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IN THE COURT FOR THE EIGHTEENTH JUDICIAL (Brevard County Clerk, Florida)

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IN THE COURT FOR THE EIGHTEENTH JUDICIAL
CIRCUIT IN AND FOR BREVARD COUNTY, FLORIDA
CASE NO.: 05- - - - XXX-XX
______________________________,
Petitioner/Plaintiff,
vs
______________________________,
Respondent/Defendant,
NON-ATTORNEY DESIGNATION OF EMAIL ADDRESS
Pursuant to Florida Rules of Judicial Administration 2.516, I, _____________________
____________________, designate the below email address(es) for electronic service of all
documents related to this case.
Primary email address: ________________________________________
Secondary email address: ________________________________________
Secondary email address: ________________________________________
I certify that a copy of the foregoing has been furnished, if applicable, to the following at the
address listed:
______________________________________________________________________________
By ( ) US Mail ( ) Email ( ) Hand delivery
Dated this _____ day of ____________________, 20___.
________________________________ ____________________________________
Signature Address
________________________________ ____________________________________
Printed Name City/State/Zip Code
____________________________________
Telephone Number (please provide
telephone number if court notifications may
be provided by text)
Law 1350
(Eff. 07-30-2015)
______________
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IN THE COURT FOR THE EIGHTEENTH JUDICIAL (Brevard County Clerk, Florida)

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Completed 22 January 2021

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