Child Support Order {DRS81F}

(1) Name of Person Filing: Your Address: Your City, State, Zip Code: Your Telephone Number: ATLAS Number (if applicable): Attorney Bar Number (if applicable): Representing: Self (Without an Attorney) Or Attorney for Petitioner Respondent For Clerk Use Only SUPERIOR COURT OF ARIZONA IN (2) _____________________COUNTY (3)___________________________________ Name of Petitioner and (4)___________________________________ Name of Respondent ) ) ) ) ) ) ) ) ) (5) Case No. _______________________ (6) ATLAS No. _____________________ CHILD SUPPORT ORDER THE COURT FINDS that: 1. (7) ___________________________________________________, Father and (8) ___________________________________________________, Mother, owe a duty to support the following child(ren): Name (9) ___________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ Date of Birth _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ 2. Child Support Guidelines. The required financial factors and any discretionary adjustments pursuant to the Arizona Child Support Guidelines are as set forth in the Parent's Worksheet for Child Support, attached and incorporated herein by reference. Revised July 2015 1 of 6 American LegalNet, Inc. www.FormsWorkFlow.com DRS81F Case No._____________________ 3. Child Support. (10a) [ ] Father [ ] Mother is obligated to pay child support to [ ] Father [ ] Mother in the amount of $___________ per month pursuant to the Arizona Child Support Guidelines without deviation. (10b) [ ] Father [ ] Mother is obligated to pay child support to [ ] Father [ ] Mother in the amount of $___________ per month pursuant to the Arizona Child Support Guidelines without deviation. This amount is an appropriate amount to award for child support in this case except that the Court finds it more appropriate and just to make a rounding adjustment to the exact guideline amount for ease of calculation to $___________ per month. (11a) [ ] Father [ ] Mother is obligated to pay child support to [ ] Father [ ] Mother in the amount of $___________ per month pursuant to the Arizona Child Support Guidelines. Application of the child support guidelines in this case is inappropriate or unjust. The Court has considered the best interests of the child in determining that a deviation is appropriate. After deviation the child support order is $___________ per month. (11b) [ ] Father [ ] Mother is obligated to pay child support to [ ] Father [ ] Mother in the amount of $___________ per month pursuant to the Arizona Child Support Guidelines. Application of the child support guidelines in this case is inappropriate or unjust. The Court has considered the best interests of the child in determining that a deviation is appropriate. After deviation the child support order is $___________ per month. Further, the parties have entered into a written agreement or their agreement is on the record and is free of duress and coercion with knowledge of the amount of child support that would have been ordered under the guidelines but for the agreement. Fill in the reason(s) for deviation below if (11a) or (11b) was selected. ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 4. Support Arrears. (12a) [ ] Father [ ] Mother owes child support arrearages to [ ] Father [ ] Mother in the total amount of $___________ for the time period of ______________ thru ______________ plus accrued interest on prior child support arrearages due of $____________ calculated thru the date of ______________. (12b) [ ] The court finds no child support arrearages due and owing. (12c) [ ] No evidence was presented in support of child support arrearages. 5. Past Support. (13a) [ ] It is appropriate to award [ ] Father [ ] Mother an additional judgment for past support in the amount of $___________ for the period between the filing of this current petition and the date current child support is ordered to begin. Revised July 2015 2 of 6 DRS81F American LegalNet, Inc. www.FormsWorkFlow.com Case No._____________________ (13b) [ ] It is appropriate to award [ ] Father [ ] Mother an additional judgment in the amount of $___________ for past support owed from the date of separation, but not more than three years before the date of filing the current petition. (13c) [ ] The court finds no past support amount due and owing. (13d) [ ] No evidence was presented in support of past child support. IT IS ORDERED that: A. Child Support. (14) [ ] Father [ ] Mother shall pay child support to [ ] Father [ ] Mother in the sum of $___________ per month payable by wage assignment on the first day of each month commencing ______________. B. Support Arrearages Judgment. (15a) [ ] Father [ ] Mother is granted judgment against [ ] Father [ ] Mother in the sum of $___________ as and for child support arrearages for the period of ______________ thru the date of _______________ together with interest on said sum at the legal rate of 10% per annum until paid in full plus additional accrued interest on prior child support judgments of $___________ calculated thru the date of _________. [ ] Father [ ] Mother shall pay, in addition to [ ] his [ ] her current support payment, the sum of $_____________ per month toward this judgment, payable on the first day of each month commencing ______________ until paid in full. (15b) [ ] No judgment for child support arrearages is entered. C. Past Support Judgment. (16a) [ ] Father [ ] Mother is granted a past support judgment against [ ] Father [ ] Mother in the additional amount of $____________. [ ] Father [ ] Mother shall pay the additional amount of $___________ per month toward this judgment, payable on the first day of each month commencing ______________ until paid in full. (16b) [ ] No judgment for past support is entered. D. Payments and Clearinghouse. All payments, plus the statutory handling fee, shall be made through the Support Payment Clearinghouse pursuant to an Order of Assignment or Income Withholding Order signed this date. Any time the full amount of support ordered is not withheld, the obligor remains responsible for the full monthly amount ordered. Payments