Petition to Modify Spousal Maintenance · Step 5 of 7

Signature & Certification

Date Write the date you sign this form. Signature Sign your name here to swear that everything you wrote is true. Sign in front of a notary if asked. STATE OF Write the state where you are signing this form, usually Arizona. COUNTY OF Write the county where you are signing this form. Date Enter the date you sign this form. Signature of Person Making Affidavit Sign here to confirm 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 Write the month you gave the original to the court clerk. Date Write the day of the month you gave the original to the court clerk. Year Write the year you gave the original to the court 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 mailed or handed a copy to the judge in your case. (Judicial Officer assigned to your case) Write the name of the judge or commissioner assigned to your case. Month Write the month you sent the copy to the judge. Date Write the day of the month you sent the copy to the judge. Year Write the 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 your case needs a copy sent to the Arizona Attorney General. Month Write the month you sent the copy to the Attorney General. Date Write the day of the month you sent the copy to the Attorney General. Year Write the 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 mailed or handed a copy to the other person in your case or their lawyer. Month Write the month you sent the copy to the other side. Date Write the day of the month you sent the copy to the other side. Year Write the 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 have no lawyer. 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 have no lawyer. 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 they have no lawyer. Your signature Sign your name here to promise the information is true and you sent the documents as listed. Date Write the date you sign this form. Signature of Person Making Affidavit Sign your name here to show 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 of your document to the court clerk. Month Write the month you filed the original with the clerk. Date Write the day of the month you filed the original. Year Write the year you filed the original. 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 Write the month you sent the copy to the judge. Date Write the day of the month you sent the copy to the judge. Year Write the 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 your case requires sending a copy to the Arizona Attorney General's office. Month Write the month you sent the copy to the Attorney General. Date Write the day of the month you sent the copy to the Attorney General. Year Write the 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 person in your case or their lawyer. Month Write the month you sent the copy to the other side. Date Write the day of the month you sent the copy to the other side. Year Write the 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 sent 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 there is no lawyer. Your signature Sign your name here to swear the information is true and that you mailed or filed the documents.

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