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Joseph Abruzzo Clerk of The Circuit Court & (Clerk of the Circuit Court & Comptroller, Palm Beach County)

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I
Jr
Want to learn more? Attend one of our free Self
Service Center DIY Workshops at the Main
Courthouse on
the first Wednesday of
each month
from 3:30pm to
4:30pm. Topic varies from month to
month. Visit www.mypalmbeachclerk.com for more
information.
Joseph Abruzzo
Clerk of The Circuit Court & Comptroller
Self Service Center
Your Guide Through The Courts
Packet #46
Revised 01/2021
Small Claims Action
File completed forms in room: 2.22 (Main Branch)
Non-Refundable
$5.00
E
PH
ABRUZZO
U.H
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OFTiillQJtCIJITCOUl<r
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OOMl'Tl<OIJil
Self Service Center Services
All instructions and forms distributed by the Clerk of the Circuit Court & Comptroller are
provided as a public service to persons seeking to represent themselves in court without the
assistance of an attorney. These documents are meant to serve as a guide only, and to assist pro
se (self-represented) litigants with their cases. Any person using these instructions and/or forms
does so at his or her own risk, and the Clerk shall not be responsible for any losses incurred by
any person in reliance on the instructions and/or forms.
Below are a few of the services available at the Self Service Center:
(Please review current pricing as fees are subject to change without notice)
Navigator Appointments
(f
or
d
oc
u
men
t
pre
pa
ra
ti
o
n
a
ssistance) Free
Navigators do not provide legal advice but will assist you in completing the forms and
p
r
ovide you with procedural information.
Community Resource Referral- pamphlets Free
Photocopies prior to filing $.15/page
Photocopies after filing $1.00/page
Deputy Clerk signing $3.50/signature
Notary signing $10.00/signature
Single forms $1.00/page
For more information, please go to
www.mypalmbeachclerk.com, email us at
Selfservice@mypalmbeachclerk.com, or visit one of the following locations:
Palm Beach County Courthouse
205 N. Dix
ie Highway, Rm #1.25
West Palm Beach, Florida 33401
Self Service line: 561-355-7048
South County Courthouse
200 W. Atlantic
Ave.
Delray Beach, Florida 33444
561-274-1588
North County Courthouse
3188 PGA
Blvd
Palm Beach Gardens, Florida 33410
561-624-6650
West County Courthouse
2950 State
Road 15, Rm. #S-100
Belle Glade, Florida 33430
561-996-4843
Additional L
e
g
al
R
e
so
u
r
c
e
s:
F
lorida Rural Legal
Se
rvices
www.frls.org
561-820-8902
Legal Aid Society of
Palm Beach County
www.legalaidpbc.org
561-655-8944
Lawyer Referral
Service
www.palmbeachbar.org
561-687-3266 (to hire a
lawy
er to represent you
in court or give you
legal advice)
Palm Beach County
La
w Library
https://www.15thcircu
it.c
om/services/law-
library
561-355-2928
Self Service Packet #46 Page 2 of 20
Small Claims Action (Packet #46)
When should this packet be used?
This packet should be used for civil actions in the county courts in which the demand or
value of property involved does not exceed $8,000.00 exclusive of costs, interest, and
attorneys’ fees.
Please note: this packet should not be used to clear or obtain title for
motor vehicles.
Fees:
Unless otherwise noted, fees may be paid by cash, credit card, personal check, or money order
payable to Sharon R. Bock, Clerk & Comptroller Palm Beach County. If you cannot afford to
pay the filing fee you may obtain an Application for Determination of Civil Indigent Status from
the Clerk. Once submitted, the Clerk will determine whether you are eligible to have filing fees
waived, per Florida Statute.
• Filing
o Claims less than $100.00
$55.00
o Claims between $100.01 and $500.00 $80.00
o Claims between $500.01 and $2,500.00 $175.00
o Claims between $2,500.01 and $8,000 $300.00
• Summons $10.00 per Defendant
• Sheriff Service $40.00 per Defendant payable to
Palm Beach County Sheriff’s Office
by check/money order OR you may
hire a private process server. Private
process server fees vary.
