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FORM 12.932: INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES (Pasco County Clerk, FL)

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Instructions for Florida Family Law Rules of Procedure Form 12.932, Certificate of Compliance with Mandatory
Disclosure (11/20)
INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE
FORM 12.932
CERTIFICATE OF COMPLIANCE WITH MANDATORY DISCLOSURE
(11/20)
When should this form be used?
Mandatory disclosure requires each party in a family matter to provide the other party with certain
financial information and documents. These documents must be served on the other party within 45 days
of service of the initial petition or supplemental petition for modification on the respondent. The
mandatory disclosure rule applies to all original and supplemental 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. ONLY THE
COMPLETED FORM IS FILED WITH THE COURT. EXCEPT FOR THE FINANCIAL AFFIDAVIT AND CHILD
SUPPORT GUIDELINES WORKSHEET, NO DOCUMENTS SHALL BE FILED IN THE COURT FILE WITHOUT A
PRIOR COURT ORDER. THE DOCUMENTS LISTED ON THE FORM ARE TO BE GIVEN TO THE OTHER PARTY.
If your individual gross annual income is under $50,000, you should complete the Family Law Financial
Affidavit (Short Form), 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 (Long Form),
Florida Family Law Rules of Procedure Form 12.902(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 serve the required documents on the party seeking temporary relief. Any documents that have
already been served under the requirements for temporary or initial proceedings do not need to be
reserved again in the same proceeding. If a supplemental petition is filed, seeking modification, then the
mandatory disclosure requirements begin again.
You must state with specificity the documents that you are producing to the other party. References to
account numbers and personal identifying information are governed by Florida Rule of Judicial
Administration 2.425, which you should review prior to completing this form.
This form should be typed or printed in black ink. After completing this form, you should file this
document 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 served on any other party in your case. Service must be in
accordance with Florida Rule of Judicial Administration 2.516.
Instructions for Florida Family Law Rules of Procedure Form 12.932, Certificate of Compliance with Mandatory
Disclosure (11/20)
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 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 the 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. The words that are in bold underline in these instructions are defined
there. For further information, see Florida Family Law Rule of Procedure 12.285.
IMPORTANT INFORMATION REGARDING E-FILING
The Florida Rules of Judicial Administration now require that all petitions, pleadings, and documents
be filed 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 file 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 file. The rules and procedures should be carefully read and followed.
IMPORTANT INFORMATION REGARDING E-SERVICE ELECTION
After the initial service of process of the petition or supplemental petition by the Sheriff or certified
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
Florida 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 find this rule at
www.flcourts.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 email,
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 12.914; Designation of Current Mailing and E-mail
Instructions for Florida Family Law Rules of Procedure Form 12.932, Certificate of Compliance with Mandatory
Disclosure (11/20)
Address, Florida Supreme Court Approved Family Law Form 12.915; and Florida Rule of Judicial
Administration 2.516.
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 (Long Form), Florida Family Law Rules of Procedure
Form 12.902(c), by serving the appropriate interrogatory form. (See Standard Family Law
Interrogatories, 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 the other party 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, 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 a Disclosure from Nonlawyer, 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 Family Law Rules of Procedure Form 12.932, Certificate of Compliance with Mandatory Disclosure (11/20)
IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,
IN AND FOR COUNTY, FLORIDA
Case No.:
Division:
,
Petitioner,
and
,
Respondent.
CERTIFICATE OF COMPLIANCE WITH MANDATORY DISCLOSURE
ONLY THE COMPLETED FORM IS FILED WITH THE COURT.
EXCEPT FOR THE FINANCIAL AFFIDAVIT AND CHILD SUPPORT
GUIDELINES WORKSHEET, NO DOCUMENTS SHALL BE FILED IN THE
COURT FILE WITHOUT A PRIOR COURT ORDER. THE DOCUMENTS
LISTED BELOW ARE TO BE GIVEN TO THE OTHER PARTY.
I, {full legal name} , certify that I have complied
with the mandatory disclosure required by Florida Family Law Rule 12.285 as follows:
1. FOR TEMPORARY FINANCIAL RELIEF, ONLY:
The date the following documents were served: .
