Family Law Financial Affidavit (Short Form)

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When should this form be used?
This form should be used when you are involved in a family law case which requires a financial
affidavit and your individual gross income is UNDER $50,000 per year unless.
(1) you are filing a simplified dissolution of marriage under rule 12.105 and both parties
have waived the filing of a financial affidavit.
(2) you have no minor children, no support issues, and have filed a written settlement
agreement disposing of all financial issues, or
(3) the court lacks jurisdiction to determine any financial issues.
This form should be typed or printed in black ink. After completing this form, you should sign
the form before a notary public or deputy clerk. You should file the original with the clerk of
the circuit court in the county where the petition was filed and keep a copy for your records.
What should I do next?
A copy of this form must be mailed or hand delivered to the other party in your case, if it is not
served on him or her with your initial papers. This must be accomplished within 45 days of
service of the petition.
Where can I look for more information?
Before proceeding, you should read “General Information for Self-Represented Litigants”
found at the beginning of these forms. The words that are in “bold underline” in these
instructions are defined there. For further information, see rule 12.285, Florida Family Law
Rules of Procedure.
Special notes...
If you want to keep your address confidential because you are the victim of sexual battery,
aggravated child abuse, aggravated stalking, harassment, aggravated battery, or domestic
violence, do not enter the address, telephone, and fax information at the bottom of this form.
Instead, file Request for Confidential Filing of Address, Florida Supreme Court Approved Family
Law Form 12.980(h).
Instructions to Florida Family Law Rules of Procedure Form 12.902(b), Family Law Financial Affidavit (Short Form)


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