RULE 12.285. MANDATORY DISCLOSURE
(a) Application.
(1) Scope. This rule shall apply to all proceedings within the scope
of these rules except proceedings involving adoption, simplified dissolution,
enforcement, contempt, injunctions for domestic or repeat violence, and
uncontested dissolutions when the respondent is served by publication and does
not file an answer. Additionally, no financial affidavit or other documents shall be
required under this rule from a party seeking attorneys' fees, suit money, or costs, if
the basis for the request is solely under section 57.105, Florida Statutes, or any
successor statute. Except for the provisions as to financial affidavits and child
support guidelines worksheets, any portion of this rule may be modified by order
of the court or agreement of the parties.
(2) Original and Duplicate Copies. Unless otherwise agreed by
the parties or ordered by the court, copies of documents required under this rule
may be produced in lieu of originals. Originals, when available, shall be produced
for inspection upon request. Parties shall not be required to serve duplicates of
documents previously served.
(b) Time for Production of Documents.
(1) Temporary Financial Hearings. Any document required
under this rule in any temporary financial relief proceeding shall be served on the
other party for inspection and copying as follows.
(A) The party seeking relief shall serve the required
documents on the other party with the notice of temporary financial hearing, unless
the documents have been served under subdivision (b)(2) of this rule.
(B) The responding party shall serve the required documents
on the party seeking relief on or before 5:00 p.m., 2 business days before the day
of the temporary financial hearing if served by delivery or 7 days before the day of
the temporary financial hearing if served by mail, unless the documents have been
received previously by the party seeking relief under subdivision (b)(2) of this rule.
A responding party shall be given no less than 12 days to serve the documents
required under this rule, unless otherwise ordered by the court. If the 45-day period
for exchange of documents provided for in subdivision (b)(2) of this rule will occur
before the expiration of the 12 days, the provisions of subdivision (b)(2) control.
(2) Initial and Supplemental Proceedings. Any document
required under this rule for any initial or supplemental proceeding shall be served on
the other party for inspection and copying within 45 days of service of the initial
pleading on the respondent.
(c) Disclosure Requirements for Temporary Financial Relief. In any
proceeding for temporary financial relief heard within 45 days of the service of the
initial pleading or within any extension of the time for complying with mandatory
disclosure granted by the court or agreed to by the parties, the following
documents shall be served on the other party:
(1) A financial affidavit in substantial conformity with Florida
Family Law Rules of Procedure Form 12.902(b) if the party's gross annual income
is less than $50,000, or Florida Family Law Rules of Procedure Form 12.902(c) if
the party's gross annual income is equal to or more than $50,000. This requirement
cannot be waived by the parties. The affidavit also must be filed with the court.
(2) All federal and state income tax returns, gift tax returns, and
intangible personal property tax returns filed by the party or on the party's behalf
for the past year. A party may file a transcript of the tax return as provided by
Internal Revenue Service Form 4506 in lieu of his or her individual federal income
tax return for purposes of a temporary hearing.
(3) IRS forms W-2, 1099, and K-1 for the past year, if the income
tax return for that year has not been prepared.
(4) Pay stubs or other evidence of earned income for the 3 months
prior to service of the financial affidavit.
(d) Parties' Disclosure Requirements for Initial or Supplement
Proceedings. A party shall serve the following documents in any proceeding for an
initial or supplemental request for permanent financial relief, including, but not
limited to, a request for child support, alimony, equitable distribution of assets or
debts, or attorneys' fees, suit money, or costs:
(1) A financial affidavit in substantial conformity with Florida
Family Law Rules of Procedure Form 12.902(b) if the party's gross annual income
is less than $50,000, or Florida Family Law Rules of Procedure Form 12.902(c) if
the party's gross annual income is equal to or more than $50,000, which
requirement cannot be waived by the parties. The financial affidavits also must be
filed with the court. A party may request, by using the Standard Family Law
Interrogatories, or the court on its own motion may order, a party whose gross
annual income is less than $50,000 to complete Florida Family Law Rules of
Procedure Form 12.902(c).
(2) All federal and state income tax returns, gift tax returns, and
intangible personal property tax returns filed by the party or on the party's behalf
for the past 3 years.
(3) IRS forms W-2, 1099, and K-1 for the past year, if the income
tax return for that year has not been prepared.
(4) Pay stubs or other evidence of earned income for the 3 months
prior to service of the financial affidavit.
(5) A statement by the producing party identifying the amount and
source of all income received from any source during the 3 months preceding the
service of the financial affidavit required by this rule if not reflected on the pay
stubs produced.
(6) All loan applications and financial statements prepared or used
within the 12 months preceding service of that party's financial affidavit required by
this rule, whether for the purpose of obtaining or attempting to obtain credit or for
any other purpose.
(7) All deeds within the last 3 years, all promissory notes within the
last 12 months, and all present leases, in which the party owns or owned an interest,
whether held in the party's name individually, in the party's name jointly with any
other person or entity, in the party's name as trustee or guardian for any other
person, or in someone else's name on the party's behalf.
(8) All periodic statements from the last 3 months for all checking
accounts, and from the last 12 months for all other accounts (for example, savings
accounts, money market funds, certificates of deposit, etc.), regardless of whether
or not the account has been closed, including those held in the party's name indi-
vidually, in the party's name jointly with any other person or entity, in the party's
name as trustee or guardian for any other person, or in someone else's name on the
party's behalf.
(9) All brokerage account statements in which either party to this
action held within the last 12 months or holds an interest including those held in the
party's name individually, in the party's name jointly with any person or entity, in the
party's name as trustee or guardian for any other person, or in someone else's name
on the party's behalf.
(10) The most recent statement for any profit sharing, retirement,
deferred compensation, or pension plan (for example, IRA, 401(k), 403(b), SEP,
KEOGH, or other similar account) in which the party is a participant or alternate
payee and the summary plan description for any retirement, profit sharing, or
pension plan in which the party is a participant or an alternate payee. (The summary
plan description must be furnished to the party on request by the plan administrator
as required by 29 U.S.C. § 1024(b)(4).)
(11) The declarations page, the last periodic statement, and the
certificate for all life insurance policies insuring the party's life or the life of the
party's spouse, whether group insurance or otherwise, and all current health and
dental insurance cards covering either of the parties and/or their dependent children.
(12) Corporate, partnership, and trust tax returns for the last 3 tax
years if the party has an ownership or interest in a corporation, partnership, or trust
greater than or equal to 30%.
(13) All promissory notes for the last 12 months, all credit card and
charge account statements and other records showing the party's indebtedness as
of the date of the filing of this action and for the last 3 months, and all present lease
agreements, whether owed in the party's name individually, in the party's name
jointly with any other person or entity, in the party's name as trustee or guardian for
any other person, or in someone else's name on the party's behalf.
(14) All written premarital or marital agreements entered into at any
time between the parties to this marriage, whether before or during the marriage.
Additionally, in any modification proceeding, each party shall serve on the
opposing party all written agreements entered into between them at any time since
the order to be modified was entered.
(15) All documents and tangible evidence supporting the producing
party's claim of special equity or nonmarital status of an asset or debt for the time
period from the date of acquisition of the asset or debt to the date of production or
from the date of marriage, if based on premarital acquisition.
(16) Any court orders directing a party to pay or receive spousal or
child support.
(e) Duty to Supplement Disclosure; Amended Financial Affidavit.
(1) Parties have a continuing duty to supplement documents
described in this rule, including financial affidavits, whenever a material change in
their financial status occurs.
(2) If an amended financial affidavit or an amendment to a financial
affidavit is filed, the amending party also shall serve any subsequently discovered
or acquired documents supporting the amendments to the financial affidavit.
