compliance

 

IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,
IN AND FOR COUNTY, FLORIDA

 

Case No.:

Judge::

Petitioner,

and

Respondent,

CERTIFICATE OF COMPLIANCE WITH MANDATORY DISCLOSURE
I, {full legal name} , certify that I have complied with the mandatory disclosure required by Florida Family Law Rule 12.285 as follows:
1. FOR TEMPORARY FINANCIAL RELIEF, ONLY:The date the following documents were served:

[ select all that apply]

( )

( )


preceding year; or

( )

( )

past year has not been prepared.

2. FOR INITIAL, SUPPLEMENTAL, AND PERMANENT FINANCIAL RELIEF:The date the following documents were served: [ select all that apply]

( )

( )

or

( ) or

( )

past year has not been prepared.

I certify that a copy of this document was [ select one only] ( ) ( ) ( ) hand delivered to the person(s) listed below on {date} .

Other party or his/her attorney:

Name

Address

City, State, Zip:

Fax Number:
Dated:


Signature of Party

Printed Name:
Address:
City,State,Zip:
Fax Number:
E-mail Address(es):
IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW:
[ fill in all blanks]
I, {full legal name and trade name of nonlawyer} ,a nonlawyer, located at {street} , {city} ,{state} , {phone} , helped {name} ,who is the [ select one only] , fill out this form.

 

 

Contact Information

 

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