Notice Of Hearing On Motion For Contempt Page 4

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If you are represented by an attorney or plan to retain an attorney for this matter, you should notify
the attorney of this hearing.
If this matter is resolved, the moving party shall contact the judge or hearing officer’s office to cancel
this hearing.
I certify that a copy of this document was [Choose only one] ( ) mailed
( ) faxed and
mailed ( ) hand delivered to the person(s) listed below on {date} ______________.
Other party or his/her attorney:
Name: ________________________________________
Address: ______________________________________
City, State, Zip: _________________________________
Fax Number: ___________________________________
Email Address:__________________________________
Dated: _____________________
__________________________________________________
Signature of Party
______________________________________
Printed Name:
__________________________________________
Address:
______________________________________
City, State, Zip:
__________________________________
Telephone Number:
_______________________________________
Fax Number:
Email Address:__________________________________
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, whose address is {street}______________________________________________________,
{city} ______________________________ {state} _____________, {phone} ________________________,
helped {name} _________________________________________________________________________,
who is the [Choose one only] ___ petitioner or ___ respondent, fill out this form.
Florida Supreme Court Approved Family Law Form 12.961, Notice of Hearing on Motion for Contempt/
Enforcement (9/11)

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