(f) Sanctions. Any document to be produced under this rule that is
served on the opposing party fewer than 24 hours before a nonfinal hearing or in
violation of the court's pretrial order shall not be admissible in evidence at that
hearing unless the court finds good cause for the delay. In addition, the court may
impose other sanctions authorized by rule 12.380 as may be equitable under the
circumstances. The court may also impose sanctions upon the offending lawyer in
lieu of imposing sanctions on a party.
(g) Extensions of Time for Complying with Mandatory Disclosure.
By agreement of the parties, the time for complying with mandatory disclosure may
be extended. Either party also may file, at least 5 days before the due date, a motion
to enlarge the time for complying with mandatory disclosure. The court shall grant
the request for good cause shown.
(h) Objections to Mandatory Automatic Disclosure. Objections to the
mandatory automatic disclosure required by this rule shall be served in writing at
least 5 days prior to the due date for the disclosure or the objections shall be
deemed waived. The filing of a timely objection, with a notice of hearing on the
objection, automatically stays mandatory disclosure for those matters within the
scope of the objection. For good cause shown, the court may extend the time for
the filing of an objection or permit the filing of an otherwise untimely objection. The
court shall impose sanctions for the filing of meritless or frivolous objections.
(i) Certificate of Compliance. All parties subject to automatic
mandatory disclosure shall file with the court a certificate of compliance, Florida
Family Law Rules of Procedure Form 12.932, identifying with particularity the
documents which have been delivered and certifying the date of service of the
financial affidavit and documents by that party. Except for the financial affidavit
and child support guidelines worksheet, no documents produced under this rule
shall be filed in the court file without a court order.
(j) Child Support Guidelines Worksheet. If the case involves child
support, the parties shall file with the court at or prior to a hearing to establish or
modify child support a Child Support Guidelines Worksheet in substantial
conformity with Florida Family Law Rules of Procedure Form 12.902(e). This
requirement cannot be waived by the parties.
(k) Place of Production.
(1) Unless otherwise agreed by the parties or ordered by the court,
all production required by this rule shall take place in the county where the action is
pending and in the office of the attorney for the party receiving production. Unless
otherwise agreed by the parties or ordered by the court, if a party does not have an
attorney or if the attorney does not have an office in the county where the action is
pending, production shall take place in the county where the action is pending at a
place designated in writing by the party receiving production, served at least 5 days
before the due date for production.
(2) If venue is contested, on motion by a party the court shall
designate the place where production will occur pending determination of the venue
issue.
(l) Failure of Defaulted Party to Comply. Nothing in this rule shall be
deemed to preclude the entry of a final judgment when a party in default has failed
to comply with this rule.
Commentary
1995 Adoption. This rule creates a procedure for automatic financial
disclosure in family law cases. By requiring production at an early stage in the
proceedings, it is hoped that the expense of litigation will be minimized. See Dralus
v. Dralus, 627 So.2d 505 (Fla. 2d DCA 1993); Wrona v. Wrona, 592 So.2d 694
(Fla. 2d DCA 1991); and Katz v. Katz, 505 So.2d 25 (Fla. 4th DCA 1987). A
limited number of requirements have been placed upon parties making and
spending less than $50,000 annually unless otherwise ordered by the court. In cases
where the income or expenses of a party are equal to or exceed $50,000 annually,
the requirements are much greater. Except for the provisions as to financial
affidavits, other than as set forth in subdivision (k), any portion of this rule may be
modified by agreement of the parties or by order of the court. For instance, upon
the request of any party or on the court's own motion, the court may order that the
parties to the proceeding comply with some or all of the automatic mandatory
disclosure provisions of this rule even though the parties do not meet the income
requirements set forth in subdivision (d). Additionally, the court may, on the motion
of a party or on its own motion, limit the disclosure requirements in this rule should
it find good cause for doing so.
Committee Notes
1997 Amendment. Except for the form of financial affidavit used,
mandatory disclosure is made the same for all parties subject to the rule, regardless
of income. The amount of information required to be disclosed is increased for
parties in the under-$50,000 category and decreased for parties in the $50,000-or-
over category. The standard family law interrogatories are no longer mandatory,
and their answers are designed to be supplemental and not duplicative of
information contained in the financial affidavits.
1998 Amendment. If one party has not provided necessary financial
information for the other party to complete a child support guidelines worksheet, a
good faith estimate should be made.
Instructions for Florida Family Law Rules of Procedure Form 12.902(b), Family Law Financial Affidavit (Short Form) (9/00)
IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,
IN AND FOR COUNTY, FLORIDA
Case No.:
Division:
,
Petitioner,
and
,
Respondent.
FAMILY LAW FINANCIAL AFFIDAVIT (SHORT FORM)
(Under $50,000 Individual Gross Annual Income)
I, {full legal name} , being sworn, certify that the following
information is true:
My Occupation:
Employed by:
Business Address:
Pay rate: $ ( ) every week ( ) every other week ( ) twice a month ( ) monthly ( ) other:
9 Check here if unemployed and explain on a separate sheet your efforts to find employment.
SECTION I. PRESENT MONTHLY GROSS INCOME:
All amounts must be MONTHLY. See the instructions with this form to figure out money amounts for anything that is NOT
paid monthly. Attach more paper, if needed. Items included under “other” should be listed separately with separate dollar
amounts.
1. Monthly gross salary or wages
2.
Monthly bonuses, commissions, allowances, overtime, tips, and similar
payments
3.
Monthly business income from sources such as self-employment,
partnerships, close corporations, and/or independent contracts (gross receipts
minus ordinary and necessary expenses required to produce income) (9
Attach sheet itemizing such income and expenses.)
4. Monthly disability benefits/SSI
5.
Monthly Workers’ Compensation
6. Monthly Unemployment Compensation
7.
Monthly pension, retirement, or annuity payments
8. Monthly Social Security benefits
9.
Monthly alimony actually received
9a. From this case: $
9b. From other case(s): Add 9a and 9b
10.
Monthly interest and dividends
11. Monthly rental income (gross receipts minus ordinary and necessary expenses
required to produce income) (9 Attach sheet itemizing such income and
expense items.)
12.
Monthly income from royalties, trusts, or estates
13. Monthly reimbursed expenses and in-kind payments to the extent that they
reduce personal living expenses
1. $
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
Florida Family Law Rules of Procedure Form 12.902(b), Family Law Financial Affidavit (Short Form) (9/00)
14.
Monthly gains derived from dealing in property (not including nonrecurring
gains)
15. Any other income of a recurring nature (list source)
16.
14.
15.
16.
17. PRESENT MONTHLY GROSS INCOME (Add lines 1–16)
TOTAL: 17. $
PRESENT MONTHLY DEDUCTIONS:
18.
Monthly federal, state, and local income tax (corrected for filing status and
allowable dependents and income tax liabilities)
a. Filing Status ____________
b. Number of dependents claimed _______
19. Monthly FICA or self-employment taxes
20. Monthly Medicare payments
21.
Monthly mandatory union dues
22. Monthly mandatory retirement payments
23.
Monthly health insurance payments (including dental insurance), excluding
portion paid for any minor children of this relationship
24. Monthly court-ordered child support actually paid for children from another
relationship
25. Monthly court-ordered alimony actually paid
25a. from this case: $
25b. from other case(s): Add 25a and 25b
18.
$
19.
20.
21.
22.
23.
24.
25.