If the other party lives outside of Palm Beach County, it is your responsibility to contact
that county’s Sheriff’s office or a private process server to have the Defendant(s) served
with the proper documents and to determine the corresponding fees.
Where should I file my case?
The law
gives the person or company who initiates a lawsuit the right to file in any one of
several places. However, the Defendant(s) has the right to request that the
case be moved
to a proper location or venue, which may be one of the following:
• Where the contract was entered into;
Self Service Packet #46 Page 3 of 20
;IB
R
UZ
ZO
• If the suit is on an unsecured promissory note, where the note is signed, or
where the maker resides;
• If the suit is to recover property or to foreclose a lien, where the property is located;
• Where the event giving rise to the suit occurred;
• Where any one or more of the Defendants sued resides;
• Any location agreed to in a contract;
• In an action for money due, if there is no agreement as to where the suit may be filed,
whe
re payment is to be made.
STEP BY STEP FORMS CHECKLIST
STEP ONE
:
To start your case
complete and file the following forms with the Clerk in the
county
civil unit. File the original and two copies of each form:
___ Civil Cover Sheet, Form 1.997 (Pages
11-13)
___ Statement of Claim (Pg. 14)
___ Summons Information Sheet (Pg. 15)
These forms should be completed and filed only if applicable to your case:
___ Authorization to Allow Employee to Represent Business Entity at Any State of
Lawsuit
(Pg. 16):
Use this form if you are an officer or owner of a business or
corporation that is a party to the case and want to authorize a specific employee to
represent the business
at mediation and/or at court hearings.
___ Notice of Designation of Email Address for E-Service, (Pages 18-19): Use this form if
y
ou would like to receive notices and documents from the court and the other party to your
case by email or would like to change
your notice email address of record with the court.
STEP TWO
: The Clerk will process your claim and schedule your case for a Pre-Trial
Conference/Mediation Hearing. A Summons/Notice to Appear for Pre-trial Conference will be
issued by the Clerk. The Pre-Trial Conference/Mediation Hearing will be scheduled within 50
days of the filing of your claim.
Self Service Packet #46 Page 4 of 20
STEP THREE: The Defendant(s) in your case must be served with the paperwork you filed
and the Summons/Notice to Appear. If the Defendant(s) resides in Palm Beach County you ma y
provide the Clerk with the $40 fee payable to the Palm Beach County Sheriff’s Office and the
Clerk will forward your paperwork to the Sheriff for service. If not you will have to arrange for
service on the Defendant(s) and file proof of service with the Clerk prior to the Pretrial
Conference. The Sheriff will need the following information to serve the Defendant(s):
Service of an Individual: The Defendant(s) name and physical address are required for
service.
Service of a Corporation: The name and address of the Defendant(s)’ registered agent is
required. If there is no registered agent listed, you may use the name and address of one
of the officers of the company/corporation. To research the registered agent:
▪ Visit www.sunbiz.org;
▪ Under “Document Searches” tab, choose “Corporation/ Trademark/ LLC/LP;”
▪ Select “Inquire by Entity Name;”
▪ Enter the corporation’s full legal name and click “Search Now;”
▪ Select the appropriate corporation name and scroll down to retrieve the registered
agent’s name and service address;
▪ If no registered agent’s name is listed, proceed to use an officer or director of the
company/corporation;
Service of an Insurance Company: The Florida Chief Financial Officer must be served
for actions against an insurance company. The Clerk will forward your paperwork to the
Chief Financial Officer. A check for $15 payable to the Florida Chief Financial Officer is
required.
If you are unable to locate the Defendant(s) and they are a business/corporation:
You will need to contact the Secretary of State directly. They will conduct a search for
the Defendant for a fee of $8.75.
STEP FOUR: Attend the Pretrial Conference/Mediation Hearing.
▪ If the Defendant(s) does not appear at the hearing: The court will proceed by default
and may enter a default final judgment in your favor. Bring any evidence you may have
to the hearing and the Final Judgment form (Pg. 20).
