Motion For Referral To General Magistrate - Florida Circuit Court Page 3
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4IN THE CIRCUIT COURT OF THE _____________________ JUDICIAL CIRCUIT,
IN AND FOR ______________________________ COUNTY, FLORIDA
Case No: ________________________
Division: ________________________
_________________________________,
Petitioner,
and
_________________________________,
Respondent.
MOTION FOR REFERRAL TO GENERAL MAGISTRATE
I, {full legal name}
, request that the Court enter an order
referring this case to a general magistrate. The case should be referred to a general magistrate on the
following issues: {explain}
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
I certify that a copy of this document was [check all used]: ( ) e-mailed (
) mailed (
) faxed
(
) hand delivered to the person(s) listed below on {date} ____________________________.
Other party or his/her attorney:
Name: ____________________________
Address: __________________________
City, State, Zip: _____________________
Fax Number: _______________________
E-mail Address(es):___________________
__________________________________
Signature of Party or his/her attorney:
Printed Name: ______________________
Address: __________________________
City, State, Zip: _____________________
Telephone Number: _________________
Fax Number:________________________
E-mail Address(es):__________________
Florida Bar Number:_________________
Florida Family Law Rules of Procedure Form 12.920(a), Motion for Referral to General Magistrate (09/12)
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