Notice To Payor - Florida Circuit Court
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4INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE
FORM 12.996(b), NOTICE TO PAYOR (09/12)
When should this form be used?
This form should be used when an Income Deduction Order has been entered by the Court which is to
take effect immediately.
This form should be typed or printed in black ink. After completing this form, the original of this form
should be filed with the clerk of the circuit court in the county in which the action is pending. You
should keep a copy for your own records.
What should I do next?
A copy of this form, and a copy of the Income Deduction Order, must be sent to the obligor’s payor by
certified mail, return receipt requested. The return receipt should be sent to the person that prepared
this form so that it can filed with the clerk along with Florida Family Law Rules of Procedure Form
12.996(c), Notice of Filing Return Receipt.
A copy of this form must also be served on the other party or his or her attorney. Service must be in
accordance with Florida Rule of Judicial Administration 2.516.
Where can I look for more information?
Before proceeding, you should read “General Information for Self-Represented Litigants” found at the
beginning of these forms. The words that are in “bold underline” in these instructions are defined
there. For further information, see section 61.1301, Florida Statutes.
Special Instructions...
The Obligor’s social security number must be written on the copies of the Notice to Payor that are
mailed to the Obligor’s Payor and served on the other party or his or her attorney. The social security
number should not be written on the copy of the Notice to Payor filed with the court.
Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you fill out
these forms, that person must give you a copy of a Disclosure from Nonlawyer, Florida Family Law Rules
of Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fill out these forms
also must put his or her name, address, and telephone number on the bottom of the last page of every
form he or she helps you complete.
Instructions for Florida Family Law Rules of Procedure Form 12.996(b), Notice to Payor (09/12)
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