[Check all that apply. State with specificity the documents being produced; if sufficient space is not
provided, you may attach additional papers with this form and refer to them in the space provided.]
a. ____ Financial Affidavit
_____ Florida Family Law Rules of Procedure Form 12.902(b) (short form)
_____ Florida Family Law Rules of Procedure Form 12.902(c) (long form)
b. ____ All complete federal and state personal income tax, gift tax, and foreign tax
returns for the past 3 years; including all attachments, including IRS forms W-2, 1099, and K-1,
and all accompanying schedules and worksheets comprising the entire tax return; or
_____ Transcript of tax return as provided by IRS form 4506-T; or
_____ IRS forms W-2, 1099, and K-1 for the past year because the income tax return
for the past year has not been prepared; and for any of the prior 2 years beyond the past
year if tax returns for any of those years have not been filed.
c.____ Pay stubs or other evidence of earned income for the 6 months before the compliance
with the disclosure requirements for temporary relief. The following are produced:
______________________________________________________________________
Florida Family Law Rules of Procedure Form 12.932, Certificate of Compliance with Mandatory Disclosure (11/20)
___________________________________________________________________
___________________________________________________________________
____________________________________________________________________.
2. FOR INITIAL, SUPPLEMENTAL, AND PERMANENT FINANCIAL RELIEF:
The date the following documents were served: .
[Check all that apply. State with specificity the documents being produced; if sufficient space is not
provided, you may attach additional papers with this form and refer to them in the space provided.]
a. ____ Financial Affidavit
_____ Florida Family Law Rules of Procedure Form 12.902(b) (short form)
_____Florida Family Law Rules of Procedure Form 12.902(c) (long form)
b. ____ All complete federal and state personal income tax, gift tax, and foreign tax
returns, for the past 3 years; including all attachments, including IRS forms W-2,
1099, and K-1, and all accompanying schedules and worksheets comprising the
entire tax return;
_____ Transcript of the tax return as provided by IRS form 4506-T; or
_____ IRS forms W-2, 1099, and K-1 for the past year because the income tax return
for the past year has not been prepared; and for any of the prior 2 years
beyond the past year if tax returns for any of those years have not been filed.
c. ____ Pay stubs or other evidence of earned income for the 6 months before the
compliance with these disclosure requirements for initial or supplemental
proceedings. The following are produced: _________________________________
__________________________________________________________________
___________________________________________________________________.
d. ____ A statement identifying the source and amount of all income for the 6 months
before the compliance with these disclosure requirements for initial or
supplemental proceedings, if not reflected on the pay stubs produced. The
following are produced: __________________________________________
______________________________________________________________
_______________________________________________________________.
e. ____ All loan applications, financial statements, credit reports, or any other
form of financial disclosure, including financial aid forms, prepared for any
purpose or used for any purpose within the 24 months preceding the
compliance with these disclosure requirements for initial or supplemental
proceedings. The following are produced: ___________________________
______________________________________________________________
______________________________________________________________.
f. ____ All deeds to real estate in which I presently own or owned an interest within
the past 3 years. All promissory notes or other documents evidencing money
owed to me or my spouse at any time within the last 24 months. All leases,
whether in my name individually, in my name jointly with any other person or
entity, in my name as trustee or guardian for a party or a minor or adult
dependent child of both parties, or in someone else’s name on my behalf wherein
either party (A) is receiving or has received payments at any time within the last
3 years, or (B) owns or owned an interest. The following are produced:
_________________________________________________________________
Florida Family Law Rules of Procedure Form 12.932, Certificate of Compliance with Mandatory Disclosure (11/20)
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________.
g. _____ All periodic statements for the last 12 months for all checking accounts and for
the last year for all savings accounts, money market funds, certificates of
deposit, etc., whether in my name individually, in my name jointly with any
other person or entity, in my name as trustee or guardian for a party or a minor
or adult dependent child of both parties, or in someone else’s name on my
behalf; and for all accounts that have check-writing privileges, copies of
canceled checks and registers, whether written or electronically maintained.