26. TOTAL DEDUCTIONS ALLOWABLE UNDER SECTION 61.30,
FLORIDA STATUTES (Add lines 18 through 25) TOTAL: 26. $
PRESENT NET MONTHLY INCOME (Subtract line 26 from line 17) 27. $
SECTION II. AVERAGE MONTHLY EXPENSES
A. HOUSEHOLD:
Mortgage or rent $
Property taxes $
Utilities
$
Telephone $
Food
$
Meals outside home
$
Maintenance/Repairs $
Other:
$
B. AUTOMOBILE
Gasoline
$
Repairs $
Insurance $
C. CHILD(REN)’S EXPENSES
Day care
$
Lunch money
$
Clothing $
Grooming
$
Gifts for holidays
$
Medical/dental (uninsured)
$
Other:
$
D. INSURANCE
Medical/dental
$
Child(ren)’s medical/dental
$
Life $
Other: $
Florida Family Law Rules of Procedure Form 12.902(b), Family Law Financial Affidavit (Short Form) (9/00)
E. OTHER EXPENSES NOT LISTED ABOVE
Clothing $
Medical/Dental (uninsured)
$
Grooming $
Entertainment $
Gifts
$
Religious organizations $
Miscellaneous $
Other:
$
$
$
$
$
$
$
F. PAYMENTS TO CREDITORS
MONTHLY
CREDITOR: PAYMENT
$
$
$
$
$
$
$
$
$
$
$
28. TOTAL MONTHLY EXPENSES (add ALL monthly amounts in
A through F above) 28. $
SUMMARY
29. TOTAL PRESENT MONTHLY NET INCOME
(from line 27 of SECTION I. INCOME)
30. TOTAL MONTHLY EXPENSES (from line 28 above)
31. SURPLUS (If line 29 is more than line 30, subtract line 30 from line 29.
This is the amount of your surplus. Enter that amount here.)
32. (DEFICIT) (If line 30 is more than line 29, subtract line 29 from line 30.
This is the amount of your deficit. Enter that amount here.)
29. $
30. $
31. $
32. ($ )
SECTION III. ASSETS AND LIABILITIES
Use the nonmarital column only if this is a petition for dissolution of marriage and you believe an item is
“nonmarital,” meaning it belongs to only one of you and should not be divided. You should indicate to whom you believe
the item(s) or debt belongs. (Typically, you will only use this column if property/debt was owned/owed by one spouse before
the marriage. See the “General Information for Self-Represented Litigants” found at the beginning of these forms and
section 61.075(1), Florida Statutes, for definitions of “marital” and “nonmarital” assets and liabilities.)
A. ASSETS:
Florida Family Law Rules of Procedure Form 12.902(b), Family Law Financial Affidavit (Short Form) (9/00)
DESCRIPTION OF ITEM(S). List a description of each separate item owned by you
(and/or your spouse, if this is a petition for dissolution of marriage).
DO NOT LIST ACCOUNT NUMBERS. / the box next to any asset(s) which you
are requesting the judge award to you.
Current Fair
Market Value
Nonmarital
(/ correct column)
husband wife
9 Cash (on hand) $
9 Cash (in banks or credit unions)
9 Stocks, Bonds, Notes
9 Real estate: (Home)
9 (Other)
9 Automobiles
9 Other personal property
9 Retirement plans (Profit Sharing, Pension, IRA, 401(k)s, etc.)
9 Other
9
9
9
9
9
9
9 / here if additional pages are attached.
Total Assets (add column B) $
Florida Family Law Rules of Procedure Form 12.902(b), Family Law Financial Affidavit (Short Form) (9/00)
B. LIABILITIES:
DESCRIPTION OF ITEM(S). List a description of each separate debt owed by you
(and/or your spouse, if this is a petition for dissolution of marriage).
DO NOT LIST ACCOUNT NUMBERS
/ the box next to any debt(s) for which you believe you should be responsible.
Current
Amount
Owed
Nonmarital
(/ correct column)
husband wife
9 Mortgages on real estate $
9
9
9
9 Auto loans
9
9
9 Charge/credit card accounts
9
9
9
9 Other
9
9
9 / here if additional pages are attached.
Total Debts (add column B) $
C. CONTINGENT ASSETS AND LIABILITIES:
INSTRUCTIONS: If you have any POSSIBLE assets (income potential, accrued vacation or sick leave, bonus, inheritance,
etc.) or POSSIBLE liabilities (possible lawsuits, future unpaid taxes, contingent tax liabilities, debts assumed by another), you
must list them here.
Contingent Assets
/ the box next to any contingent asset(s) which you are requesting the judge
award to you.
Possible Value
Nonmarital
(/ correct column)
husband wife
9 $
9
Total Contingent Assets $
Contingent Liabilities
/ the box next to any contingent debt(s) for which you believe you should be
responsible.
Possible
Amount Owed
Nonmarital
(/ correct column)
husband wife
9 $
9
Total Contingent Liabilities $
SECTION IV. CHILD SUPPORT GUIDELINES WORKSHEET
(O” Florida Family Law Rules of Procedure Form 12.902(e), Child Support Guidelines Worksheet, MUST be filed
with the court at or prior to a hearing to establish or modify child support. This requirement cannot be waived by the
parties.)
[ / one only]
A Child Support Guidelines Worksheet IS or WILL BE filed in this case. This case involves the
Florida Family Law Rules of Procedure Form 12.902(b), Family Law Financial Affidavit (Short Form) (9/00)
establishment or modification of child support.
A Child Support Guidelines Worksheet IS NOT being filed in this case. The establishment or
modification of child support is not an issue in this case.
I certify that a copy of this document was [ / one only] ( ) mailed ( ) faxed and mailed ( ) hand delivered
to the person(s) listed below on {date} .
Other party or his/her attorney:
Name:
Address:
City, State, Zip:
Fax Number:
I understand that I am swearing or affirming under oath to the truthfulness of the claims made in this
affidavit and that the punishment for knowingly making a false statement includes fines and/or imprisonment.
Dated:
Signature of Party
Printed Name:
Address:
City, State, Zip:
Telephone Number:
Fax Number:
STATE OF FLORIDA
COUNTY OF
Sworn to or affirmed and signed before me on by .
NOTARY PUBLIC or DEPUTY CLERK
[Print, type, or stamp commissioned name of notary or deputy
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: [ N
fill in all blanks]
I, {full legal name and trade name of nonlawyer} ,
a nonlawyer, located at {street} , {city} ,
{state} , {phone} , helped {name} ,
who is the [ / one only] petitioner or respondent, fill out this form.
Florida Family Law Rules of Procedure Form 12.902(c), Family Law Financial Affidavit (9/00)
IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,
IN AND FOR COUNTY, FLORIDA
Case No.:
Division:
,
Petitioner,
and
,
Respondent.
FAMILY LAW FINANCIAL AFFIDAVIT
($50,000 or more Individual Gross Annual Income)
I, {full legal name}
, being sworn, certify that the following information is true:
SECTION I. INCOME
1.
Date of Birth:
2. Social Security Number:
32. My occupation is:
43.
I am currently
[ / all that apply]
a. Unemployed
Describe your efforts to find employment, how soon you expect to be employed, and the pay you
expect to receive:
b. Employed by:
Address:
City, State, Zip code:
Telephone Number:
Pay rate: $ ( ) every week ( ) every other week ( ) twice a month ( )
monthly
( ) other:
If you are expecting to become unemployed or change jobs soon, describe the change you expect and
why and how it will affect your income:
9 Check here if you currently have more than one job. List the information above for the second
job(s) on a separate sheet and attach it to this affidavit.
c. Retired. Date of retirement:
Employer from whom retired:
Address:
City, State, Zip code: Telephone Number:
Florida Family Law Rules of Procedure Form 12.902(c), Family Law Financial Affidavit (9/00)
LAST YEAR’S GROSS INCOME:
Your Income Other Party’s Income (if known)
YEAR $ $
PRESENT MONTHLY GROSS INCOME:
All amounts must be MONTHLY. See the instructions with this form to figure out money amounts for anything that is NOT paid
monthly. Attach more paper, if needed. Items included under “other” should be listed separately with separate dollar amounts.
