Fill and Sign the Florida Notice Number Form

INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.902(j), NOTICE OF SOCIAL SECURITY NUMBER (06/18) When should this form be used? This form must be completed and fled 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 file the original with the clerk of the circuit court in the county where your case was fled and keep a copy for your records. CONFIDENTIAL INFORMATION Under Rule 2.420 of the Florida Rules of Judicial Administration, Social Security Numbers are confdentiall however, this information is required by the Florida Statutes. A Notice of Confdential Information within Court Filing must be fled with the Notice of Social Security Number. This Notice is an appendix to rule 2.420. IMPORTANT INFORMATION REGARDING E-FILING The Florida Rules of Judicial Administration now require that all petitions, pleadings, and documents be fled electronically except in certain circumstances. Self- represented litigants may file petitions or other pleadings or documents electronically; however, they are not required to do so. If you choose to fle your pleadings or other documents electronically, you must do so in accordance with Florida Rule of Judicial Administration 2.525, and you must follow the procedures of the judicial circuit in which you fle. The rules and procedures should be carefully read and followed. What should I do next? A copy of this form must be mailed, e-mailed, or hand delivered to the other party in your case, if it is not served on him or her with your initial papers. IMPORTANT INFORMATION REGARDING E-SERVICE ELECTION After the initial service of process of the petition or supplemental petition by the Instructions for Florida Supreme Court Approved Family Law Form 12.902(j), Notice of Social Security Number (06/18) Sherif or certifed process server, the Florida Rules of Judicial Administration now require that all documents required or permitted to be served on the other party must be served by electronic mail (e-mail) except in certain circumstances. You must strictly comply with the format requirements set forth in the Rules of Judicial Administration. If you elect to participate in electronic service, which means serving or receiving pleadings by electronic mail (e-mail), or through the Florida Courts E-Filing Portal, you must review Florida Rule of Judicial Administration 2.516. You may fnd this rule at www.fcourts.org through the link to the Rules of Judicial Administration provided under either Family Law Forms: Getting Started, or Rules of Court in the A-Z Topical Index. SELF-REPRESENTED LITIGANTS MAY SERVE DOCUMENTS BY E-MAIL; HOWEVER, THEY ARE NOT REQUIRED TO DO SO. If a self-represented litigant elects to serve and receive documents by e-mail, the procedures must always be followed once the initial election is made. To serve and receive documents by e-mail, you must designate your e-mail addresses by using the Designation of Current Mailing and E-mail Address , Florida Supreme Court Approved Family Law Form 12.915, and you must provide your e-mail address on each form on which your signature appears. Please CAREFULLY read the rules and instructions for: Certificate of Service (General,, Florida Supreme Court Approved Family Law Form 12.914l Designation of Current Mailing and E-mail Address , Florida Supreme Court Approved Family Law Form 12.915l and Florida Rule of Judicial Administration 2.516. 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 defned there. For further information, see chapter 61, 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, fax, or e-mail information at the bottom of this form. Instead, fle a Request for Confidential Filing of Address , 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 fll out these forms, that person must give you a copy of a Disclosure from Nonlawyer , Florida Family Law Rules of Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fll out these forms also must put his or her name, address, and telephone number on the bottom of the last page of every Instructions for Florida Supreme Court Approved Family Law Form 12.902(j), Notice of Social Security Number (06/18) form he or she helps you complete. Instructions for Florida Supreme Court Approved Family Law Form 12.902(j), Notice of Social Security Number (06/18) 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 by the applicable section of the Florida Statutes. My date of birth is ______________________________. [Choose one only] __ 1. This notice is being fled in a dissolution of marriage case in which the parties have no minor or dependent child(ren) in common. __ 2. This notice is being fled in a paternity or child support case, or in a dissolution of marriage in which the parties have minor or dependent children in common. The minor or dependent 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. Instructions for Florida Supreme Court Approved Family Law Form 12.902(j), Notice of Social Security Number (06/18) I understand that I am swearing or afrming 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 of Party Printed Name: Address: City, State, Zip: Telephone Number: Fax Number : Designated E-mail Address(es):____________________ _____________________________________________ STATE OF FLORIDA COUNTY OF _________________ Sworn to or afrmed and signed before me on by . Date:__________________________ _____________________________________________ NOTARY PUBLIC or DEPUTY CLERK ___________________ [Print, type, or stamp commissioned name of notary or clerk] Personally known Produced identifcation Type of identifcation produced IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW: [fll in all blanks] This form was prepared for the: {choose only one } ______ Petitioner _____ Respondent This form was completed with the assistance of: {name of individual}___________________________________________________________________ , {name of business} ____________________________________________________________________, {address} _______________________________________________________________________ , {city} ______________, {state} _____, {zip code}_____________, {telephone number} _______ Instructions for Florida Supreme Court Approved Family Law Form 12.902(j), Notice of Social Security Number (06/18)