rev. 8/21/13 Page 1 of 2
______________________
______________________
___________________________________
IN THE COURT, 15TH
JUDICIAL CIRCUIT, IN AND FOR
PALM BEACH COUNTY, FLORIDA
CASE NO.:
Plaintiff/Petitioner,
v.
Defendant/Respondent.
__________________________________ /
___________
______________________
NOTICE OF CONFIDENTIAL INFORMATION WITHIN COURT FILING
( )
Pursuant to Florida Rule of Judicial Administration 2.420(d)(2), I hereby certify:
(1) I am filing herewith a document containing confidential information as described in
Rule 2.420(d)(1)(B) and that:
(a) The title/type of document is
______________________________________________, and:
(b) ( ) the entire document is confidential, or
( ) the confidential information within the document is precisely located at:
_________________________________________________________________________.
OR
( ) (2) A document was previously filed in this case that contains confidential information as
described in Rule 2.420(d)(1)(B), but a Notice of Confidential Information within Court Filing
was not filed with the document and the confidential information was not maintained as
confidential by the clerk of the court. I hereby notify the clerk that this confidential information
is located as follows:
(a) Title/type of document:
______________________________________________________
;
(b) Date of filing (if known):
_____________________________________________________
;
(c) Date of document:
_________________________________________________________
;
(d) Docket entry number:
______________________________________________________ ;
(e) ( ) Entire document is confidential, or
( ) Precise location of confidential information in document: ________________________
________________________________________________________________________
.
.
Filer’s Signature
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signature
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rev. 8/21/13 Page 2 of 2
_________________________________________________________________________________
______________________________________
CERT
IFICATE OF SERVICE
I HEREBY CERTIFY that a copy of the f
oregoing was furnished by ___________ on: _____________
__________________________________________________
on _____________________ , 20___.
Name .............................................................
Address .........................................................
Phone ......................................
......................
Florida Bar No. (if applicable) .........................
E-mail address ...............................................
Note: The c lerk of court shall review filings identified as containing c onfidential information to
determine whether the information is facially subject to confidentiality under subdivision (d)(1)(B). The
clerk shall notify the filer in writing within 5 days if the clerk determines that the information is NOT
subject to confidentiality, and the records shall not be held as confidential for more than 10 days,
unless a motion is filed pursuant to subdivision (d)(3) of the Rule. Fla. R. Jud. Admin. 2.420(d)(2).