Waiver Of Service And Answer Form Florida
ADVERTISEMENT
1IN THE CIRCUIT COURT OF THE FIFTH JUDICIAL CIRCUIT
IN AND FOR _______________ COUNTY, FLORIDA
Case No.: ____________________________
STATE OF FLORIDA, Department of
Revenue/Child Support Enforcement:
_________________________________________,
Petitioner,
vs.
_________________________________________,
Respondent.
__________________________________________/
ACCEPTANCE OF SERVICE OF SUPPLEMENTAL PETITION AND ANSWER
1.
I, ________________________________________, hereby acknowledge receipt of a copy
of the Supplemental Petition to Modify Child Support and hereby WAIVE formal service of
process and accept service of process to the same degree as if said process and a summons
had been served by Sheriff or other certified process server duly authorized by law.
2.
The Responding party ___admits/___denies the allegations in the Supplemental Petition to
Modify Child Support and consents to the jurisdiction of the Court.
3.
I UNDERSTAND THAT I AM SWEARING OR AFFIRMING UNDER OATH TO
THE TRUTHFULNESS OF THE CLAIMS IN THIS ANSWER AND WAIVER AND
THAT PUNISHMENT FOR KNOWINGLY MAKING A FALSE STATEMENT
INCLUDES FINES AND/OR IMPRISONMENT.
4.
I request that all notices and orders be sent to me at the address below.
___________________________________________
Signature of Party
Printed name:_______________________________
Address:___________________________________
City/State/Zip________________________________
Telephone :_________________________________
Email:_____________________________________
State of Florida
County of ________________
Sworn to (or affirmed) and subscribed before me on this (date)____________________, 20__.
__________________________________________
Notary or Deputy Clerk
__________________________________________
Print name or stamp commissions name of notary
Check one:
_____ Personally known
______ Produced identification: Type of identification:_______________
I HEREBY CERTIFY that a copy has been furnished by mail/hand delivery to the person listed
below this ______ day of _____________________, 20___ to ____________________________,
(address)_____________________________________________________________________________.
___________________________________________
Signature of Party filing answer
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