▪ If the Defendant(s) does appear at the hearing: The court will discuss the case with
the parties and ask if the Defendant accepts or denies the Statement of Claim. If the
Defendant does not agree with the Statement of Claim the parties will be required to
mediate their issues. The mediation is free. If the parties do not reach an agreement at
mediation the court will set a trial and give instructions to the parties regarding
presenting any evidence or witnesses at trial. The trial will be set within 60 days of the
pretrial conference. At the trial the court may prepare a Final Judgment for you or may
require you to provide a proposed Final Judgment. You may bring the Final Judgment
Form
in this packet to the hearing (Pg. 20).
Self Service Packet #46 Page 5 of 20
Filing Instructions
• Paper/ Original Documents:
▪ You may file your paperwork either by visiting one of our four courthouse locations (see
Page 2 of our instructions) or by U.S. mail to:
County Civil Court
P.O. Box 3406
West Palm Beach, FL 33402
▪ Make two copies of all the documents that you complete – one for yourself and one for
the other party.
▪ Next, file all the applicable documents with the Clerk & Comptroller’s office. Have all
pages clipped together before filing (copies may be stapled together).
▪ If you mail your documents, make sure you provide an extra pre-addressed
stamped envelope so that your copies may be returned.
• Electronic Documents:
▪ Self-represented litigants may file petitions or other pleadings or documents
electronically, but 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 the procedures of the judicial circuit in which you
file. The rules and procedures should be carefully read and followed. Instructions
regarding e-filing are included in this packet.
▪ You must first register in the Florida E-Filing Portal. Directions, a manual, and a short
step by step video are available if you wish to learn to e-file your documents with the
Clerk & Comptroller instead of filing a hard copy. Go to:
www.mypalmbeachclerk.com/court-services/e-filing/self-represented-filers
Please note certain documents must be filed in original, hard copy format. A list of
these documents is available on our website.
Self Service Packet #46 Page 6 of 20
FORM 1.997. INSTRUCTIONS FOR COMPLETING CIVIL
COVER SHEET
Plaintiff must file this cover sheet with the first document filed in the action or proceeding
(except small claims cases, probate, or family cases). Domestic and juvenile cases should be
accompanied by a completed Florida Family Law Rules of Procedure Form 12.928, Cover
Sheet for Family Court Cases. Failure to file a civil cover sheet in any civil case other than
those excepted above may result in sanctions.
I. Case Style. Enter the name of the court, the appropriate case number assigned at the
time of filing of the original complaint or petition, the name of the judge assigned (if
applicable), and the name (last, first, middle initial) of plaintiff(s) and defendant(s).
II. Amount of Claim. Enter the estimated amount of the claim, rounded to the nearest
dollar. The estimated amount of the claim is requested for data collection and clerical
processing purposes only. The amount of the claim shall not be used for any other purpose.
III. Type of Case. Place an “X” on the appropriate line. If the cause fits more than one
type of case, select the most definitive. If the most definitive label is a subcategory (indented
under a broader category label), place an “X” on the category and subcategory lines.
Definitions of the cases are provided below in the order they appear on the form.
Circuit Civil
(A) Condominium—all civil lawsuits pursuant to Chapter 718, Florida Statutes,
in which a condominium association is a party.
(B) Contracts and indebtedness—all contract actions relating to promissory notes
and other debts, including those arising from the sale of goods, but excluding contract
disputes involving condominium associations.
(C) Eminent domain—all matters relating to the taking of private property for
public use, including inverse condemnation by state agencies, political subdivisions, or
public service corporations.
(D) Auto negligence—all matters arising out of a party’s allegedly negligent
operation of a motor vehicle.
(E) Negligence—other—all actions sounding in negligence, including statutory
claims for relief on account of death or injury, that are not included in other main
categories.
(F) Business governance—all matters relating to the management, administration,
or control of a company.
(G) Business torts—all matters relating to liability for economic loss allegedly
caused by interference with economic or business relationships.
Self Service Packet #46 Page 7 of 20
(H) Environmental/Toxic tort—all matters relating to claims that violations
of environmental regulatory provisions or exposure to a chemical caused injury or
disease.
