Petition For Hearing To Establish Child Support Obligation - Request For Assignment
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For Clerk’s Use Only
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)
PETITION FOR HEARING TO
ESTABLISH CHILD SUPPORT
AND
_________________________________
OBLIGATION; REQUEST FOR
(
ASSIGNMENT
Name of Respondent)
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
)
)ss:
COUNTY OF:_________________
)
Subscribed and sworn or affirmed and acknowledged before me this date:_________________
My Commission Expires: ______________________
_____________________________________
NOTARY PUBLIC / DEPUTY CLERK
11/2/2006
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