Superior Court Of Arizona Mohave County Order Of Paternity

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FOR CLERK’S USE ONLY
SUPERIOR COURT OF ARIZONA
MOHAVE COUNTY
(1) ________________________________
(3) Case Number:____________________________
Person Filing (Petitioner)
(4) ATLAS No. _____________________________
ORDER OF PATERNITY
(A.R.S. §25-812F)
(2) ________________________________
Other Parent (Respondent)
BASED ON THE REQUEST FILED, for the minor child(ren) whose name(s) appear on birth certificate(s) as:
(5)
First
Middle
Last
a._____________________________
__________________________
_____________________________
b._____________________________
__________________________
_____________________________
c._____________________________
__________________________
_____________________________
Who were born on this date and at this location (below):
(List in same order as above)
Month / Day / Year
City, State, Nation of Birth
a. ____________________________
_________________________________________________________
b. ____________________________
_________________________________________________________
c. ____________________________
_________________________________________________________
(6)
Mother’s Full Name:
____________________________________________________________
Maiden Name:
____________________________________________________________
Date of Birth:
____________________________________________________________
Current Address:
____________________________________________________________
THE COURT FINDS:
The mother was not legally married when the minor child(ren) were born or at any time during the 10
months prior to birth, and the parties agree that the natural father of the minor children is:
(7)
Father’s Full Name:
__________________________________________________
Date of Birth:
__________________________________________________
Birthplace (City, State, Country): __________________________________________
Current Address:
__________________________________________________
Page 1 of 2
Revised 1/1/2013

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