Fillable FORM 12.996(c): INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES (Pasco County Clerk, FL)

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FORM 12.996(c): INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES (Pasco County Clerk, FL)

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Instructions for Florida Family Law Rules of Procedure Form 12.996(c), Notice of Filing Return Receipt
(11/20)
INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE
FORM 12.996(c)
NOTICE OF FILING RETURN RECEIPT (11/20)
When should this form be used?
This form should be used when an Income Deduction Order, Florida Family Law Rules of
Procedure Form 12.996(a), is entered by the court and a Notice to Payor, Florida Family Law Rules
of Procedure Form 12.996(b), has been sent by certified mail to the obligor’s payor. When the
post office returns the return receipt to you showing that the obligor’s payor has received the
Notice to Payor, you should type or print this form in black ink. After completing this form, you
should sign it and attach the return receipt you received from the post office. This form (and the
attached return receipt) should be filed with the clerk of the circuit court in the county in which
the action is pending. You should keep a copy for your own records.
What should I do next?
A copy of this form must also be served on the other party or his or her attorney. Service must be
in accordance with 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
defined there. For further information, see section 61.1301, Florida Statutes.
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
Instructions for Florida Family Law Rules of Procedure Form 12.996(c), Notice of Filing Return Receipt
(11/20)
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 Address, Florida Supreme Court Approved Family Law Form 12.915; and Florida Rule of
Judicial Administration 2.516.
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.
Florida Family Law Rules of Procedure Form 12.996(c), Notice of Filing Return Receipt (11/20)
IN THE CIRCUIT COURT OF THE _____________________ JUDICIAL CIRCUIT,
IN AND FOR ______________________________ COUNTY, FLORIDA
Case No: ________________________
Division: ________________________
_________________________________,
Petitioner,
and
_________________________________,
Respondent.
NOTICE OF FILING RETURN RECEIPT
{Name} ________________________________________________________________, the [check only
one] ( )Petitioner ( )Respondent, files the attached Return Receipt in reference to the Notice to
Payor sent by certified mail to {Payor’s name} __________________________, the [check only one] ( )
Petitioner’s ( ) Respondent’s employer.
I certify that a copy of this document was [check all used]: ( ) emailed ( ) mailed ( ) faxed
( ) hand delivered to the persons(s) listed below on {date} ____________________________.
Other party or his/her attorney:
Name: _______________________________________
Address: ______________________________________
City, State, Zip: _________________________________
Telephone Number: ____________________________
Fax Number: ___________________________________
Email Address(es): _______________________________
________________________________________________
Signature of Party or his/her Attorney
Printed Name: ___________________________
Address: ________________________________
City, State, Zip: ___________________________
Telephone Number: _______________________
Fax Number: _____________________________
Email Address(es): ______________________
Florida Bar Number: ________________________
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Florida Family Law Rules of Procedure Form 12.996(c), Notice of Filing Return Receipt (11/20)
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 12.996(c): INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES (Pasco County Clerk, FL)

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Completed 23 June 2021

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