Notice Of Social Security Number Template With Instructions (Page 2 of 3) in pdf

Notice Of Social Security Number Template With Instructions Page 2

IN THE CIRCUIT COURT OF THE

JUDICIAL CIRCUIT,

IN AND FOR

COUNTY, FLORIDA

Case No.:

Division:

Petitioner,

and

Respondent.

NOTICE OF SOCIAL SECURITY NUMBER

I, {full legal name}

certify that my social security number is

, as required in section

61.052(7), sections 61.13(9) or (10), section 742.031(3), sections 742.032(1)–(3), and/or sections

742.10(1)–(2), Florida Statutes. My date of birth is

[/ one only]

1. This notice is being filed in a dissolution of marriage case in which the parties have no minor

children in common.

2. This notice is being filed in a paternity or child support case, or in a dissolution of marriage in

which the parties have minor children in common. The minor child(ren)'s name(s), date(s) of

birth, and social security number(s) is/are:

Name

Birth date

Social Security Number

{Attach additional pages if necessary.}

Disclosure of social security numbers shall be limited to the purpose of administration of the Title IV-D

program for child support enforcement.

Florida Supreme Court Approved Family Law Form 12.902(j), Notice of Social Security Number (9/00)

Notice Of Social Security Number Template With Instructions Page 2