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FORM 12.981(a)(4),: INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED (Florida)

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INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW
FORM 12.981(a)(4),
STEPPARENT ADOPTION: AFFIDAVIT OF DILIGENT SEARCH
(03/15)
When should this form be used?
Use this form to obtain constructive service (also called service by publication) in a proceeding for
stepparent adoption, Joint Petition for Adoption by Stepparent, Florida Supreme Court Approved
Family Law Form 12.981(b)(1), when any required consent is unavailable because the address or location
of the person whose consent is required is not known and cannot be determined.
This form includes a checklist of places you must look for information on the location of the person
whose rights you seek to terminate. You do have to look in all of these places, and the court must believe
that you have made a very serious effort to get information about the person’s location and that you
have followed up on any information you received. Section 63.054, Florida Statutes, requires that in each
adoption a search of Florida’s Putative Father Registry must be conducted. You will need an order from
the judge to do this, which you can request by filing a Motion for Search of the Putative Father Registry,
Florida Supreme Court Approved Family Law Form 12.981(a)(6).
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 petition was filed and keep a copy for your
records
.
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 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.
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 12.070, Florida Family Law Rules of
Procedure and Rule 1.070, Florida Rules of Civil Procedure.
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 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.
Instructions for Florida Supreme Court Approved Family Law Form 12.981(a)(4), Petition for Stepparent Adoption:
Affidavit of Diligent Search (03/15)
______________________________________________
IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,
IN AND FOR __ COUNTY, FLORIDA
Case No.:
Division:
IN THE MATTER OF THE ADOPTION OF
{use name to be given to the minor child(ren)} Adoptee(s).
PETITION FOR STEPPARENT ADOPTION:
AFFIDAVIT OF DILIGENT SEARCH
I, {full legal name} , being sworn, certify that the following
information is true:
1. I am the child(ren)’s _____ mother _____ father.
2. The last known address of the child(ren)’s other parent {name}
______,
as of {date} , was:
Address City State Zip
Telephone No. ____________________ Fax No. _______________________________
His/her last known employment, as of {date} , was:
Name of Employer
Address City State Zip
Telephone No. ____________________ Fax No. ________________________
3. The other parent is over the age of 18.
4. The other parent’s current residence is not known and cannot be determined, although I have
made a diligent search and inquiry to locate him/her through the following:
You must search ALL of the following sources of information and state the results.
_____United States Post Office inquiry through the Freedom of Information Act for the person’s
current address or any previous address.
Result of search:
_____Last known employment of the other parent, including name and address of employer.
Result of search:
Florida Supreme Court Approved Family Law Form 12.981(a)(4), Petition for Stepparent Adoption: Affidavit of
Diligent Search (03/15)
_____Regulatory agencies, including professional or occupational licensing, in the area where the
other parent last resided.
Result of search:
_____Names and addresses of relatives to the extent such can be reasonably obtained from the
petitioner or other sources, contacts with those relatives and inquiry as to the other parent’s last
known address. You are to follow up any leads of any addresses where the other parent may have
moved.
Result of search:
______ Information about the other parent’s possible death and, if dead, the date and location.
Result of search:__________________________________________________________________
______Telephone listings in the area where the other parent last resided.
Result of search:
______Law enforcement agencies in the area where the other parent last resided.
Result of search:
______Highway Patrol records in the state where the other parent last resided.
Result of search:
______Department of Corrections records in the state where the other parent last resided.
Result of search:
______Hospitals in the last known area of the other parent’s residence.
Result of search:
______Records of utility companies, which include water, sewer, cable TV, and electric in the last
known area of the other parent’s residence.
Result of search:
___Records of the Armed Forces of the U.S. and their response as to whether or not there is
any information about the other parent. (See Florida Supreme Court Approved Family Law Form
12.912(a), Memorandum for Certificate of Military Service.)
Result of search:
___Records of the tax assessor’s and tax collector’s office in the area where the other parent
last resided.
Result of search:
____ Search of one Internet databank locator service.
Result of search:
Title IV-D (child support enforcement) agency records in the state of the other parent’s
last known address.
Result of search: __________________________
{if applicable}:
_____ A search of the Putative Father Registry maintained by the Office of Vital Statistics of the
Department of Health has been requested, and if granted, the certificate from the State Registrar
will be filed in this action.
Florida Supreme Court Approved Family Law Form 12.981(a)(4), Petition for Stepparent Adoption: Affidavit of
Diligent Search (03/15)
_____________________________________________
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:
STATE OF FLORIDA
COUNTY OF
Sworn to or affirmed and signed before me on
Signature of Petitioner
Printed Name:
Address:
City, State, Zip:
Telephone Number:
Fax Number
:
Designated E-mail Address(es): ____________________
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:
[fill in all blanks] This form was prepared for the petitioner.
This form was completed with the assistance of:
{name of individual} ______________________________________________________________,
{name of business} ________________________________________________________________,
{address} ________________________________________________________________________,
{city} ________________,{state} ______, {zip code}________, {telephone number}_______________.
.
Florida Supreme Court Approved Family Law Form 12.981(a)(4), Petition for Stepparent Adoption: Affidavit of
Diligent Search (03/15)
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FORM 12.981(a)(4),: INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED (Florida)

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Completed 10 January 2021

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