20th Judicial Circuit Florida



IN THE CIRCUIT COURT OF THE TWENTIETH JUDICIAL CIRCUIT,

IN AND FOR COLLIER COUNTY, FLORIDA

Case No.:

Division:

XXXX

Husband,

and

XXXXX

Wife

WAIVER OF MANDATORY DISCLOSURE

COMES NOW __________, who is the Husband/Wife in the above-styled case and hereby acknowledge that I have received a Financial Affidavit from the Husband/Wife and waive my right to receive any further financial disclosure pursuant to Florida Family Law Rule 12.285 in this matter.

Dated: _______________ Signature of Affiant _______________________________

Printed Name ____________________________________

Address: ________________________________________

City & State______________________________________

STATE OF FLORIDA

COUNTY OF COLLIER

Sworn to or affirmed and signed before me on                               by Rene Roger Trudel.

NOTARY PUBLIC or DEPUTY CLERK

[Print, type or stamp commissioned name of notary or deputy clerk.]

        Personally known

        Produced identification

Type of identification produced                                                

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