Decree of Divorce with Children - Arizona

5.
MEDICAL AND DENTAL INSURANCE, PAYMENTS, & EXPENSES
Petitioner
Respondent is ordered to provide medical and dental insurance for the minor
child(ren).
Payment shall be made according to the Child Support Order attached. The party ordered
to pay shall keep the other party
informed of the insurance company’s name, address, and telephone
number, and provide the other party with
documents necessary to submit insurance claims.
Petitioner is ordered to pay % and Respondent is ordered to pay % of all
reasonable
uncovered and/or uninsured medical, dental, prescription, and other health care charges
for the minor
child(ren), including co-payments.
Costs for past medical expenses for child(ren) in the amount of $ _________ shall be paid by
Petitioner
Respondent in the amount of $ _________ each month until paid in full.
Payments shall be made as stated above.
6.
FINANCIAL INFORMATION EXCHANGES
The parties shall exchange financial information (tax returns, spousal affidavits, earning statements,
and/or other related financial statements) every twenty-four months.
7.
TAX EXEMPTION
Parties shall claim as income tax dependency exemptions on federal and state tax returns as follows:
Parent entitled to claim child: Name of Child Current Tax Year Later Tax Years
□ Petitioner □ Respondent
□ Petitioner □ Respondent
□ Petitioner □ Respondent
□ Petitioner □ Respondent
□ Petitioner □ Respondent
8.
CHILDREN TO WHOM THIS DECREE DOES NOT APPLY
It is also ordered that Petitioner Respondent has no legal obligations or rights to the child(ren)
born during the marriage but not common to the marriage, namely (use additional paper if necessary):
Name of Child Date of Birth
1. ____________________________________________________________________________________
2. ____________________________________________________________________________________
AND / OR
Child(ren) expected to be born on this date: _________________________
9.
SPOUSAL MAINTENANCE:
Neither party has to pay spousal maintenance (alimony) to the other party
OR
Petitioner OR
Respondent is ordered to pay TO
Petitioner OR
Respondent the sum of
$ _______ month spousal maintenance BEGINNING THE FIRST DAY OF THE MONTH after
this decree is signed and
by the first day of each month thereafter until receiving
party is remarried or deceased or
until _______ (date). All payments shall be made directly
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