(I) Third party indemnification—all matters relating to liability transferred to a
third party in a financial relationship.
(J) Construction defect—all civil lawsuits in which damage or injury was
allegedly caused by defects in the construction of a structure.
(K) Mass tort—all matters relating to a civil action involving numerous
plaintiffs against one or more defendants.
(L) Negligent security—all matters involving injury to a person or property
allegedly resulting from insufficient security.
(M) Nursing home negligence—all matters involving injury to a nursing
home resident resulting from negligence of nursing home staff or facilities.
(N) Premises liability—commercial—all matters involving injury to a person
or property allegedly resulting from a defect on the premises of a commercial property.
(O) Premises liability—residential—all matters involving injury to a person
or property allegedly resulting from a defect on the premises of a residential property.
(P) Products liability—all matters involving injury to a person or property
allegedly resulting from the manufacture or sale of a defective product or from a failure to
warn.
(Q) Real property/Mortgage foreclosure—all matters relating to the possession,
title, or boundaries of real property. All matters involving foreclosures or sales of real
property, including foreclosures associated with condominium associations or condominium
units. (The amount of claim specified in Section II. of the form determines the filing fee
pursuant to section 28.241, Florida Statutes.)
(R) Commercial foreclosure—all matters relating to the termination of a
business owner’s interest in commercial property by a lender to gain title or force a sale to
satisfy the unpaid debt secured by the property.
(S) Homestead residential foreclosure—all matters relating to the termination of a
residential property owner’s interest by a lender to gain title or force a sale to satisfy the
unpaid debt secured by the property where the property has been granted a homestead
exemption.
(T) Nonhomestead residential foreclosure—all matters relating to the termination of
a residential property owner’s interest by a lender to gain title or force a sale to satisfy the
unpaid debt secured by the property where the property has not been granted a homestead
exemption.
(U) Other real property actions—all matters relating to land, land improvements,
or property rights not involving commercial or residential foreclosure.
(V) Professional malpractice—all professional malpractice lawsuits.
(W) Malpractice—business—all matters relating to a business’s or business person’s
Self Service Packet #46 Page 8 of 20
failure to exercise the degree of care and skill that someone in the same line of work would
use under similar circumstances.
(X) Malpractice—medical—all matters relating to a doctor’s failure to exercise
the degree of care and skill that a physician or surgeon of the same medical specialty would
use under similar circumstances.
(Y) Malpractice—other professional—all matters relating to negligence of those
other than medical or business professionals.
(Z) Other—all civil matters not included in other categories.
(AA) Antitrust/Trade regulation—all matters relating to unfair methods of
competition or unfair or deceptive business acts or practices.
(AB) Business transactions—all matters relating to actions that affect financial
or economic interests.
(AC) Constitutional challenge—statute or ordinance—a challenge to a statute
or ordinance, citing a violation of the Florida Constitution.
(AD) Constitutional challenge—proposed amendment—a challenge to a legislatively
initiated proposed constitutional amendment, but excluding challenges to a citizen-initiated
proposed constitutional amendment because the Florida Supreme Court has direct jurisdiction
of such challenges.
(AE) Corporate trusts—all matters relating to the business activities of
financial services companies or banks acting in a fiduciary capacity for investors.
(AF) Discrimination—employment or other—all matters relating to
discrimination, including employment, sex, race, age, handicap, harassment, retaliation, or
wages.
(AG) Insurance claims—all matters relating to claims filed with an insurance company.
(AH) Intellectual property—all matters relating to intangible rights
protecting commercially valuable products of the human intellect.
(AI) Libel/Slander—all matters relating to written, visual, oral, or aural defamation
of character.
(AJ) Shareholder derivative action—all matters relating to actions by a corporation’s
shareholders to protect and benefit all shareholders against corporate management for
improper management.
(AK) Securities litigation—all matters relating to the financial interest or instruments
of a company or corporation.
(AL) Trade secrets—all matters relating to a formula, process, device, or other
business information that is kept confidential to maintain an advantage over competitors.
(AM) Trust litigation—all civil matters involving guardianships, estates, or trusts and
not appropriately filed in probate proceedings.
