Fill and Sign the Arizona Court Form

Person Filing:       Mailing Address:       City, State, Zip Code:       Daytime Phone:       Evening Phone:       Representing: Self or Attorney State Bar Number (if applicable)       ARIZONA SUPERIOR COURT, COUNTY OF             Case No.       Petitioner/Plaintiff       ATLAS No.       Respondent/Defendant INFORMATION FOR CONCILIATION COURT NOTICE TO THE FILING PARTY: The following information is required by the Superior Court of Arizona in       County for us by the Conciliation Court. You do not need to serve a copy of this form on your spouse. 1. Information about YOU, the Petitioner: Your Name:       Your Home Address:             Your Mailing or Work Address:             Your Home Telephone No.:       Your Work Telephone No.:       2. Information about the OTHER PARTY, the Respondent The Other Party’s Name:       The Other Party’s Home Address:             11/28/2000 1 of 2 The Other Party’s Mailing or Work Address:             The Other Party’s Home Telephone No.:       The Other Party’s Work Telephone No.:       3. Are you serving your spouse by Publication? NO YES 3. How many children under 18 years old are affected by this case?       Name:       Date of Birth:       Name:       Date of Birth :       Name:       Date of Birth:       Name:       Date of Birth:       Name:       Date of Birth:             Date Petitioner’s Signature 11/28/2000 2 of 2