Revised: 1/2019 Page 1 of 2

Name of Person Filing: ______________________________________ Mailing Address: ______________________________________ City, State, and Zip Code: ______________________________________ Daytime / Evening Phone: ______________________________________ State Bar Number (if applicable):____________________________________ Representing: Self or Attorney for Petitioner Respondent (If Attorney, include State Bar Number)

SUPERIOR COURT OF ARIZONA MOHAVE COUNTY

_______________________________________ Case Number: ___________________________ Name of Petitioner/Plaintiff

ACCEPTANCE OF SERVICE _______________________________________ FAMILY COURT Name of Respondent/Defendant Arizona Rules of Family Law Procedure 40

Check the box to indicate each document you received. Do not check the box unless you received the document listed beside it. If your case is not one of the types listed, list the type of case and the documents you received from the other party under “Other type Case” on the next page.

1. BY SIGNING THIS DOCUMENT, I STATE UNDER OATH OR AFFIRMATION THAT I HAVE RECEIVED AND ACCEPTED THE LEGAL PAPERS INDICATED (CHECKED) BELOW: DIVORCE (OR ANNULMENT) DIVORCE (OR ANNULMENT) PATERNITY (to establish) WITH CHILDREN WITHOUT CHILDREN

Petition Petition Petition Summons Summons Summons Preliminary Injunction Preliminary Injunction Parent Info. Program Notice Health Insurance Notice Health Insurance Notice Parent Info. Program Notice Notice to Creditors TEMPORARY ORDERS Notice to Creditors Motion for Temporary Order Affidavit Regarding Minor Children Order to Appear Parent Worksheet for Child Support (if filed) Family Court Dept. Notices About:

Returns/Conferences LEGAL SEPARATION LEGAL SEPARATION Temporary Orders WITH CHILDREN WITHOUT CHILDREN Affidavit of Financial Info.

Petition Petition (if for spousal maintenance) Summons Summons Parents Worksheet for Child Preliminary Injunction Preliminary Injunction Support (if for child support) Notice to Creditors Notice to Creditors Parenting Plan Health Insurance Notice (if for legal decision making Parent Info. Program Notice /parenting time) Affidavit Regarding Minor Children Parent Worksheet for Child Support (if filed)

LEGAL DECISION MAKING, PARENTING TIME, SUPPORT (to establish when paternity already legally established)

Petition Summons Parent info. Program Notice Parent Worksheet for Child Support (if filed) CHILD SUPPORT (to establish when paternity already legally established)

Petition Order to Appear Parents Worksheet for Child Support MODIFY CHILD SUPPORT 15% OR MORE MODIFY SPOUSAL MAINTENANCE OR SPOUSAL AND (“Simplified Mod”) CHILD SUPPORT (“Standard Mod”)

Petition to Modify Petition to Modify Support Order Parent Worksheet for Child Support (if filed) Affidavit of Financial Information Blank Request for Hearing Parent Worksheet for Child Support (if filed)

Order to Appear

For Clerk’s Use Only

Revised: 1/2019 Page 2 of 2

Case No._______________________________ MODIFY CHILD SUPPORT MODIFY LEGAL DECISION MAKING and/or PARENTING (“Standard Mod”) TIME AND SUPPORT

Petition to Modify Child Support – Std. Process Petition to Modify Affidavit of Financial Information Notice of Filing for Modification of Custody Order to Appear Parent Worksheet for Child Support (if filed) Parent Worksheet for Child Support (if filed) Affidavit Regarding Minor Children

(only if children have not lived in Mohave County the whole time since last legal decision making order)

STOP ORDER OF ASSIGNMENT MODIFY (Change) ORDER OF ASSIGNMENT

Petition to Stop Order of Assignment Petition to Modify Order of Assignment Blank Request for Hearing Blank Request for Hearing

OTHER TYPE CASE (List Type): (Example: “Annulment”) _______________________________________________ (Below list name of each document you received: Example: “Petition for Annulment,” “Summons,” etc.) _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ 2. ACCEPT AND WAIVE FORMAL SERVICE. I waive formal service of process by a process server or sheriff. I understand accepting these papers is the same as if I were personally served under Arizona Law. 3. RESPONSE DEADLINE. I am aware that accepting service of these court papers and signing this paper does

not affect my right or obligation to file a written Response or Answer to this action if I do not agree with any relief asked for in the Petition. I understand I must Respond or Answer within 20 days from the day I signed the original of this Acceptance of Service and it is filed with the court, if I accepted service in Arizona, or 30 days if I received the papers somewhere other than in Arizona.

4. DEFAULT JUDGMENT, ORDER OR DECREE. I understand that if I do not appear and defend in this action in court, within the time allowed by law, that I may lose my right to be heard in this case. I understand that failure to Respond or Answer could result in the court giving the other party any and all things requested in his or her legal papers, through a Default Judgment, Order or Decree. 5. RESTORE NAME (ONLY in Divorce Cases). My complete married name is: (Optional. Complete ONLY if you want to change your name) _______________________________________________________________________________________ I want my legal name restored to: (List complete maiden name or legal name before this marriage) _______________________________________________________________________________________ OATH AND VERIFICATION STATE OF ARIZONA ) County of Mohave ) ss. I, swear or affirm under penalty of perjury that I have read and understand the contents of this document and that I have received and accepted the legal documents indicated above. ________________________________________ _____________________________ Signature Date

SUBSCRIBED AND SWORN to before me this day of , 20 , by My Commission Expires ___________________________ ___________________________________ Notary Public / Deputy Clerk

Daytime / Evening Phone: ______________________________________MOHAVE COUNTY

Button: Reset:

Text: FilerName: FilerAddr: FilerCity: FilerDayPhone: StateBar: Petitioner: Respondent: CaseNo:

CheckBox: Represent: Off

DWC1: OffDWC2: OffDWC3: OffDWC4: OffDWC5: OffDWC6: OffDWC7: OffDWC8: OffDWOC1: OffDWOC2: OffDWOC3: OffDWOC4: OffDWOC5: OffPaternity1: OffPaternity2: OffPaternity3: OffTempOrders: OffTempOrders2: OffLSWC1: OffLSWC2: OffLSWC3: OffLSWC4: OffLSWC5: OffLSWC6: OffLSWC7: OffLSWC8: OffLSWOC1: OffLSWOC2: OffLSWOC3: OffLSWOC4: OffTempOrders3: OffTempOrders4: OffTempOrders5: OffTempOrders6: OffTempOrders7: OffChildCustody1: OffChildCustody2: OffChildCustody3: OffChildCustody4: OffChildSupp1: OffChildSupp2: OffChildSupp3: OffModChildSupp1: OffModChildSupp2: OffModChildSupp3: OffModSpMaint1: OffModSpMaint2: OffModSpMaint3: OffModSpMaint4: OffModChildSupp4: OffModChildSupp5: OffModChildSupp6: OffModChildSupp7: OffModChildCust1: OffModChildCust2: OffModChildCust3: OffModChildCust4: OffStopOrder: OffStopOrder2: OffModOrder: OffModOrder2: OffOtherCaseType: Document1: Document2: Document3: Document4: Document5: Document6: Document7: Document8: Document9: Document10: Document11: Document12: CompleteName: RestoredName: Date: Day: Month: Year: Clerk: Expires: