Untitled Document

Revised: 07/31/09.

Easy asStop Child Support or Alimony Online

Payment can be made through our payment center online or at the time of you initial phone consultation.

Section I - Personal & Contact Information:

Note: All information put in Court documents becomes public record. If you have information you wish to keep private then please inform us of that when we call for your consultation.

*Name (Example John Public Doe)

Home phone Work phone Cell phone

(Example 602-896-9020)

*Email

Mailing address:

Street Apt.

City State Zip

Date of birth (Example 12-01-1963)

Social Sec. No. (Example 123-04-8789)

Who did you speak with from our office prior to completing this questionnaire?

Prior case information:

What is your case number In the original case were you the Petitioner Respondent

Was your original case filed in the Maricopa County, Arizona Superior Court? Yes No

What was the date of your last custody order? (mm/dd/yyyy)

What judge/commissioner signed your last custody order? The Hon.

Section 2 - Other Party's Contact Information:

*Name (Example John Public Doe)

Home phone Work phone Cell phone

(Example 602-896-9020)

Mailing or severable address:

Street Apt.

City State Zip

Date of birth (Example 12-01-1963)

Social Sec. No. (Example 123-04-8789)

Section 3- Stop Child Support and/or Alimony (spousal maintenace) Information

Employment information of NON-Custodial Parent:

Employer or Unemployed or Self-Employed

Address

Street, City, State, & Zip Code

Check all that apply:

1. The current child support in no longer owed because all children named in the child support order are:

Child is 18 and NOT attending high school or equivalency program

Child is 19 The child is married The child has been adopted The child is deceased

The child by court order is no longer in the custody of the person receiving payments.

2. The amount shown on your "Order of Assignment" is wrong or was changed by Court order on (mm/dd/yyyy)

3. All back child-support and interest has been paid.

4. All back spousal maintenance and interest has been paid.

5. The obligation to make spousal maintenance payments has ended.

6. The person receiving payments is deceased, but payments are stilled owed to the state.

The condition(s) checked above have not yet taken place but will take place as of (mm/dd/yyyy)

Section 4- Process Service

We must provide a copy of the legal documents to the other party AFTER they have been filed with the Court. What is the single best way to do this? Select one:

Option 1 The other party will come into your office and sign them.

Fee: FREE

Option 2 I will take other party a copy of the documents.

Fee: FREE

Option 3 Send the documents by certified mail.

Fee: $25

Option 4 The other party will not sign anything. They must be served by a Process Server.

Fee: $95 Metro Phoenix / $150 Non-Metro Phoenix

Do I need a Process Server? How does Process Service work?

Option 5 I do not know the whereabouts of other party.

Fee: $100

How does Publication / Newspaper Divorce work?

If you stated you do NOT know the whereabouts of other party,

then when was the last time you seen them? (Example 05-01-1993)

Section 5 -Other information or comments

Section 6-Payment Options

Discount Divorce will immediately begin work on your case as soon as your initial phone consultation is complete and your payment is received.

Pricing and cost information:

Discount Divorce will call you between the hours of 9AM and 4PM, Monday thru Friday.

What is the best time to reach you at during the hours listed above? until on

Payment & Acknowledgement

All costs will be discussed with you in advance, and we will not proceed or charge your card until you instruct us to do so.

Card number requiredNote: You are not obligating yourself financially by submitting this form.

*Number *Exp. Date *Type of Card

I acknowledge that I have read the "Terms of Service" and agree and understand them.

*Applicant Name/Signature: All information contained herein is true and correct

*Date (mm/dd/yyyy):