1. Monthly gross salary or wages
2.
Monthly bonuses, commissions, allowances, overtime, tips, and similar
payments
3.
Monthly business income from sources such as self-employment,
partnerships, close corporations, and/or independent contracts (Gross
receipts minus ordinary and necessary expenses required to produce
income.)
(9 Attach sheet itemizing such income and expenses.)
4.
Monthly disability benefits/SSI
5. Monthly Workers’ Compensation
6. Monthly Unemployment Compensation
7.
Monthly pension, retirement, or annuity payments
8.
Monthly Social Security benefits
9.
Monthly alimony actually received
9a. From this case: $
9b. From other case(s): Add 9a and 9b
10.
Monthly interest and dividends
11.
Monthly rental income (gross receipts minus ordinary and necessary
expenses required to produce income) (9 Attach sheet itemizing such
income and expense items.)
12. Monthly income from royalties, trusts, or estates
13.
Monthly reimbursed expenses and in-kind payments to the extent that they
reduce personal living expenses (9 Attach sheet itemizing each item and
amount.)
14. Monthly gains derived from dealing in property (not including nonrecurring
gains)
Any other income of a recurring nature (identify source)
15.
16.
1. $
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17. PRESENT MONTHLY GROSS INCOME (Add lines 1–16) TOTAL:
17. $
PRESENT MONTHLY DEDUCTIONS:
All amounts must be MONTHLY. See the instructions with this form to figure out money amounts for anything that is NOT paid
monthly.
18. Monthly federal, state, and local income tax (corrected for filing status and
allowable dependents and income tax liabilities)
a. Filing Status
b. Number of dependents claimed
19. Monthly FICA or self-employment taxes
20. Monthly Medicare payments
21.
Monthly mandatory union dues
22.
Monthly mandatory retirement payments
18.
$
19.
20.
21.
22.
Florida Family Law Rules of Procedure Form 12.902(c), Family Law Financial Affidavit (9/00)
23. Monthly health insurance payments (including dental insurance), excluding
portion paid for any minor children of this relationship
24.
Monthly court-ordered child support actually paid for children from another
relationship
25. Monthly court-ordered alimony actually paid
25a. from this case: $
25b. from other case(s): Add 25a and 25b
23.
24.
25.
26. TOTAL DEDUCTIONS ALLOWABLE UNDER SECTION 61.30,
FLORIDA STATUTES (Add lines 18 through 25)
TOTAL: 26. $
27. PRESENT NET MONTHLY INCOME (Subtract line 26 from line 17)
27. $
SECTION II. AVERAGE MONTHLY EXPENSES
Proposed/Estimated Expenses. If this is a dissolution of marriage case and your expenses as listed below
do not reflect what you actually pay currently, you should write “estimate” next to each amount that is
estimated.
HOUSEHOLD:
1.
Monthly mortgage or rent payments
2.
Monthly property taxes (if not included in mortgage)
3. Monthly insurance on residence (if not included in mortgage)
4. Monthly condominium maintenance fees and homeowner’s association fees
5. Monthly electricity
6.
Monthly water, garbage, and sewer
7.
Monthly telephone
8.
Monthly fuel oil or natural gas
9. Monthly repairs and maintenance
10. Monthly lawn care
11. Monthly pool maintenance
12.
Monthly pest control
13.
Monthly misc. household
14.
Monthly food and home supplies
15. Monthly meals outside home
16. Monthly cable t.v.
17. Monthly alarm service contract
18.
Monthly service contracts on appliances
19.
Monthly maid service
Other:
20.
21.
22.
23.
24.
1.
$
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25. SUBTOTAL (add lines 1 through 24) 25. $
Florida Family Law Rules of Procedure Form 12.902(c), Family Law Financial Affidavit (9/00)
AUTOMOBILE:
26. Monthly gasoline and oil
27. Monthly repairs
28.
Monthly auto tags and emission testing
29.
Monthly insurance
30.
Monthly payments (lease or financing)
31. Monthly rental/replacements
32. Monthly alternative transportation (bus, rail, car pool, etc.)
33.
Monthly tolls and parking
34. Other:
26.
$
27.
28.
29.
30.
31.
32.
33.
34.
35. SUBTOTAL (add lines 26 through 34) 35. $
MONTHLY EXPENSES FOR CHILDREN COMMON TO BOTH
PARTIES:
36. Monthly nursery, babysitting, or day care
37. Monthly school tuition
38.
Monthly school supplies, books, and fees
39. Monthly after school activities
40.
Monthly lunch money
41. Monthly private lessons or tutoring
42. Monthly allowances
43.
Monthly clothing and uniforms
44. Monthly entertainment (movies, parties, etc.)
45.
Monthly health insurance
46. Monthly medical, dental, prescriptions (nonreimbursed only)
47. Monthly psychiatric/psychological/counselor
48.
Monthly orthodontic
49. Monthly vitamins
50.
Monthly beauty parlor/barber shop
51. Monthly nonprescription medication
52. Monthly cosmetics, toiletries, and sundries
53.
Monthly gifts from child(ren) to others (other children, relatives, teachers,
etc.)
54.
Monthly camp or summer activities
55. Monthly clubs (Boy/Girl Scouts, etc.)
56. Monthly access expenses (for nonresidential parent)
57.
Monthly miscellaneous
36. $
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58. SUBTOTAL (add lines 36 through 57) 58. $
MONTHLY EXPENSES FOR CHILD(REN) FROM ANOTHER
RELATIONSHIP: (other than court-ordered child support)
59.
60.
61.
62.
59.
$
60.
61.
62.
63. SUBTOTAL (add lines 59 through 62) 63. $
Florida Family Law Rules of Procedure Form 12.902(c), Family Law Financial Affidavit (9/00)
MONTHLY INSURANCE:
64.
Health insurance, excluding portion paid for any minor child(ren) of this
relationship
65.
Life insurance
66. Dental insurance
Other:
67.
68.
64. $
65.
66.
67.
68.
69. SUBTOTAL (add lines 64 through 68) 69. $
OTHER MONTHLY EXPENSES NOT LISTED ABOVE:
70. Monthly dry cleaning and laundry
71. Monthly clothing
72.
Monthly medical, dental, and prescription (unreimbursed only)
73.
Monthly psychiatric, psychological, or counselor (unreimbursed only)
74. Monthly non-prescription medications, cosmetics, toiletries, and sundries
75. Monthly grooming
76.
Monthly gifts
77.
Monthly pet expenses
78. Monthly club dues and membership
79. Monthly sports and hobbies
80.
Monthly entertainment
81.
Monthly periodicals/books/tapes/CD’s
82. Monthly vacations
83. Monthly religious organizations
84.
Monthly bank charges/credit card fees
85. Monthly education expenses
Other: (include any usual and customary expenses not otherwise mentioned in
the items listed above)
86.
87.
88.
89.
70. $
71.
72.
73.
74.
75.
76.
77.
78.
79.
80.
81.
82.
83.
84.
85.
86.
87.
88.
89.
90. SUBTOTAL (add lines 70 through 89) 90.
$
MONTHLY PAYMENTS TO CREDITORS: (only when payments are currently made by you on
outstanding balances) DO NOT LIST ACCOUNT NUMBERS
NAME OF CREDITOR(s):
91.
92.
93.
94.
95.
96.
97.
98.
99.
100.
101.
91. $
92.
93.
94.
95.
96.
97.
98.
99.
100.
101.
Florida Family Law Rules of Procedure Form 12.902(c), Family Law Financial Affidavit (9/00)
102.
103.
102.
103.
104. SUBTOTAL (add lines 91 through 103) 104. $
105. TOTAL MONTHLY EXPENSES:
(add lines 25, 35, 58, 63, 69, 90, and 104 of Section II, Expenses) 105. $
SUMMARY
106.