Self Service Packet #46 Page 9 of 20
County Civil
(AN) Civil – all matters involving claims ranging from $8,001 through $30,000
in damages, exclusive of interest, costs, and attorney fees.
(AO) Real property/Mortgage foreclosure—all matters involving claims up to
$30,000 relating to the possession, title, or boundaries of real property. All matters involving
foreclosures or sales of real property up to $30,000, including foreclosures associated with
condominium associations or condominium units.
(AP) Replevins—all lawsuits pursuant to Chapter 78, Florida Statutes, involving
claims up to $30,000.
(AQ) Evictions—all matters involving the recovery of possession of leased land or
rental property by process of law.
(AR) Other civil (non-monetary)—includes all other non-monetary county civil matters
that were not described in other county civil categories.
IV. Remedies Sought. Place an “X” on the appropriate line. If more than one remedy
is sought in the complaint or petition, check all that apply.
V. Number of Causes of Action. If the complaint or petition alleges more than one cause
of action, note the number and the name of the cause of action.
VI. Class Action. Place an “X” on the appropriate line.
VII. Related Cases. Place an “X” on the appropriate line.
VIII. Is Jury Trial Demanded In Complaint? Check the appropriate line to indicate
whether a jury trial is being demanded in the complaint.
ATTORNEY OR PARTY SIGNATURE. Sign the civil cover sheet. Print legibly the name of
the person signing the civil cover sheet. Attorneys must include a Florida Bar number. Insert
the date the civil cover sheet is signed. Signature is a certification that the filer has provided
accurate information on the civil cover sheet, and has read and complied with the
requirements of Florida Rule of Judicial Administration 2.425.
FORM 1.997. CIVIL COVER SHEET
The c
iv
i
l c
ove
r
she
e
t
a
nd the i
nfo
rma
ti
on c
on
tai
ne
d in
it neither replace nor supplement the
filing and service of pleadings or other documents as required by law. This form must be filed
by the plaintiff or petitioner with the Clerk of Court for the purpose of reporting uniform data
pursuant to section 25.075, Florida Statutes. (See instructions for completion.)
IN THE COUNTY COURT OF THE FIFTEENTH JUDICIAL CIRCUIT, IN
AN
D FOR PALM BAECH COUNTY, FLORIDA
Plaintiff
vs.
Defendant
Case #
Judge
I. AMOUNT OF CLAIM
Please indicate the estimated amount of the claim, rounded to the nearest dollar. The estimated
amount of the claim is requested for data collection and clerical processing purposes only. The
amount of the claim shall not be used for any other purpose.
________
_
_
_
_
_
_______
_______
$8,000 or less
$ 8,001 - $30,000
$30,001 - $50,000
_______ $50,001 - $75,000
_______
_______
Self Service Packet #46 (Page 11 of 20)
$75,001 - $100,000
over $100,000
II. TYPE OF CASE (If the case fits more than one type of case, select the
most definitive category.) If the most descriptive label is a subcategory (is indented under a
broader category), place an x on both the main category and subcategory lines.
CIRCUIT CIVIL
Condominium
Contracts and indebtedness
Eminent domain
Auto negligence
Negligence—other
Business governance
Business torts
Civil Cover Sheet, Form 1.997 (09/20), Page 1 of 3
Environmental/Toxic tort
Third party indemnification
Construction defect
Mass tort
Negligent security
Nursing home negligence
Premises liability—commercial
Premises liability—residential
Products liability
Real property/Mortgage foreclosure
Commercial foreclosure
Homestead residential foreclosure
Non-homestead residential foreclosure
Other real property actions
Professional malpractice
Malpractice—business
Malpractice—medical
Malpractice—other professional
Other
Antitrust/Trade regulation
Business transactions
Constitutional challenge—statute or ordinance
Constitutional challenge—proposed amendment
Corporate trusts
Discrimination—employment or other
Insurance claims
Intellectual property
Libel/Slander
Shareholder derivative action
Securities litigation
Trade secrets
Trust litigation
COUNTY CIVIL
Civil
Real Property/Mortgage foreclosure
Evictions
Residential Evictions
Non-residential Evictions
Other civil (non-monetary)
Self Service Packet #46 (Page 12 of 20)
Civil Cover Sheet, Form 1.997 (09/20), Page 2 of 3
III. REMEDIES SOUGHT (check all that apply):
Monetary;
Nonmonetary declaratory or injunctive relief;
Punitive
IV. NUMBER OF CAUSES OF ACTION: [ ]
(Specify)
