Free Petition for Hearing to Establish Child Support Obligation - Arizona

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Name of Person Filing: Mailing Address: City, State, Zip Code: Daytime Phone Number: Evening Phone Number: _______________________________________ ATLAS Number (if applicable): Attorney Bar Number (if applicable): Representing: Self Petitioner Respondent

SUPERIOR COURT OF ARIZONA MOHAVE COUNTY
Case Number: (Name of Petitioner) AND

_________________________________ (Name of Respondent)

PETITION FOR HEARING TO ESTABLISH CHILD SUPPORT OBLIGATION; REQUEST FOR ASSIGNMENT

Petitioner, _______________________, requests the court set this matter for hearing to establish child support obligation, pursuant to A.R.S. §25-501 et seq. On________________________, 20___, pursuant to A.R.S. §25-812, the Clerk of Superior Court signed an Order of Paternity, finding that ____________________________________________ is the natural father of ________________________________________________ and said Judgment of Paternity imposes a duty of support pursuant to A.R.S. §25-501 et seq. It also provides a basis for determination of issues related to custody and visitation and affords the parents all rights and responsibilities determination of issues related to custody and visitation and affords the parents all rights and responsibilities provided by Arizona law. Petitioner has filed, along with this Petition, a completed Parent's Worksheet for Child Support Amount.

DATED: ____________________ _____________________________________ PETITIONER STATE OF ARIZONA COUNTY OF:_________________ ) )ss: )

Subscribed and sworn or affirmed and acknowledged before me this date:_________________

My Commission Expires: ______________________

_____________________________________ NOTARY PUBLIC / DEPUTY CLERK

11/2/2006