superior court of arizona mohave county › court forms › clerks office...1/2019 page 1 of 2...

1/2019 Page 1 of 2

Person Filing: ________________________________________________

Mailing Address: ______________________________________________

City, State, Zip Code: __________________________________________

Telephone Number: ____________________________________________

Atlas Number (if applicable) _____________________________________

Representing Self (No Attorney) OR Represented by Attorney

If Attorney, Bar Number: ________________________________________

SUPERIOR COURT OF ARIZONA MOHAVE COUNTY

_______________________________________ (Name of Petitioner/Plaintiff)

AND

_______________________________________

(Name of Respondent/Defendant)

Case Number: ________________________

MOTION: __________________________

_____________________________________

_____________________________________

(Title of Form)

COMES NOW ______________________________ in the above captioned case to request the Court to: (Name)

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

For the following reason(s):

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

Continued on next page

For Clerk’s Use Only

1/2019 Page 2 of 2

Case No._____________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ I declare under penalty of perjury that the foregoing is true and correct.

Signature: ________________________________________ Date: _______________ Copy sent to:

____________________________________________ (other party)

____________________________________________ (address)

____________________________________________ (city, state, zip)

on: _________________________________________ (date)