Notice Of Filing Return Receipt - Florida Circuit Court Page 3

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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} ___________________________________________________________,
{street} _____________________________________________________________________,
{city} ______________________, {state} ______, {telephone number} ___________________.
Florida Family Law Rules of Procedure Form 12.996(c), Notice of Filing Return Receipt (09/12)

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