INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE
FORM 12.900(d), TERMINATION OF LIMITED APPEARANCE
(09/12)
When should this form be used?
This form should be used by an attorney who is terminating a limited appearance for a client
under Florida Family Law Rule of Procedure 12.040.
This form should be typed or printed in black ink. After completing this form, the attorney
should sign it and then file it with the clerk of the circuit court in the county in which the action
is pending. The attorney should keep a copy for his or her records.
What should I do next?
A copy of this form must be served on the other party or his or her attorney and on the
attorney’s client. Service must be in accordance with Florida Rule of Judicial Administration
2.516.
Where can I look for more information?
See Florida Family Law Rule of Procedure 12.040.
Instructions to Florida Family Law Rules of Procedure Form 12.900(d), Termination of Limited Appearance
(09/12)
_______________________________________
IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,
IN AND FOR COUNTY, FLORIDA
Case No.:
Division:
,
Petitioner,
and
,
Respondent.
TERMINATION OF LIMITED APPEARANCE
{Attorney’s name} , files this Termination of Limited
Appearance on behalf of the [check one only] ( ) Petitioner ( ) Respondent, {name}, ________
______________________________________, and certifies that the proceeding or matter is concluded.
The clerk of the above-styled court is requested to enter this Notice of Termination of Limited
Appearance of record. Copies of all future court papers should be served on the [check one only]
( ) Petitioner ( ) Respondent at: {name, address, e-mail address(es), fax number, and telephone
number} _____________________________________________________________________________
.
I certify that a copy of this termination of limited appearance was: [check all used] ( ) e-mailed
( ) mailed ( ) faxed ( ) hand delivered to the person(s) listed below on {date} _______ __________.
Other party or his/her attorney:
Name:
Address:
City, State, Zip:
Fax Number:
E-mail Address(es):________________________
Client Party:
Name:
Address:
City, State, Zip:
Telephone Number: ______________________
Fax Number:
E-mail Address(es):________________________ Signature of Attorney
Printed Name:
Address:
City, State, Zip:
Telephone Number:
E-mail Address(es):_______________________
Florida Bar Number:
Florida Family Law Rules of Procedure Form 12.900(d), Termination of Limited Appearance (09/12)