TOTAL PRESENT MONTHLY NET INCOME
(from line 27 of SECTION I. INCOME)
106. $
107.
TOTAL MONTHLY EXPENSES (from line 105 above)
108.
SURPLUS (If line 106 is more than line 107, subtract line 107 from
line 106. This is the amount of your surplus. Enter that amount here.)
107. $
108. $
109.
(DEFICIT) (If line 107 is more than line 106, subtract line 106 from
line 107. This is the amount of your deficit. Enter that amount here.) 109. ($ )
SECTION III. ASSETS AND LIABILITIES
A. ASSETS (This is where you list what you OWN.)
INSTRUCTIONS:
STEP 1: In column A, list a description of each separate item owned by you (and/or your spouse, if this is a petition for dissolution
of marriage). Blank spaces are provided if you need to list more than one of an item.
STEP 2: If this is a petition for dissolution of marriage, check the box in Column A next to any item that you are requesting the
judge award to you.
STEP 3: In column B, write what you believe to be the current fair market value of all items listed.
STEP 4: Use column C only if this is a petition for dissolution of marriage and you believe an item is “nonmarital,”
meaning it belongs to only one of you and should not be divided. You should indicate to whom you believe the item belongs.
(Typically, you will only use Column C if property was owned by one spouse before the marriage. See the “General Information
for Self-Represented Litigants” found at the beginning of these forms and section 61.075(1), Florida Statutes, for definitions of
“marital” and “nonmarital” assets and liabilities.)
A
ASSETS: DESCRIPTION OF ITEM(S)
DO NOT LIST ACCOUNT NUMBERS
/ the box next to any asset(s) which you are requesting the judge award to you.
B
Current Fair
Market Value
C
Nonmarital
(/ correct column)
husband wife
9 Cash (on hand)
$
9 Cash (in banks or credit unions)
9
9 Stocks/Bonds
9
9
9 Notes (money owed to you in writing)
A
ASSETS: DESCRIPTION OF ITEM(S)
DO NOT LIST ACCOUNT NUMBERS
/ the box next to any asset(s) which you are requesting the judge award to you.
B
Current Fair
Market Value
C
Nonmarital
(/ correct column)
husband wife
Florida Family Law Rules of Procedure Form 12.902(c), Family Law Financial Affidavit (9/00)
9
9
9 Money owed to you (not evidenced by a note)
9
9
9 Real estate: (Home)
9 (Other)
9
9
9
9
9
9 Business interests
9
9
9
9
9 Automobiles
9
9
9
9 Boats
9
9
9 Other vehicles
9
9
9 Retirement plans (Profit Sharing, Pension, IRA, 401(k)s, etc.)
9
9
9
9 Furniture & furnishings in home
9
9 Furniture & furnishings elsewhere
9
9 Collectibles
A
ASSETS: DESCRIPTION OF ITEM(S)
DO NOT LIST ACCOUNT NUMBERS
/ the box next to any asset(s) which you are requesting the judge award to you.
B
Current Fair
Market Value
C
Nonmarital
(/ correct column)
husband wife
Florida Family Law Rules of Procedure Form 12.902(c), Family Law Financial Affidavit (9/00)
9
9 Jewelry
9
9 Life insurance (cash surrender value)
9
9
9 Sporting and entertainment (T.V., stereo, etc.) equipment
9
9
9
9
9 Other assets
9
9
9
9
9
9
9
Total Assets (add column B) $
B. LIABILITIES/DEBTS (This is where you list what you OWE.)
INSTRUCTIONS:
STEP 1: In column A, list a description of each separate debt owed by you (and/or your spouse, if this is a petition for dissolution
of marriage). Blank spaces are provided if you need to list more than one of an item.
STEP 2: If this is a petition for dissolution of marriage, check the box in Column A next to any debt(s) for which you believe you
should be responsible.
STEP 3: In column B, write what you believe to be the current amount owed for all items listed.
STEP 4: Use column C only if this is a petition for dissolution of marriage and you believe an item is “nonmarital,”
meaning the debt belongs to only one of you and should not be divided. You should indicate to whom you believe the debt
belongs. (Typically, you will only use Column C if the debt was owed by one spouse before the marriage. See the “General
Information for Self-Represented Litigants” found at the beginning of these forms and section 61.075(1), Florida Statutes, for
definitions of “marital” and “nonmarital” assets and liabilities.)
Florida Family Law Rules of Procedure Form 12.902(c), Family Law Financial Affidavit (9/00)
A
LIABILITIES: DESCRIPTION OF ITEM(S)
DO NOT LIST ACCOUNT NUMBERS
/ the box next to any debt(s) for which you believe you should be responsible.
B
Current
Amount
Owed
C
Nonmarital
(/ correct column)
husband wife
9 Mortgages on real estate: (Home) $
9
9
9
9 Charge/credit card accounts
9
9
9
9
9
9 Auto loan
9 Auto loan
9 Bank/Credit Union loans
9
9
9
9 Money you owe (not evidenced by a note)
9
9 Judgments
9
9 Other
9
9
9
9
9
9
Total Debts (add column B) $
C. NET WORTH (excluding contingent assets and liabilities)
Total Assets (enter total of Column B in Asset Table; Section A) $
Total Liabilities (enter total of Column B in Liabilities Table; Section B) $
TOTAL NET WORTH (Total Assets minus Total Liabilities)
(excluding contingent assets and liabilities) $
Florida Family Law Rules of Procedure Form 12.902(c), Family Law Financial Affidavit (9/00)
D. CONTINGENT ASSETS AND LIABILITIES
INSTRUCTIONS:
If you have any POSSIBLE assets (income potential, accrued vacation or sick leave, bonus, inheritance, etc.) or POSSIBLE
liabilities (possible lawsuits, future unpaid taxes, contingent tax liabilities, debts assumed by another), you must list them here.
A
Contingent Assets
/the box next to any contingent asset(s) which you are requesting the judge
award to you.
B
Possible Value
C
Nonmarital
(/ correct column)
husband wife
9 $
9
9
9
9
Total Contingent Assets
$
A
Contingent Liabilities
/the box next to any contingent debt(s) for which you believe you should be
responsible.
B
Possible
Amount Owed
C
Nonmarital
(/ correct column)
husband wife
9 $
9
9
9
9
Total Contingent Liabilities
$
E. Has there been any agreement between you and the other party that one of you will take responsibility
for a debt and will hold the other party harmless from that debt? ( ) yes ( ) no
If yes, explain:
F. CHILD SUPPORT GUIDELINES WORKSHEET. O” Florida Family Law Rules of Procedure
Form 12.902(e), Child Support Guidelines Worksheet, MUST be filed with the court at or prior to a hearing
to establish or modify child support. This requirement cannot be waived by the parties.
[ / one only]
A Child Support Guidelines Worksheet IS or WILL BE filed in this case. This case involves
the establishment or modification of child support.
Florida Family Law Rules of Procedure Form 12.902(c), Family Law Financial Affidavit (9/00)
A Child Support Guidelines Worksheet IS NOT being filed in this case. The establishment
or modification of child support is not an issue in this case.
I certify that a copy of this financial affidavit was: ( ) mailed, ( ) faxed and mailed, or ( ) hand
delivered to the person(s) listed below on {date} .
Other party or his/her attorney:
Name:
Address:
City, State, Zip:
Fax Number:
I understand that I am swearing or affirming under oath to the truthfulness of the claims
made in this affidavit and that the punishment for knowingly making a false statement includes fines
and/or imprisonment.
Dated:
Signature of Party
Printed Name:
Address:
City, State, Zip:
Telephone Number:
Fax Number:
Florida Family Law Rules of Procedure Form 12.902(c), Family Law Financial Affidavit (9/00)
STATE OF FLORIDA
COUNTY OF
Sworn to or affirmed and signed before me on by .
NOTARY PUBLIC or DEPUTY CLERK
[Print, type, or stamp commissioned name of
notary or deputy 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: [ N fill in all blanks]
I, {full legal name and trade name of nonlawyer} ,
a nonlawyer, located at {street}
, {city} ,
{state}
, {phone} , helped {name} ,
who is the [ / one only] petitioner or respondent, fill out this form.
Florida Supreme Court Approved Family Law Form 12.902(d), Uniform Child Custody Jurisdiction Act (UCCJA) Affidavit (9/00)
IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,
IN AND FOR COUNTY, FLORIDA
Case No.:
Division:
,
Petitioner,
and
,
Respondent.
UNIFORM CHILD CUSTODY JURISDICTION ACT (UCCJA) AFFIDAVIT
I, {full legal name} , being sworn, certify that the following
statements are true:
1.
The number of minor child(ren) subject to this proceeding is . The name, social security
number, place of birth, birth date, and sex of each child; the present address, periods of residence, and places
where each child has lived within the past five (5) years; and the name, present address, and relationship
to the child of each person with whom the child has lived during that time are:
THE FOLLOWING INFORMATION IS TRUE ABOUT CHILD # 1 :
Child’s Full Legal Name:
S.S. #
Place of Birth: Date of Birth: Sex:
Child’s Residence for the past 5 years:
Dates
(From/To)
Address (including city and
state) where child lived
Name and present address of
person child lived with
Relationship
to child
/present*
/
/
/
/
/
* If you are the petitioner in an injunction for protection against domestic violence case and you have filed Petitioner’s
Request for Confidential Filing of Address, O” Florida Supreme Court Approved Family Law Form 12.980(i), you
should write “confidential” in any space on this form that would require you to enter the address where you are
currently living.
THE FOLLOWING INFORMATION IS TRUE ABOUT CHILD # :
(Make as many copies of page 2 as necessary.)
Florida Supreme Court Approved Family Law Form 12.902(d), Uniform Child Custody Jurisdiction Act (UCCJA) Affidavit (9/00)
Child’s Full Legal Name: S.S. #
Place of Birth: Date of Birth: Sex:
Child’s Residence for the past 5 years:
Dates
(From/To)
Address (including city and
state) where child lived
Name and present address of
person child lived with
Relationship
to child
/present
/
/
/
/
/
THE FOLLOWING INFORMATION IS TRUE ABOUT CHILD # :
Child’s Full Legal Name: S.S. #
Place of Birth:
Date of Birth: Sex:
Child’s Residence for the past 5 years:
Dates
(From/To)
Address (including city and
state) where child lived
Name and present address of
person child lived with
Relationship
to child
/present
/
/
/
/
/
Florida Supreme Court Approved Family Law Form 12.902(d), Uniform Child Custody Jurisdiction Act (UCCJA) Affidavit (9/00)
A completed Notice of Social Security Number, Florida Supreme Court Approved Family Law Form 12.901(j)
has been filed in this action.
2.
Participation in custody proceeding(s):
[ / one only]
I HAVE NOT participated as a party, witness, or in any capacity in any other litigation or custody
proceeding in this or any other state, concerning custody of a child subject to this proceeding.
I HAVE participated as a party, witness, or in any capacity in any other litigation or custody
proceeding in this or another state, concerning custody of a child subject to this proceeding. Explain:
a. Name of each child:
b. Type of proceeding:
c. Court and state:
d. Date of court order or judgment (if any):
3. Information about custody proceeding(s):
[ / one only]
I HAVE NO INFORMATION of any custody proceeding pending in a court of this or any other
state concerning a child subject to this proceeding.
I HAVE THE FOLLOWING INFORMATION concerning a custody proceeding pending in a court
of this or another state concerning a child subject to this proceeding, other than set out in item 2.
Explain:
a. Name of each child:
b. Type of proceeding:
c. Court and state:
d. Date of court order or judgment (if any):
4.
Persons not a party to this proceeding:
[ / one only]
I DO NOT KNOW OF ANY PERSON not a party to this proceeding who has physical custody or
claims to have custody or visitation rights with respect to any child subject to this proceeding.
I KNOW THAT THE FOLLOWING NAMED PERSON(S) not a party to this proceeding has
(have) physical custody or claim(s) to have custody or visitation rights with respect to any child
subject to this proceeding:
a. Name and address of person:
( ) has physical custody ( ) claims custody rights ( ) claims visitation rights.
Name of each child:
b. Name and address of person:
( ) has physical custody ( ) claims custody rights ( ) claims visitation rights.
Name of each child:
c. Name and address of person:
( ) has physical custody ( ) claims custody rights ( ) claims visitation rights.
Name of each child:
5.
Knowledge of prior child support proceedings:
[ / one only]
Florida Supreme Court Approved Family Law Form 12.902(d), Uniform Child Custody Jurisdiction Act (UCCJA) Affidavit (9/00)
The child(ren) described in this affidavit are NOT subject to existing child support order(s) in this or
any state or territory.
The child(ren) described in this affidavit are subject to the following existing child support order(s):
a. Name of each child:
b. Type of proceeding:
c. Court and address:
d. Date of court order/judgment (if any):
e. Amount of child support paid and by whom:
6.
I acknowledge that I have a continuing duty to advise this Court of any custody, visitation,
child support, or guardianship proceeding (including dissolution of marriage, separate
maintenance, child neglect, or dependency) concerning the child(ren) in this state or any
other state about which information is obtained during this proceeding.
I certify that a copy of this document was [ / one only] ( ) mailed ( ) faxed and mailed ( ) hand
delivered to the person(s) listed below on {date} .
Other party or his/her attorney:
Name:
Address:
City, State, Zip:
Fax Number:
I understand that I am swearing or affirming under oath to the truthfulness of the claims
made in this affidavit and that the punishment for knowingly making a false statement includes fines
and/or imprisonment.
Dated:
Signature of Party
Printed Name:
Address:
City, State, Zip:
Telephone Number:
Fax Number:
Florida Supreme Court Approved Family Law Form 12.902(d), Uniform Child Custody Jurisdiction Act (UCCJA) Affidavit (9/00)
STATE OF FLORIDA
COUNTY OF
Sworn to or affirmed and signed before me on by .
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: [ N fill in all blanks]
I, {full legal name and trade name of nonlawyer} ,
a nonlawyer, located at {street}
, {city} ,
{state}
, {phone} , helped {name} ,
who is the [ / one only] petitioner or respondent, fill out this form.
Instructions for Florida Supreme Court Approved Family Law Form 12.902(j), Notice of Social Security Number (9/00)
INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM
12.902(j),
NOTICE OF SOCIAL SECURITY NUMBER
When should this form be used?
This form must be completed and filed by each party in all paternity, child support, and dissolution of
marriage cases, regardless of whether the case involves a minor child(ren) and/or property.
This form should be typed or printed in black ink. After completing this form, you should filedeliver the
original withto the clerk of the circuit court in the county where your case was filed and keep a copy for
your records. The original will be placed in a separate depository with limited access or a confidential file
maintained for notices of social security number.
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.
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 sections 61.052 and 61.13, Florida Statutes.
Special notes...
If this is a domestic violence case and you want to keep your address confidential for safety
reasons, do not enter the address, telephone, and fax information at the bottom of this form.
Instead, file Petitioner’s Request for Confidential Filing of Address, O’ Florida Supreme Court
Approved Family Law Form 12.980(i).
Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you fill out these
forms, that person must give you a copy of a Disclosure from Nonlawyer, O‘ Florida Family Law Rules
of Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fill out these forms also
must put his or her name, address, and telephone number on the bottom of the last page of every form he
or she helps you complete.