V. IS THIS CASE A CLASS ACTION LAWSUIT?
yes
no
VI. HAS
NO
T
IC
E
OF
A
NY
K
NOWN
RE
L
A
T
E
D
CA
S
E BEEN
F
I
L
E
D?
no
y
es If
“
yes,”
li
st
a
l
l
re
l
a
ted cases by name, case number, and court.
VII. IS JURY TRIAL DEMANDED IN COMPLAINT?
yes
no
I C
ERTI
F
Y that the information I have provided in this cover sheet is accurate to the best of
my knowledge and belief, and that I have read and will comply with the requirements of
Florida Rule of Judicial Administration 2.425.
Signature
Attorney or party
Fla. Bar #
(Bar # if attorney)
(type or
pri
nt
na
me) Da
te
Civil Cover Sheet, Form 1.997 (09/20), Page 3 of 3
Self Service Packet #46 (Page 13 of 20)
IN THE SMALL CLAIMS DIVISION OF THE ___
15TH
_____ JUDICIAL CIRCUIT
IN AND FOR ____
PALM BEACH
__________
_ COUNTY, FLORIDA
Case No.:
Plaintiff(s)
vs. Defendant 1:
Defendant(s)
Address:
Defendant 2:
Address:
STATEMENT OF CLAIM
Plaintiff(s) sue(s) the Defendant(s) for damages which do not exceed $8,000.00 exclusive of
costs and
interest for (check one category below):
[__]
Auto Accident occurring on or about
in the vicinity of , in
County, Florida caused by t
he negligent operation of a vehicle operated by
and owned by resulting in damages, described below.
[ ] Goods sold by Plaintiff; goods and prices and credits listed below. __
[__] Work done and materials furnished; time and materials, showing charges and credits, listed
below.
[__]
Money lent to defendant on
with interest owed since
.
[__]
Promissory Note executed on
,
copy attached; defendant failed to either pay the
note or an installment payment, and interest is owed since , plus attorney’s fees.
[ ] __ Account Stated for an agreed balance owed on business transactions between the parties, the
defendant di
d not object to the statement of acco unt presented, a copy of which is attached.
[__]
Other claim – Please specify: .
Explain below the details (what happened, dates, times, place, etc.) of your claim. This section must be
completed. Attach additional pages if n eeded.
[__] Attached is a copy of any written document(s) that is that basis of t his claim.
WHEREFORE, the Plaintiff(s) demand judgment in the principal sum of $
Plus costs, if known, (summons, service) in the amount of $
Plus interest in the amount of $
TOTAL $
Plaintif f Address:
Telephone No.
Email Addresses:
Signature of P laintiff(s)
Print name of P laintiff(s)
Title (if applicable)
Self Service Packet #46 (Page 14 of 20)
Small Claims - Statement of Claim (03/20), Page 1 of 1
__________ ___________________
___________
___________
Summons Information Sheet
Pursuant to rule 7.060, Florida Small Claims Rules, each Defendant in a small claims action
must be served with a summons entitled “Notice to Appear,” which provides the time of and
location of the hearing. After the fee is paid, the Clerk of Court will issue a summons for each
Defendant and the Plaintiff is responsible for service. Below please provide the name, address,
telephone number and e-mail address of each Defendant in this case. If there are more than two
Defendants, please complete an additional form:
Defendant Number 1:
Name:
Registered Agent:
Address:
City, State, Zip:
Telephone Number:
Designated E-mail Address(es):
Defendant Number 2 (If applicable):
Name:
Registered Agent:
Address:
City, State, Zip:
Telephone Number:
Designated E-mail Address(es):
Self Service Packet #46 (Page 15 of 20)
Summons Information Sheet, Page 1 of 1
_____________________________________
_____________________________________
IN THE COUNTY COURT OF THE FIFTEENTH JUDICIAL CIRCUIT,
IN AND FOR PALM BEACH COUNTY, FLORIDA
CASE NO. _____________________
Plaintiff(s)
Vs.
