Certificate Of Compliance With Mandatory Disclosure - Florida Circuit Court

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IN THE CIRCUIT COURT OF THE
______ JUDICIAL CIRCUIT IN AND
FOR ____ COUNTY, FLORIDA
CASE NO. ____________________
DIVISION: ___________________
________________,
Petitioner,
and
________________,
Respondent.
______________________________/
CERTIFICATE OF COMPLIANCE WITH MANDATORY DISCLOSURE
1.
(Full legal name) ______________________, certify that
I have complied with the mandatory disclosure required by Florida
Family Law, Rule 12.285 as follows:
1.
FOR TEMPORARY FINANCIAL RELIEF, ONLY:
The date the following documents were served: __________________.
[check all that apply]
___
a.
Financial Affidavit (Filing of Financial Affidavit
cannot be waived).
( )
Florida Family Law Form 12.901(d) (short form)
( )
Florida Family Law Form 12.901(e) (long form)
___
b.
Child Support Guidelines Worksheet, Florida Family Law
Form 12.901(g), if child support involved.
___
c.
( )
All personal (1040) federal tax, gift tax, and
intangible personal property tax returns for the preceding
year; or
( )
Transcript of tax return as provided by IRS form
4506; or
( )
IRS forms W-2, 1099, and K-1 for the past year
because the income tax return for the past year has not been
prepared.
___
d.
Pay stubs or other evidence of earned income for the 3
months before the service of the financial affidavit.

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