Affidavit Of Diligent Search - Florida Circuit Court Page 4
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4I understand that I am swearing or affirming under oath to the truthfulness of the claims made in
this affidavit and that the punishment for knowingly making a false statement includes fines
and/or imprisonment.
Dated:_____________________________
_________________________________________
Signature of Petitioner
Printed Name: _____________________________
Address: _________________________________
City, State, Zip: ____________________________
Telephone Number: ________________________
Fax Number: ______________________________
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 deputy 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: {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 12.913(c), Affidavit of Diligent Search (11/12)
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