Petition For Relocation Modification Clarification

(A) Name: Mailing Address: Daytime Telephone: ATLAS#: Representing Self, Without a Lawyer IN THE SUPERIOR COURT OF ARIZONA, YAVAPAI COUNTY Regarding the Matter of: (C) DO (B) Petitioner and (B) Respondent (D) PETITION FOR [ [ [ [ [ ] ] ] ] ] Relocation of Child(ren) Prevent Relocation of Child(ren) Modification of Custody Modification of Parenting Time Clarification of Parenting Time STATEMENTS MADE TO THE COURT, UNDER OATH 1. Petitioner's Name: Address: County of residence: Date of birth The Petitioner is the [ ] Mother [ ] Father [ ] Other: (explain) the child(ren) who is/are the subject(s) of this Petition. [] The Petitioner is enlisted in the military, and [ ] has OR [ ] has not been deployed for at least one day during the past 6 months (skip if you are requesting clarification only). of 2. Respondent's Name: Address: County of residence: Date of birth The Respondent is the [ ] Mother [ ] Father [ ] Other: (explain) the child(ren) who is/are the subject(s) of this Petition. [] The Respondent is enlisted in the military, and [ ] has OR [ ] has not been deployed for at least one day during the past 6 months(skip if you are requesting clarification only) . of 3. INFORMATION ABOUT THE CHILD(REN) who is/are the subject(s) of this Petition (skip if you are requesting clarification only): Child's Name Soc. Sec. No. Birth date Address Length of time at address Names and addresses of persons lived with for the past five (5) years Present addresses of person(s) lived with Superior Court of Arizona in Yavapai County Page 1 of 7 American LegalNet, Inc. www.FormsWorkflow.com January 2006 Child's Name Soc. Sec. No. Birth date Address Length of time at address Names and addresses of persons lived with for the past five (5) years Present addresses of person(s) lived with Child's Name Soc. Sec. No. Birth date Address Length of time at address Names and addresses of persons lived with for the past five (5) years Present addresses of person(s) lived with 4. CUSTODY OR PARENTING TIME CASES INVOLVING THE MINOR CHILD(REN) (skip if you are requesting clarification only): [ ] I HAVE [ ] I HAVE NOT been a party or a witness in court, in this state or any other state, involving the custody or parenting time of any child(ren) named above. (If so, explain below, using extra pages if necessary.) Name of child: Court state Court location Court case number Status How the child is involved: Summary of any court order: 5. PENDING/PAST CASES RELATED TO MINOR CHILD(REN) (skip if you are requesting clarification (check one box) only): [ ] I DO [ ] I DO NOT know of any court case, in this state or any other state, that could affect this case, including enforcement, domestic violence, protective orders, drug convictions, sexual offenses, termination of parental rights and adoptions. (If so, explain below, using extra pages if necessary. Court state Court location Court case number Status Nature of the proceeding: Date of conviction, if applicable 6. CUSTODY OR PARENTING TIME CLAIMS OF ANY OTHER PERSON (skip if you are requesting clarification only): (Check one box) [ ] I KNOW [ ] I DO NOT KNOW the name and address of any person, other than the Petitioner or the Respondent, who has physical custody of the child(ren) or claims rights of legal custody, physical custody or parenting time of any child(ren) named above. (If so, explain below, using extra pages if necessary.) Superior Court of Arizona in Yavapai County Page 2 of 7 American LegalNet, Inc. www.FormsWorkflow.com January 2006 Name of each child: Name of person with the claim: Address of person with the claim: Nature of the claim: 7. RELOCATION (if applicable). Moving party wishes to [ ] relocate with the child(ren) OR [ ] prevent relocation to (location) Date of planned move 8. BASIS OF RELOCATION REQUEST (if applicable). A. [] Applicant believes that this relocation is in the best interest(s) of the child(ren) and will substantially improve the quality of life for the Applicant and the child(ren) for the following reasons: OR Applicant believes that this relocation is not in the best interests of the child(ren) and will adversely affect the child(ren) and/or his or her custody and/or parenting time rights for the following reasons: [] 1. 2. 3. B. Applicant's motives in seeking to relocate: [ ] are OR [ ] are not interfere with the other party's relationship with the children because intended to C. A realistic substitute parenting time schedule to allow the other party time with the child(ren): [ ] is OR [ ] is not possible as shown in the attached and incorporated Proposed Parenting Plan because D. Other reasons (pursuant to A.R.S. 25-408 and 25-403, et.seq.) 9. [] Notice of proposed relocation pursuant to A.R.S. 25-408: [ ] was properly given to: (name) on (date) by (how notice was given) OR [ ] was not 10. CURRENT CUSTODY/PARENTING TIME ORDERS: [] [] I have a current custody order by the Superior Court in Yavapai County. Date of order or decree: I have a current custody order from the Superior Court in Arizona but not from Yavapai County. [] I have already filed a certified copy with this Court. Name of county Date of order or decree: Page 3 of 7 American LegalNet, Inc. www.FormsWorkflow.com Superior Court of Arizona in Yavapai County January 2006 [] I have a current custody order from another state. [] I have already filed a certified copy with this Court. I have also listed the prior addresses of the child(ren) for the past five (5) years above. Name of state: Name of county in state: Date of order or decree: This Court has jurisdiction to decide this custody issue pursuant to A.R.S. 25-1034 because the child(ren) is present in the state and is abandoned or an emergency exists such that the child(ren), sibling(s) and/or parent of the child(ren) is in danger of bodily injury. Facts supporting this claim [] 11. WHAT THE CURRENT ORDER SAYS ABOUT CUSTODY [] Sole Custody of the minor child(ren) to [ ] Petitioner [ ] Respondent. [] [] I make this request at least one (1) year after the judge signed the custody decree/order. OR Less than one (1) year has passed since the custody decree/order was signed, but I want to change it because I have reason to believe the child(ren)'s present surroundings may endanger the child(ren)'s physical, mental, moral or emotional health. [] Joint Custody of the minor child(ren) to both Petitioner and Respondent, and [ ] Petitioner [ ] Respondent was given primary care of the child(ren). [] [] [] I make this request at le