Fill and Sign the Florida Supreme Court Approved Family Law Form 12983e

IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT, IN AND FOR COUNTY, FLORIDA Case No.: Division: , Petitioner and , Respondent DISCLOSURE FROM NONLAWYER {Name} , told me that he/she is a nonlawyer and may not give legal advice, cannot tell me what my rights or remedies are, cannot tell me how to testify in court, and cannot represent e in court. Rule 10-2.1(b) of the Rules Regulating The Florida Bar defines a paralegal as a person who works under the supervision of a member of The Florida Bar and who performs specifically delegated substantive legal work for which a member of The Florida Bar is responsible. Only persons who meet the definition may call themselves paralegals. {Name} , informed me that he/she is not a paralegal and cannot call himself/herself a paralegal. {Name} , told me that he/she may only type the factual information provided by me in writing into the blanks on the form. {Name} , may not help me fill in the form and may not complete the form for me. If using a form approved by the Supreme Court of Florida, {name} , may ask me factual questions to fill in the blanks on the form and may also tell me who to file the form. (x one only) I can read English.I cannot read English, but this disclosure was read to me by [fill in both blanks] by {name} , in {language] which I understand. Dated: Printed Name: Name of Business: Address: Telephone Number: