Fill and Sign the Form 10 Proof of Restricted Account from Financial

© Superior Court of Arizona in Maricopa County DRMSP11f June 26, 2007 Page 1 of 3 Use only most current version ALL RIGHTS RESERVED PMOName of Person Filing Document: (A) Your Address:Your City, State, Zip Code: Your Telephone Number:ATLAS Number (if applicable):Lawyer’s Bar Number (if applicable):Representing: Self (Without a Lawyer) OR Attorney for Petitioner OR Respondent SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY (B)Case Number (C)Name of Petitioner (in original case)PETITION TO MODIFY A SUPPORT ORDERAND (Standard procedure) Spousal Maintenance (Alimony) (D) (B) Spousal Maintenance & Child Name of Respondent (in original case) Support1. INFORMATION ABOUT THE PETITIONER: Name: Address: City, State, Zip Code: County where the Petitioner lives: Date of Birth: Job Title: 2.INFORMATION ABOUT THE RESPONDENT: Name: Address: City, State, Zip Code: County where the Respondent lives: Date of Birth: Job Title: 3. INFORMATION ABOUT THE CURRENT SUPPORT ORDER I WANT TO CHANGE: A.Date of order I want to change:B. Court Case Number of order I want to change:C. Location of court (city and state):D. Current Amount Ordered to be paid: The current order requires (name of person who pays) to make payment for: the following: FOR CLERK’S USE ONLY © Superior Court of Arizona in Maricopa County DRMSP11f June 26, 2007 Page 2 of 3 Use only most current version ALL RIGHTS RESERVED PMO Case No. Spousal Maintenance $ per Child Support $ per Other: $ per Payments in Arrears: $ per 4.INFORMATION ABOUT OTHER COURT CASES TO ENFORCE OR CHANGE THIS COURT ORDER: Current enforcement or modification cases: No other cases are pending in any court for enforcement of this court order. (You must check here, and this must be true.) Past enforcement or modification cases: If you or the other party have filed for enforcement or modification of the court order in the past, you must complete the following information, otherwise write “none” in the space provided. Use additional paper if necessary: Names of Parties:Date of order, judgment, decree:Explain what order or judgment said: Court Case Number:Location of court (city and county):Explain Type of Case: (emergency custody, visitation, etc.) 5. WHAT SPOUSAL MAINTENANCE SHOULD BE. Spousal maintenance amount should be $ per month beginning and continuing until and subject to change as ordered by the court. (You cannot ask for a change in spousal maintenance/support if you signed an agreement that says that spousal maintenance/support cannot be changed or modified.) 6. SPOUSAL MAINTENANCE SHOULD BE INCREASED OR DECREASED or I AM ENTITLED TO HAVE THE SPOUSAL MAINTENANCE PAYMENTS STOP OR CONTINUE BECAUSE: © Superior Court of Arizona in Maricopa County DRMSP11f June 26, 2007 Page 3 of 3 Use only most current version ALL RIGHTS RESERVED PMO Case No. CHILD SUPPORT: Answer Items 7, 8, and 9 ONLY if you are also asking for a change in child support. 7. WHAT CHILD SUPPORT SHOULD BE: Attached is a Parent’s Worksheet for Child Support Amount. According to the Parent’s Worksheet calculations, the child support amount should be $ per month. 8.I AM ENTITLED TO HAVE CHILD SUPPORT CHANGED BECAUSE: 9.DEPARTMENT OF ECONOMIC SECURITY. Is DES providing Child Support Enforcement Services to at least one of the parties? Yes (If yes, see instructions.) No Unknown. 10. OATH OR AFFIRMATION The contents of this document are true and correct to the best of my knowledge and belief. Signature Date Sworn to or affirmed before me this date:My Commission expires Deputy Clerk or Notary Public