Family Law Financial Affidavit - Florida Judicial Circuit Page 13
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14E. CHILD SUPPORT GUIDELINES WORKSHEET. Florida Family Law Rules of Procedure Form 12.902(e),
Child Support Guidelines Worksheet, MUST be filed with the court at or prior to a hearing to
establish or modify child support. This requirement cannot be waived by the parties.
[Check one only]
_____ A Child Support Guidelines Worksheet IS or WILL BE filed in this case. This case involves the
establishment or modification of child support.
_____ A Child Support Guidelines Worksheet IS NOT being filed in this case. The establishment or
modification of child support is not an issue in this case.
I certify that a copy of this financial affidavit was: ( ) mailed, ( ) faxed and mailed, or ( ) hand
delivered to the person(s) listed below on {date} ____________________.
Other party or his/her attorney:
Name:
Address:
City, State, Zip:
Fax Number:
I understand that I am swearing or affirming under oath to the truthfulness of the claims
made in this affidavit and that the punishment for knowingly making a false statement includes fines
and/or imprisonment.
Dated:
Signature of Party
Printed Name:
Address:
City, State, Zip:
Telephone Number:
Fax Number:
STATE OF FLORIDA
COUNTY OF
Sworn to or affirmed and signed before me on
by
.
NOTARY PUBLIC or DEPUTY CLERK
[Print, type, or stamp commissioned name of
notary or deputy clerk .]
Personally known
Produced identification
Type of identification produced
Florida Family Law Rules of Procedure Form 12.902(c), Family Law Financial Affidavit (10/11)
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