Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                

Superior Court of Arizona in Maricopa County: Affidavit Regarding Minor Children Notice

Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 4

For Clerk’s Use Only

Name of Person Filing:


In this case I am: Petitioner Respondent
In this case I am: Representing Myself (No Attorney), or
If Represented by Attorney: Attorney Bar Number:
My Address (if not protected):
City, State, Zip Code:
Telephone Numbers:

SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY

Case Number:
Name of Petitioner
ATLAS Number:
(if applicable)

Name of Respondent AFFIDAVIT REGARDING


MINOR CHILDREN

NOTICE: This “Affidavit Regarding Minor Children” is required for all legal decision making
(custody) cases. If you are asking to modify an existing Arizona legal decision making order,
it is only required if the children have lived outside the state at some time in the last 5 years.

(Fill out this Affidavit completely, and provide accurate information. Use additional paper if necessary.
You must give copies of this Affidavit and all other required documents to the other party, and to the judge.)

1. CHILDREN OF THE PARTIES WHO ARE UNDER 18 YEARS OLD. The following
child(ren) are under age 18 and were born to, or adopted by, me and the other party.

Name Name
Birthdate: Age: Birthdate: Age:

Name Name
Birthdate: Age: Birthdate: Age:

2. INFORMATION REGARDING WHERE THE CHILDREN UNDER 18 YEARS OLD


HAVE LIVED FOR THE LAST 5 YEARS (or since birth, if younger than 5).
Child’s Name: Dates: From To
Address: Lived with:
City, State: Relationship to Child:

Child’s Name: Dates: From To


Address: Lived with:
City, State: Relationship to Child:

Child’s Name: Dates: From To


© Superior Court of Arizona in Maricopa County DRCVG13f-032713
ALL RIGHTS RESERVED Page 1 of 2
AFC
Address: Lived with:
City, State: Relationship to Child:

Same information about additional children continues on attachment titled “Affidavit re Minor Children -
continued”.

© Superior Court of Arizona in Maricopa County DRCVG13f-032713


ALL RIGHTS RESERVED Page 2 of 2
AFC
Case No. __________________

3. COURT CASES IN WHICH I HAVE BEEN A PARTY/WITNESS THAT INVOLVED THE


LEGAL DECISION MAKING (CUSTODY) AND/OR PARENTING TIME OF THE
MINOR CHILD(REN). (Check one box.)
I have or I have not been a party/witness in court in this state or in any other state that involved the
legal decision making (custody) and/or parenting time of the child(ren) named above. (If so, explain on
separate paper. If not, go on.)

Name of each child:

Name of Court: Court Location:


Court Case Number: Current Status:
How the child is involved:
Summary of any Court Order:

4. INFORMATION REGARDING PENDING COURT CASES RELATED TO THE LEGAL


DECISION-MAKING AUTHORITY (CUSTODY) OF THE MINOR CHILD(REN).
(Check one box.)
I do have or I do not have information about a legal decision making (custody) court case relating
to any of the children named above that is pending in this state or in any other state. (If so, explain. If
not, go on.)

Name of each child:


Name of Court: Court Location:
Court Case Number: Current Status:
How the child is involved:
Summary of any Court Order:

5. LEGAL DECISION-MAKING (CUSTODY) OR PARENTING TIME CLAIMS OF ANY


PERSON. (Check one box.)
I do know or I do not know a person other than the Petitioner or the Respondent who has physical
custody or who claims legal decision-making (custody) or parenting time rights to any of the children
named in this Affidavit. (If so, explain below. If not, go on.)

Name of each child:

Name of person with the claim:


Address of person with the claim:

Nature of the claim:

OATH OR AFFIRMATION AND VERIFICATION

I swear or affirm that the information on this document is true and correct under penalty of perjury.

Signature Date

Sworn to or Affirmed before me this: by


(date)

© Superior Court of Arizona in Maricopa County DRCVG13f-032713


ALL RIGHTS RESERVED Page 3 of 2
AFC
My Commission Expires:
Deputy Clerk or Notary Public

© Superior Court of Arizona in Maricopa County DRCVG13f-032713


ALL RIGHTS RESERVED Page 4 of 2
AFC

You might also like