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Joint Pet Custody Agreement by lul17555

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Joint Pet Custody Agreement document sample

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									Name:
Mailing Address


Daytime Telephone
  Representing Self, Without a Lawyer

                             IN THE SUPERIOR COURT OF ARIZONA, YAVAPAI COUNTY

Regarding the matter of
                                                                          DO

Petitioner                                                         PETITION TO ESTABLISH
                              vs.                                      Custody
                                                                       Parenting Time
Respondent

STATEMENTS TO THE COURT UNDER OATH:

1.        INFORMATION ABOUT THE PETITIONER
          Name:                                                    Date of Birth
          Address:
          Occupation:
          The Petitioner is the               Mother      Father        Other                 of the child(ren):
                    The Petitioner is enlisted in the military, and    has         OR          has not       been
                    deployed for at least one day during the past 6 months.

2.        INFORMATION ABOUT THE RESPONDENT
          Name:                                                    Date of Birth
          Address:
          Occupation:
          The Respondent is the                 Mother           Father         Other                   of the child(ren):
                    The Respondent is enlisted in the military, and       has       OR              has not       been
                    deployed for at least one day during the past 6 months.

3.        INFORMATION ABOUT CHILD(REN) UNDER THE AGE OF 18: (Add extra pages if necessary)
                    Child’s Name
                    Birth date
                    Address
                    Length of time at address
                    Names and addresses of persons lived with for the past five (5)
                    years




Superior Court of Arizona in Yavapai County              Page 1 of 5                                              DRECV11f
September 2007                                                                          Use only most current version
                              Present addresses of person(s) lived with




                     Child’s Name
                     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
                     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


4b.       CUSTODY OR PARENTING TIME CASES INVOLVING THE MINOR CHILD(REN):

             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:

4c.       PENDING/PAST CASES RELATED TO MINOR CHILD(REN): (check one box)

              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).



Superior Court of Arizona in Yavapai County                Page 2 of 5                                           DRECV11f
September 2007                                                                         Use only most current version
          Court state                         Court location
          Court case number                                    Status
          Nature of the proceeding:
          Date of conviction

4d.       CUSTODY OR PARENTING TIME CLAIMS OF ANY OTHER PERSON: (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.)

          Name of each child:
          Name of person with the claim:
          Address of person with the claim:
          Nature of the claim:

STATEMENTS ABOUT PARENTAGE, CUSTODY AND CHILD SUPPORT:

5.        INFORMATION ABOUT PARENTAGE OF THE CHILD(REN): (check one box)
                    An Order for Paternity, dated                        and issued in the following court,
                                                , states that                              is the natural father of the
                    child(ren). A copy of the Order is already in this court file or is being filed along with this
                    Petition.

                    A Decree of Dissolution or Legal Separation , dated                            and
                    issued in the following court                                  , names the Petitioner and
                    Respondent as the legal parents of the child(ren). A copy of the Decree is already in this
                    court file or is being filed along with this Response.

6.        INFORMATION ABOUT CUSTODY OF THE CHILD(REN): (check one box)
                    Mother has had physical custody of the child(ren) for the last 6 months.
                    Father has had physical custody of the child(ren) for the last 6 months.
                    A person other than mother or father has had physical custody of the child(ren) for the last 6
                    months, because of a court case or government agency, and there is no disagreement
                    between the parents and the party(ies) who have physical custody. (Describe court case on
                    next page.)

                    Names of party(ies) with custody:
                    Name of court or government agency:
                    Type of case:
                    Date of order of custody (if any):
                    What order said:

                    Court or government agency case number
                    Location of court or government agency (city and state):
                    Status of case now
                           Final Order entered; case is over


Superior Court of Arizona in Yavapai County               Page 3 of 5                                             DRECV11f
September 2007                                                                          Use only most current version
                              Hearing date set on (date)                         at (time)                       .
                              Location/address:
                              Other (explain in detail):

7.        INFORMATION ABOUT CHILD SUPPORT FOR THE CHILD(REN):

                    There is an Order for Child Support, dated                       and issued in the following court
                                                                            , covering the child(ren).

                    There is currently no order for child support, but a Petition to Establish Child Support has
                    been filed in this case, or will be filed with this Petition.

8.                  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



OTHER STATEMENTS TO THE COURT:
9.        VENUE: This is the proper court to bring this lawsuit under Arizona law because it is the county of
          residence of the petitioner, or the respondent, or the child(ren).

REQUESTS TO THE COURT:
1.        Award CHILD CUSTODY AND PARENTING TIME as follows:

                              SOLE CUSTODY: Sole custody of the minor child(ren) awarded to [ ] Petitioner or
                                Respondent subject to parenting time for the noncustodial parent as follows:

                    1.                  Reasonable parenting time pursuant to the Yavapai County Child Access
                                        Guidelines;
                    2.                  Reasonable parenting time pursuant to the attached Parenting Plan;
                    3.                  Supervised parenting time. Supervised parenting time is in the best
                                        interest(s) of the child(ren) because unrestricted parenting time would
                                        seriously endanger the child(ren)'s physical, mental, moral or emotional
          health.

                                        These facts support my claim:



                                        Name of person who will supervise
                                        The cost of supervised parenting time shall be paid by               Petitioner
                                        OR         Respondent     OR         shared equally.

                    4.                  No parenting time: (check and explain ONLY if you want the other party
                                        to have no parenting time): No parenting time between the child(ren) and
                                        the other party is in the best interests of the child(ren) because any parenting
                                        time would seriously endanger the child(ren)'s physical, mental, moral or
                                        emotional health.
                                        These facts support my claim:


Superior Court of Arizona in Yavapai County                  Page 4 of 5                                               DRECV11f
September 2007                                                                               Use only most current version
          OR
                              JOINT CUSTODY: Petitioner and Respondent agree to act as joint custodians of the
                              minor child(ren) as set forth in the Joint Custody and Parenting Time Plan. (A Joint
                              Custody Agreement signed by both parents must be attached)                 AND

                                        Domestic violence has not occurred during this relationship;
                              OR

                                     Domestic violence has not been significant. However, domestic violence has
                              occurred as described in the Petition for Order of Protection(s) filed
                                                        or as described below:



                              OR
                                     Joint custody is in the best interest of the child(ren) even though domestic
                              violence has occurred because


                              Furthermore, the     Petitioner AND/OR            Respondent has/have taken
                              classes, participated in counseling or taken steps to avoid further domestic violence
                              as described below:


                    OTHER ORDERS I AM REQUESTING THE COURT TO MAKE:



                                                    OATH AND VERIFICATION

State of Arizona                        )
County of Yavapai                       )

I,                                                                 , being duly sworn and under oath, state that I
have read this Petition and it is true and correct to the best of my knowledge, information and belief. I
understand that if the judicial officer finds that I did file this Petition for an improper purpose, contempt or
other sanctions may be ordered against me, including assessing me for any and all reasonable costs,
attorney fees, or other expenses associated with the improper filing.

                                        SIGNED

SUSCRIBED AND SWORN to before me this                                 day of                                            , 20
     , by

My commission expires:
                                                      Notary Public




Superior Court of Arizona in Yavapai County                  Page 5 of 5                                          DRECV11f
September 2007                                                                          Use only most current version

								
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