Notice Of Filing Child Support Guidelines Worksheet - Florida Circuit Court Page 13

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[check one only]
a. ____ Deviation from the guidelines amount is requested. The Motion to Deviate from Child
Support Guidelines, Florida Supreme Court Approved Family Law Form 12.943, is attached.
b. ____ Deviation from the guidelines amount is NOT requested. The Motion to Deviate from
Child Support Guidelines, Florida Supreme Court Approved Family Law Form 12.943, is not
attached.
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} ,______ {telephone number}________________________.
Florida Family Law Rules of Procedure Form 12.902(e), Child Support Guidelines Worksheet (09/12)

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