Defendant(s)
AUT
HORIZATION TO A
LLOW EMPLOYEE TO REPRESENT BUSINESS ENTITY AT ANY
STAGE OF LAWSUIT
____________________________ (name of employee) is an employee of ___________________
(name of business ent
ity under Florida law that is a party to this action). This individual has authority to
represent the business entity at any state of the trial court proceedings, including mediation.
The undersigned giving the authority is an officer of the corporation.
Pursuant to section 92.525, Florida Statutes, under penalties of perjury, I declare that I have read
the
foregoing Corporate Authorization and that the facts stated in it are true.
________________ _____ Date: 20 .
SIGNING AUTHORITY:
Print name and title:
(President, vice-president, s
ecretary, treasurer)
Address:
Phone number:
I certify that a copy of this form has been furnished to (list all parties to this action) by ____ hand
del
ivery, ___ mail,
fax on ___ _______________ _______, 20 .
Name and Title:
Self Service Packet #46 (Page 16 of 20)
Authorization to Allow Employee to Represent Business Entity at any
Stage of Lawsuit, Page 1 of 1
15TH
JUDICIAL
CIRCUIT
=------------=
OF
FLORIDA
-==
ADMINISTRATIVE
OFFICE
OF
THE
COURT
E-SERVICE INSTRUCTIONS FOR SELF REPRESENTED PARTIES
Pursuant to the Florida Rule of Judicial Administration 2.516, s elf-represented parties involved in any
type of case in any Florida court, may, but are not required to, serve on the opposing party's attorney court
documents by e-mail.
E-mail Service to/from an Opposing Party
: Self-represented parties opting to serve court documents by e-
mail may do so by designating a primary e-mail address (and up to 2 s econdary e-mail addresses) for
receiving service in that proceeding. This designation only informs the other side of your email address.
Once a party has filed an e-mail address designation in a proceeding, all court documents required or
permitted to be served on a party must be served by e-mail unless the parties otherwise agree or a court
orders otherwise.
E-Mail Service from Participating Judges: Self-represented parties
who want to receive court orders and
other court documents from judges who use e-mail service MUST register with the 15th Judicial Circuit's
online services system at
www.15thc
ircuit.com/html/onlineservices.
You will NOT receive court
documents from participating judges unless and until you register with the 15th Judicial Circuit's online
system.
Form of E
mail: E-mail service is made by attaching a copy of the document to be served in PDF format
to an e-mail. The e-mail’s subject line must state “SERVICE OF COURT DOCUMENT” in all capital
letters, followed by the case number of the relevant proceeding. The body of the e-mail must identify the:
(1) court in which the proceeding is pending; (2) case number; (3) name of the initial party on each side;
(3) title of each document served with that e-mail; (4) sender’s name; (5) sender’s telephone number. The
e-mail and attachments together may not exceed 5 megabytes in size; e-mails that exceed the size
requirement must be divided into separate e-mails (no one of which may exceed 5 megabytes) and labeled
sequentially in the subject line. Documents served by e-mail may be signed by "/s/", "/s" or "s/" as long as
the document filed with the Clerk's Office is signed in accordance with the applicable rule of procedure.
Service Dates: Service by e-mail is deemed complete on the date it is sent. E-mail service is treated as
service by mail for the computation of time. When, in addition to service by e-mail, the sender also
utilizes another means of service provided for in the Rules of Judicial Administration, the computation of
time will be based on the method of service that has the shortest response time.
Filing of Documents: The Rules of Judicial Administration require that all documents be filed with the
court either before service on the opposing party or immediately thereafter. Documents are deemed filed
when they are filed with the clerk of court. If the sender learns that the e-mail did not reach the address of
the person to be served, the sender must immediately send another copy by e-mail, or serve by a means
authorized by subdivision (b)(2) of the Rules of Judicial Administration.
