Instructions For Florida Supreme Court Approved Family Law Form 12.905(A), Supplemental Petition To Modify Parentalresponsibility, Visitation Or Parenting Plan/ Time-Sharing Schedule And Other Relief (11/15) (Page 7 of 7) in pdf

Instructions For Florida Supreme Court Approved Family Law Form 12.905(A), Supplemental Petition To Modify Parentalresponsibility, Visitation Or Parenting Plan/ Time-Sharing Schedule And Other Relief (11/15) Page 7

I understand that I am swearing or affirming under oath to the truthfulness of the claims made in this

petition and that the punishment for knowingly making a false statement includes fines and/or

imprisonment.

Dated:

Signature of Petitioner

STATE OF FLORIDA

COUNTY OF

Sworn to or affirmed and signed before me on

NOTARY PUBLIC or DEPUTY CLERK

{Print, type, or stamp commissioned name of

notary or 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 the Petitioner.

This form was completed with the assistance of:

{name of individual} ____________________________________________________________________,

{name of business} ____________________________________________________________________,

{address} ____________________________________________________________________________,

{city} ______________,{state} _____,{zip code}___________,{telephone number} __________________

Florida Supreme Court Approved Family Law Form 12.905(a), Supplemental Petition to Modify Parental

Responsibility, Visitation, or Parenting Plan/Time-Sharing Schedule and Other Relief (11/15)

Instructions For Florida Supreme Court Approved Family Law Form 12.905(A), Supplemental Petition To Modify Parentalresponsibility, Visitation Or Parenting Plan/ Time-Sharing Schedule And Other Relief (11/15) Page 7

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