Instructions For Florida Supreme Court Approved Family Law Form 12.983(E), Motion For Scientific Paternity Testing (11/15) (Page 4 of 4) in pdf

Instructions For Florida Supreme Court Approved Family Law Form 12.983(E), Motion For Scientific Paternity Testing (11/15) Page 4

Dated: ____________________

_______________________________________

Signature of Party

Printed Name: ___________________________

Address: _______________________________

City, State, Zip: __________________________

Telephone Number: ______________________

Fax Number: ____________________________

Designated E-mail Address(es): _____________

_______________________________________

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

clerk.}

_____ Personally known

_____ Produced identification

Type of identification produced _________________________

IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW:

[fill in all blanks] This form was prepared for the: {choose only one} (

) Petitioner (

) Respondent.

This form was completed with the assistance of:

{name of individual} ___________________________________________________________________,

{name of business} ____________________________________________________________________,

{address} ____________________________________________________________________________,

{city} ____________________, {state} _____, {zip code} __________, {telephone number} ____________.

Florida Supreme Court Approved Family Law Form 12.983(e), Motion for Scientific Paternity Testing (11/15)

Instructions For Florida Supreme Court Approved Family Law Form 12.983(E), Motion For Scientific Paternity Testing (11/15) Page 4