The following are produced: ______________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________.
h. _____ All brokerage account statements for the last 12 months, in either party’s
name individually or jointly with any person or entity, or as a trustee or
guardian for a party or a minor or adult dependent child of both parties,
or in someone else’s name on my behalf; and for all accounts that have check-
writing privileges, copies of canceled checks and registers, whether written or
electronically maintained. The following are produced: __________________
________________________________________________________________
________________________________________________________________
________________________________________________________________.
i. _____ Most recent statement and statements for the past 12 months for any pension,
profit sharing, deferred compensation, or retirement plan (for example, IRA,
401(k), 403(b), SEP, KEOGH, etc.) and summary plan description for any such plan
in which I am a participant or an alternate payee receiving payments.
The following are produced: ______________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________.
j. _____ Most recent statement and statements for the past 12 months for any virtual currency
transactions in which either party participated within the last 12 months or holds
an interest in, either individually, jointly with any other person or entity, as
trustee or guardian for a party or minor or adult dependent child of both parties,
or in someone else’s name on my behalf, and a listing of all current holdings of
virtual currency. The following are produced: __________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________.
k. _____ The declaration page, the last periodic statement, statements for the past 12 months
and the certificate for any group insurance for all life insurance policies insuring
my life or the life of my spouse. The following are produced:
________________________________________________________________
________________________________________________________________
______________________________________________________________
______________________________________________________________.
Florida Family Law Rules of Procedure Form 12.932, Certificate of Compliance with Mandatory Disclosure (11/20)
l. _____ All health and dental insurance cards covering either me or my spouse and/or
our dependent child(ren). The following are produced: __________________
_______________________________________________________________
_______________________________________________________________.
m. _____ Corporate, partnership, and trust tax returns for the last 3 tax years, in which I
have an ownership or interest. The following are produced: ________________
______________________________________________________________
______________________________________________________________.
n. _____ All credit card and charge account statements and other records showing my
(our) indebtedness as of the date of the filing of this action and for the prior 24
months preceding compliance with these disclosure requirements for initial or
supplemental proceedings. All promissory notes on which I presently owe or
owned within the past 24 months, whether paid or not. All lease agreements I
presently owe, either in my name individually, jointly with any other person or
entity, in my name as trustee or guardian for a party or a minor or adult
dependent child of both parties, or in someone else’s name on my behalf. The
following are produced: ___________________________________________
_________________________________________________________________
_________________________________________________________________.
o. _____ All premarital and marital agreements between the parties to this case, and
all affidavits and declaration of non-paternity or judgments of disestablishment
of paternity for any minor or dependent children born or conceived during the
marriage. The following are produced: ________________________________
________________________________________________________________
________________________________________________________________.
p. _____ If a modification proceeding, all written agreements entered into between the
parties at any time since the order to be modified was entered. The following
are produced: ___________________________________________________
________________________________________________________________
________________________________________________________________.
q. _____ All documents relating to claims for an unequal distribution of marital property,
enhancement or appreciation in nonmarital property, or nonmarital status of an
asset or debt. The following are produced: ______________________________
_________________________________________________________________
_________________________________________________________________.
r. _____ Any court order directing that I pay or receive spousal support (alimony) or
child support. The following are produced: ____________________________
________________________________________________________________
_________________________________________________________________.
I certify that a copy of this document was [check all used]: ( ) e-mailed ( ) mailed
( ) faxed ( ) hand delivered to the person(s) listed below on {date}_____________________________.
Florida Family Law Rules of Procedure Form 12.932, Certificate of Compliance with Mandatory Disclosure (11/20)
Other party or his/her attorney:
Name: _______________________________________
Address: ______________________________________
City, State, Zip: _________________________________
Telephone Number : ____________________________
Fax Number: ___________________________________
E-mail Address(es): _______________________________
Under penalties of perjury, I declare that I have read this document and the facts stated in it are true.
Dated: ____________________
____________________________________
Signature of Party
Printed Name: _________________________
Address: _____________________________
City, State, Zip: _________________________
Telephone Number: ____________________
Fax Number: __________________________
E-mail Address(es): ______________________
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: {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} _________.
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FORM 12.932: INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES (Pasco County Clerk, FL)

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Completed 23 June 2021

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