Petition to Modify Child Support · Step 4 of 7
Signature & Certification
Date and sign. You must sign in front of a notary or a Clerk of Superior Court
Sign here in front of a notary or court clerk. Your signature confirms everything you wrote is true.
Date
Enter the date you sign this form.
Date
Enter the date you are signing this form.
Signature
Sign your name here to swear that everything in this form is true.
STATE OF
Write the state where you are signing this form in front of a notary.
COUNTY OF
Write the county where you are signing this form in front of a notary.
Date
Write the date you sign this form.
Signature of Person Making Affidavit
Sign your name here to confirm the information is true.
I filed the ORIGINAL of the attached document(s) with the Clerk of Superior Court in Maricopa County on:
Check this box if you turned in the original document to the court clerk.
Month Date Year
Write the month, day, and year you gave the original document to the clerk.
I mailed/delivered a COPY of the attached document(s) to the Judicial Officer assigned to my case, Judge (or Commissioner):
Check this box if you sent a copy to the judge or commissioner handling your case.
(Judicial Officer assigned to your case)
Write the name of the judge or commissioner assigned to your case.
Month Date Year
Write the month, day, and year you sent the copy to the judge.
I mailed/delivered a COPY of the attached document(s) to The Office of the Attorney General (The State of Arizona) on this date (if applicable):
Check this box only if you needed to send a copy to the Arizona Attorney General's Office.
Month Date Year
Write the month, day, and year you sent the copy to the Attorney General's Office.
Address
Write the mailing address where you sent the copy to the Attorney General's Office.
I mailed/delivered a COPY of the attached document(s) to the Opposing Party and/or his/her Attorney on:
Check this box if you sent a copy to the other person in your case or their lawyer.
Month Date Year
Write the month, day, and year you sent the copy to the other side.
Name of Other Side
Write the full name of the other person in your case.
Name of Other Side's Lawyer
Write the name of the other person's lawyer. Leave blank if they don't have one.
Address
Write the street address where you mailed the copy to the other person.
Lawyer's Address
Write the street address of the other person's lawyer. Leave blank if they don't have one.
City, State, Zip
Write the city, state, and ZIP code for the other person's address.
City, State, Zip
Write the city, state, and ZIP code for the lawyer's address. Leave blank if no lawyer.
Your signature
Sign your name here to promise that everything you wrote is true.
Date
Write the date you are signing this form.
Signature of Person Making Affidavit
Sign your name here to swear that the information you gave is true.
I filed the ORIGINAL of the attached document(s) with the Clerk of Superior Court in Maricopa County on:
Check this box if you turned in the original document to the court clerk.
Month Date Year
Write the month, day, and year you filed the original with the clerk.
I mailed/delivered a COPY of the attached document(s) to the Judicial Officer assigned to my case, Judge (or Commissioner):
Check this box if you sent a copy to the judge or commissioner handling your case.
(Judicial Officer assigned to your case)
Write the name of the judge or commissioner assigned to your case.
Month Date Year
Write the month, day, and year you sent the copy to the judge.
I mailed/delivered a COPY of the attached document(s) to The Office of the Attorney General (The State of Arizona) on this date (if applicable):
Check this box only if you sent a copy to the Arizona Attorney General's office.
Month Date Year
Write the month, day, and year you sent the copy to the Attorney General.
Address
Write the mailing address where you sent the copy to the Attorney General.
I mailed/delivered a COPY of the attached document(s) to the Opposing Party and/or his/her Attorney on:
Check this box if you sent a copy to the other side or their lawyer.
Month Date Year
Write the month, day, and year you sent the copy to the other side.
Name of Other Side
Write the full name of the other person in your case.
Name of Other Side's Lawyer
Write the name of the other side's lawyer. Leave blank if they don't have one.
Address
Write the street address where you mailed the copy to the other side.
Lawyer's Address
Write the street address of the other side's lawyer, if they have one.
City, State, Zip
Write the city, state, and ZIP code for the other side's address.
City, State, Zip
Write the city, state, and ZIP code for the lawyer's address, if any.
Your signature
Sign your name here to promise the information is true. Sign only after filling out the page.
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