Waiver Of Mandatory Disclosure - Florida Circuit Court (Page 2 of 3) in pdf

IN THE CIRCUIT COURT OF THE THIRTEENTH JUDICIAL CIRCUIT

IN AND FOR HILLSBOROUGH COUNTY, FLORIDA

Petition

e r,

Case

N o.

and

Divis

ion:

Respondent.

WAIVER OF MANDATORY DISCLOSURE

The undersigned parties to this action, pro se or through counsel, hereby waive the

mandatory disclosure required by Rule 12.285, Fla. Fam. L.R.P., as follows, acknowledging that

the requirement to file a financial affidavit cannot be waived:

FOR TEMPORARY RELIEF:

[check all that apply]

____

_ a. (

) 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 past year because the income tax return for

the past year has not been prepared;

_____

b. Pay stubs or other evidence of earned income for the 3 months before the service of the

financial affidavit.

II.

FOR INITIAL, SUPPLEMENTAL, AND PERMANENT FINANCIAL RELIEF:

[check all that apply]

_____ a. (

) All personal (1040) federal and state income tax returns, gift tax returns, and

intangible personal property tax returns for the preceding 3 years; or

(

) IRS forms W-2, 1099, and K-1 for past year because the income tax return for

the past year has not been prepared;

_____ b. Pay stubs or other evidence of earned income for the 3 months before the service of the

financial affidavit.

_____ c. A statement identifying the source and amount of all income for the 3 months before

the service of the financial affidavit, if not reflected on the pay stubs produced.

_____ d. All loan applications and financial statements prepared for any purpose or used for any

purpose within the 12 months preceding the service of the financial affidavit.

_____ e. All deeds to real estate in which the other party presently owns or owned an interest

within the past 3 years. All promissory notes in which the other party presently owns or

owned an interest within the last 12 months. All present leases in which the other party

owns an interest.

_____ f. All periodic statements for the last 3 months for all checking accounts and for the last

year for all savings accounts, money market funds, certificates of deposit, etc.

_____ g. All brokerage account statements for the past 12 months.

Judicial Circuit Form)

03/2008

Waiver of Mandatory Disclosure (

Waiver Of Mandatory Disclosure - Florida Circuit Court Page 2

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