IN THE CIRCUIT/COUNTY COURT OF THE FIFTEENTH JUDICIAL CIRCUIT
IN AND FOR PALM BEACH COUNTY, FLORIDA
CASE NO.:
Plaintiff/Petitioner
,
v.
Defendant/Respondent.
,
NOTICE OF DESIGNATION OF EMAIL ADDRESS FOR E-SERVICE
I, (full legal name) , designate my e
-mail
address(es) below (up to 3 different email address) to opt in E-service in this case.
Primarily Email Address:
Secondary Email Address:
Other Email Address: __
1. By completing this form I am authorizing the Court, the Clerk of the Fifteenth Judicial
Circ
uit of Florida and the opposing party to send copies of orders/judgment, notices or
other written communications or pleadings to me through my designated e-mail and NOT
through regular U.S. Mail.
2. I understand that I must keep the clerk's office and the opposing party or parties notified of
my current mailing and e-mail address(es) and that all future orders/judgment, notices or
other written communications or pleadings in this lawsuit will be served at the email
address(es) provided above.
3. I will ensure the software filters have been removed from my computer, so it does not
int
erfere with my ability to receive any of the above documents.
I certify that a copy of this document was {check all used}: (
)
e-mailed
( )
mailed
( ) faxed
( )
hand-delivered to t
he person(s) listed below on {date} .
_________________________________________________
__________________
__________________________________
__________________________________________________
Other party or his/her attorney
Name:
Address:
City, State, Zip:
F
ax Number:
E-Mail Address(es):
Dated:
15th Judicial Circuit Approved Local Form,
Designation of Email Address for Self Represented
Litigants (1/17), Page 1 of 2
Self Service Packet #46 (Page 18 of 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}
{street}
{city}
, {state} {telephone number}
Self Service Packet #46 (Page 19 of 20)
15th Judicial Circuit Approved Local Form,
Designation of Email Address for Self Represented
Litigants (1/17), Page 2 of 2
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signature
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IN THE COUNTY COURT O
F THE FIFTEENTH JUDICIAL CIRCUIT
IN AND FOR PALM BEACH COUNTY, FLORIDA
Case No.:
Division:
________
__________________
___________________________
_________________________________
Plaintiff
,
v.
_______________
__________________
Defendant(s)
,
FINAL JUDGMENT AGAINST ____________________________
It is adjudged tha
t the plaintiff(s),__________________________________________________ ,
recover from the defendant(s), ________________________________________________________ , the
sum
of $______________________ ____________________ on principal, $ as prejudgment interest,
$________________ ______________ for attorneys’ fees, with costs of $ , all of which shall bear interest
at t
he rate of ____ % per year as provided for by Florida Statute, for all of which let execution issue.
It is further ordered and adjudged that the defendant(s) shall complete Flor
ida Small Claims Rules
Form 7.343 (Fact Information Sheet) and return it to the plaintiff’s attorney, or to the plaintiff if the
plaintiff is not represented by an attorney, within 45 days from the date of this final judgment, unless the
final judgment is satisfied or a motion for new trial or notice of appeal is filed. The defendant should
NOT file the completed form 7.343 with the court.
Jurisdiction of this case is retained to enter further orders that are proper to compel the
def
endant(s) to complete form 7.343 and return it to the plaintiff’s attorney, or the plaintiff if the plaintiff
is not represented by an attorney.
ORDERED at _______________________, Florida, on ___________________, __________
County Cour
t
Judge
Copies furnished to:
PLAINTIFF(S)
DEFENDANT(S)
Plaintiff(s)’ address:
_
_____________________________
______________________________
___________________________
Defendant(s)’
last
known
address
and
last
four
digits
of
Social Security
Number
(if
known)
_________________________________________________
_____________________________________________
Self Service Packet #46 (Page 20 of 20)
Final Judgment-Small Claims, Page 1 of 1
_____________________________________
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Joseph Abruzzo Clerk of The Circuit Court & (Clerk of the Circuit Court & Comptroller, Palm Beach County)

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Completed 5 July 2021

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