Florida Supreme Court Approved Family Law Form 12.902(j), Notice of Social Security Number (9/00)
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.
I understand that I am swearing or affirming under oath to the truthfulness of the claims made in
this notice and that the punishment for knowingly making a false statement includes fines and/or
imprisonment.
Dated:
Signature
Printed Name:
Address:
City, State, Zip:
Florida Supreme Court Approved Family Law Form 12.902(j), Notice of Social Security Number (9/00)
Telephone Number:
Fax Number:
STATE OF FLORIDA
COUNTY OF ________
Sworn to or affirmed and signed before me on
by .
NOTARY PUBLIC or DEPUTY CLERK
[Print, type, or stamp commissioned name of notary or clerk]
Personally known
Produced identification
Type of identification produced
NOTICE TO CLERK OF COURT: This form is to be maintained in a confidential file or maintained in a
separate depository with access limited to Title IV-D agencies, the parties or their attorneys of record, the
court, any child support enforcement agent, and the attorney for the minor child. This notice is not to be
placed in the court file.
NOTICE TO THIRD PARTIES RECEIVING THIS NOTICE; The information contained in this notice
is not be disclosed to other entities. This information is provided for purposes of support enforcement only.
IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE
BLANKS BELOW: [ N fill in all blanks]
I, {full legal name and trade name of nonlawyer} ,
a nonlawyer, located at {street}
, {city} ,
{state}
, {phone} , helped {name} ,
who is the [ / one only] petitioner or respondent, fill out this form.
Instructions for Florida Family Law Rules of Procedure Form 12.930(a), Notice of Service of Standard Family Law Interrogatories
(9/00)
INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM 12.930(a),
NOTICE OF SERVICE OF STANDARD FAMILY LAW INTERROGATORIES
When should this form be used?
You should use this form to tell the court that you are asking the other party in your case to answer certain
standard questions in writing. These questions are called interrogatories, and they must relate to your case.
The standard family law interrogatories are designed to supplement the information provided in the Financial
Affidavit, O” Florida Family Law Rules of Procedure Form 12.902(b) or (c). You should carefully read the
standard interrogatory forms, O” Florida Family Law Rules of Procedure Form 12.930(b) and (c), to
determine which questions, if any, the other party needs to answer in order to provide you with information
not covered by the financial affidavit forms.
This form should be typed or printed in black ink. You must indicate whether you are sending the
interrogatories for original and enforcement proceedings or the interrogatories for modification proceedings.
You must also indicate which questions you are asking the other party to answer. After completing this form
you should file the original with the clerk of the circuit court in the county where your case was filed and
keep a copy for your records.
What should I do next?
A copy of this form, along with two copies of the appropriate interrogatories, O” Florida Family Law Rules
of Procedure Form 12.930(b) or (c), must be mailed or hand delivered to the other party in your case.
You may want to inform the other party of the following information:
As a general rule, within 30 days after service of interrogatories, the other party must answer the questions
in writing and mail (have postmarked) the answers to you. His or her answers may be written on as many
separate sheets of paper as necessary. He or she should number each page and indicate which question(s)
he or she is answering, and be sure to make a copy for him/herself. All answers to these questions are made
under oath or affirmation as to their truthfulness. Each question must be answered separately and as
completely as the available information permits.The original of the answers to the interrogatories is to be
provided to the requesting party. Do not file the original or a copy with the clerk of the circuit court except
as provided in Florida Rule of Civil Procedure 1.340(e).
The other party may object to a question by writing the legal reason for the objection in the space provided.
He or she may also ask the court for a protective order granting him or her permission not to answer certain
questions and protecting him or her from annoyance, embarrassment, apprehension, or undue burden or
expense. If the other party fails to either answer or object to the questions within 30 days, he or she
may be subject to court sanctions.
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. For further information, see rules 12.280, 12.285, 12.340, and 12.380,
Florida Family Law Rules of Procedure, and rules 1.280, 1.340, and 1.380, Florida Rules of Civil Procedure.
Instructions for Florida Family Law Rules of Procedure Form 12.930(a), Notice of Service of Standard Family Law Interrogatories
(9/00)
Special notes...
Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you fill out these
forms, that person must give you a copy of Disclosure from Nonlawyer, O” Florida Family Law Rules
of Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fill out these forms also
must put his or her name, address, and telephone number on the bottom of the last page of every form he
or she helps you complete.
Instructions for Florida Family Law Rules of Procedure Form 12.930(b), Standard Family Law Interrogatories for Original
Enforcement Proceedings (1/01)
INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM 12.930(b),
STANDARD FAMILY LAW INTERROGATORIES FOR ORIGINAL OR ENFORCEMENT
PROCEEDINGS
When should this form be used?
This form should be used to ask the other party in your case to answer certain standard questions in writing.
These questions are called interrogatories, and they must relate to your case. If the other party fails to
answer the questions, you may ask the judge to order the other party to answer the questions. (You cannot
ask these questions before the petition has been filed.)
The questions in this form should be used in original proceedings or enforcement proceedings and are
meant to supplement the information provided in the Financial Affidavit, O” Florida Family Law Rules of
Procedure Form 12.902(b) or (c). You should read all of the questions in this form to determine which
questions, if any, the other party needs to answer in order to provide you with information not covered in the
financial affidavit forms. If there are questions to which you already know the answer, you may choose not
to ask them.
This form should be typed or printed in black ink. You must complete the box at the beginning of this form
to indicate which questions you are requesting that the other party answer. You should send 2 copies of this
form and the Notice of Service of Standard Family Law Interrogatories, O” Florida Family Law Rules
of Procedure Form 12.930(a), to the other party. You should also keep a copy for your records. You do not
needshould not to file this form with the clerk of the circuit court. However, you must file the Notice of
Service of Standard Family Law Interrogatories, O” Florida Family Law Rules of Procedure Form
12.930(a), to tell the court that you have sent this form to the other party.
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. For further information, see the instructions for Notice of Service of
Standard Family Law Interrogatories, O” Florida Family Law Rules of Procedure Form 12.930(a), rules
12.280, 12.285, 12.340, and 12.380, Florida Family Law Rules of Procedure, and rules 1.280, 1.340, and 1.380,
Florida Rules of Civil Procedure.
Special notes...
In addition to the standard questions in this form, you may ask up to 10 additional questions. You should type
or print legibly your additional questions on a separate sheet of paper and attach it to this form. If you want
to ask more than 10 additional questions, you will need to get permission from the judge.
You may want to inform the other party of the following information: As a general rule, within 30 days
after service of interrogatories, the other party must answer the questions in writing and mail (have
postmarked) the answers to you. His or her answers shall be written in the blank space provided after each
separately numbered interrogatory. If sufficient space is not provided, the answering party may attach
additional papers with the answers and refer to them in the space provided in the interrogatories. He or she
should be sure to make a copy for him/herself. All answers to these questions are made under oath or
affirmation as to their truthfulness. Each question must be answered separately and as completely as the
Instructions for Florida Family Law Rules of Procedure Form 12.930(b), Standard Family Law Interrogatories for Original
Enforcement Proceedings (1/01)
available information permits. The original of the anwers to the interrogatories is to be provided to the
requesting party. Do not file the original or a copy with the clerk of the circuit court except as provided in
Florida Rule of Civil Procedure 1.340(c). The other party may object to a question by writing the legal reason
for the objection in the space provided. He or she may also ask the court for a protective order granting him
or her permission not to answer certain questions and protecting him or her from annoyance, embarrassment,
apprehension, or undue burden or expense. If the other party fails to either answer or object to the questions
within 30 days, he or she may be subject to court sanctions.
Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you fill out these
forms, that person must give you a copy of Disclosure from Nonlawyer, O” Florida Family Law Rules
of Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fill out these forms also
must put his or her name, address, and telephone number on the bottom of the last page of every form he
or she helps you complete.
Instructions for Florida Family Law Rules of Procedure Form 12.930(c), Standard Family Law Interrogatories for Modification
Proceedings (1/01)
INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM 12.930(c),
STANDARD FAMILY LAW INTERROGATORIES FOR MODIFICATION PROCEEDINGS
When should this form be used?
This form should be used to ask the other party in your case to answer certain standard questions in writing.
These questions are called interrogatories, and they must relate to your case. If the other party fails to
answer the questions, you may ask the judge to order the other party to answer the questions. (You cannot
ask these questions before the petition has been filed.)
The questions in this form should be used in modification proceedings and are meant to supplement the
information provided in the Financial Affidavits, O” Florida Family Law Rules of Procedure Form
12.902(b) or (c). You should read all of the questions in this form to determine which questions, if any, the
other party needs to answer in order to provide you with information not covered in the financial affidavit
forms. If there are questions to which you already know the answer, you may choose not to ask them.
This form should be typed or printed in black ink. You must complete the box at the beginning of this form
to indicate which questions you are requesting that the other party answer. You should send two copies of
this form and the Notice of Service of Standard Family Law Interrogatories, O” Florida Family Law
Rules of Procedure Form 12.930(a), to the other party. You should also keep a copy for your records. You
do not need toshould not file this form with the clerk of the circuit court. However, you must file the
Notice of Service of Standard Family Law Interrogatories, O” Florida Family Law Rules of Procedure
Form 12.930(a), to tell the court that you have sent this form to the other party.
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. For further information, see the instructions for Notice of Service of
Standard Family Law Interrogatories, O” Florida Family Law Rules of Procedure Form 12.930(a), rules
12.280, 12.285, 12.340, and 12.380, Florida Family Law Rules of Procedure and rules 1.280, 1.340, and 1.380,
Florida Rules of Civil Procedure.
Special notes...
In addition to the standard questions in this form, you may ask up to 10 additional questions. You should type
or print your additional questions on a separate sheet of paper and attach it to this form. If you want to ask
more than 10 additional questions, you will need to get permission from the judge.
You may want to inform the other party of the following information: As a general rule, within 30 days
after service of interrogatories, the other party must answer the questions in writing and mail (have
postmarked) the answers to you. His or her answers shall be written in the blank space provided after each
separately numbered interrogatory. If sufficient space is not provided, the answering party may attach
additional papers with the answers and refer to them in the space provided in the interrogatories. He or she
should be sure to make a copy for him/herself. All answers to these questions are made under oath or
affirmation as to their truthfulness. Each question must be answered separately and as completely as the
available information permits.The original of the answers to the interrogatories is to be provided to the
requesting party. Do not file the original or a copy with the clerk of the circuit court except as provided in
Florida Rule of Civil Procedure 1.340(e). The other party may object to a question by writing the legal reason
for the objection in the space provided. He or she may also ask the court for a protective order granting him
or her permission not to answer certain questions and protecting him or her from annoyance, embarrassment,
apprehension, or undue burden or expense. If the other party fails to either answer or object to the questions
Instructions for Florida Family Law Rules of Procedure Form 12.930(c), Standard Family Law Interrogatories for Modification
Proceedings (1/01)
within 30 days, he or she may be subject to court sanctions.
Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you fill out these
forms, that person must give you a copy of Disclosure from Nonlawyer, O” Florida Family Law Rules
of Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fill out these forms also
must put his or her name, address, and telephone number on the bottom of the last page of every form he
or she helps you complete.
Instructions for Florida Family Law Rules of Procedure Form 12.932, Certificate of Compliance with Mandatory Disclosure (9/00)
INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM 12.932,
CERTIFICATE OF COMPLIANCE WITH MANDATORY DISCLOSURE
When should this form be used?
Mandatory disclosure requires each party in a dissolution of marriage case to provide the other party
with certain financial information and documents. These documents must be provided by mail or hand
delivery to the other party within 45 days of service of the petition for dissolution of marriage or
supplemental petition for modification on the respondent. The mandatory disclosure rule applies to all
original and supplemental dissolution of marriage cases, except simplified dissolution of marriage cases and
cases where the respondent is served by constructive service and does not answer. You should use this
form to notify the court and the other party that you have complied with the mandatory disclosure rule.
Each party must provide the other party with the documents listed in section 2 of this form if the
relief being sought is permanent regardless of whether it is an initial or supplemental proceeding.
Of the documents listed on this form, the financial affidavit and child support guidelines worksheet isare
the only documents that must be filed with the court and sent to the other party; all other documents should
be sent to the other party but not filed with the court. If your individual gross annual income is under $50,000,
you should complete the Family Law Financial Affidavit (Short Form), O” Florida Family Law Rules of
Procedure Form 12.902(b). If your individual gross annual income is $50,000 or more, you should complete
the Family Law Financial Affidavit, O” Florida Family Law Rules of Procedure Form12.902(c).
In addition, there are separate mandatory disclosure requirements that apply to temporary financial
hearings, which are listed in section 1 of this form. The party seeking temporary financial relief must serve
these documents on the other party with the notice of temporary financial hearing. The responding party must
either deliver the required documents to the party seeking temporary financial relief on or before 5:00 p.m.,
2 business days before the hearing on temporary financial relief, or mail (postmark) them to the party seeking
temporary financial relief 7 days before the hearing on temporary financial relief. Any documents that have
already been served under the requirements for temporary or initial proceedings, do not need to be re-served
again in the same proceeding. If a supplemental petition is filed, seeking modification, then the mandatory
disclosure requirements begin again.
This form should be typed or printed in black ink. After completing this form, you should file the original with
the clerk of the circuit court in the county where your case is filed and keep a copy for your records. A
copy of this form must be mailed or hand delivered to any other party in your case.
What should I do next?
After you have provided the other party all of the financial information and documents and have filed this form
certifying that you have complied with this rule, you are under a continuing duty to promptly give the other
Instructions for Florida Family Law Rules of Procedure Form 12.932, Certificate of Compliance with Mandatory Disclosure (9/00)
party any information or documents that change your financial status or that make the information already
provided inaccurate. You should not file with the clerk any of the documents listed in the certificate of
compliance other than the financial affidavit and child support guidelines worksheet. Refer to the instructions
regarding the petition in your case to determine how you should proceed after filing this form.
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. For further information, see rule 12.285, Florida Family Law Rules of
Procedure.
Special notes...
You may provide copies of required documents; however, the originals must be produced for inspection if the
other party requests to see them.
Although the financial affidavits are based on individual gross income, either party may ask the other party
to complete the Family Law Financial Affidavit, O” Florida Family Law Rules of Procedure Form
12.902(c), by serving the appropriate interrogatory form. (See Standard Family Law Interrogatories, O”
Florida Family Law Rules of Procedure Form 12.930(b) (original proceedings) or (c) (modification
proceedings)).
Any portion of the mandatory disclosure rule may be modified by order of the judge or agreement of the
parties. Therefore, you and your spouse may agree that you will not require each other to produce the
documents required under the mandatory disclosure rule. This exception does not apply to the Financial
Affidavit, O” Florida Family Law Rules of Procedure Form 12.902(b) or (c), which is required in all cases
and cannot be waived.
Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you fill out these
forms, that person must give you a copy of Disclosure from Nonlawyer, O” Florida Family Law Rules
of Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fill out these forms also
must put his or her name, address, and telephone number on the bottom of the last page of every form he
or she helps you complete.
Instructions for Florida Family Law Rules of Procedure Form 12.932, Certificate of Compliance with Mandatory Disclosure (9/00)
