court requires that a "Cover Sheet", which categorizes the cause of action, accompany any new action filed with the Superior Court in Pinal County. For this purpose, this form has been developed. The cover sheet will result in increased accuracy of court records and statistics, and in reduced processing time for new case filings. Forms will be made available at the Clerk of the Superior Court's Filing Counter.
PLEASE DO NOT INCLUDE THIS FORM WITH CASES WHICH HAVE ALREADY BEEN FILED.

This form can only be processed at the time of filing New Complaints and Petitions.

Thank you for assisting us with our efforts to improve service. Rev 05-08-02

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