.
2. FOR INITIAL, SUPPLEMENTAL, AND PERMANENT FINANCIAL RELIEF:
The date the following documents were served: .
[Check all that apply. State with specificity the documents being produced; if sufficient space is not
provided, you may attach additional papers with this form and refer to them in the space provided.]
a.____ Financial Affidavit
_____ Florida Family Law Rules of Procedure Form 12.902(b) (short form)
_____ Florida Family Law Rules of Procedure Form 12.902(c) (long form)
b.____ All complete federal and state personal income tax, gift tax, and foreign tax returns, for
the past 3 years; including all attachments, including IRS forms W-2, 1099, and K-1, and
all accompanying schedules and worksheets comprising the entire tax return;
_____ Transcript of the tax return as provided by IRS form 4506-T; or
_____ IRS forms W-2, 1099, and K-1 for the past year because the income tax return for
the past year has not been prepared; and for any of the prior 2 years beyond the
past year if tax returns for any of those years have not been filed.
c. ____ Pay stubs or other evidence of earned income for the 6 months before the compliance
with these disclosure requirements for initial or supplemental proceedings. The
following are produced: ____________________________________________________
.
d.____ A statement identifying the source and amount of all income for the 6 months before the
compliance with these disclosure requirements for initial or supplemental proceedings, if
not reflected on the pay stubs produced. The following are produced: _______________
.
e.____ All loan applications, financial statements, credit reports, or any other form of financial
disclosure, including financial aid forms, prepared for any purpose or used for any
purpose within the 24 months preceding the compliance with these disclosure
requirements for initial or supplemental proceedings. The following are produced:
.
f. ____ All deeds to real estate in which I presently own or owned an interest within the past 3
years. All promissory notes or other documents evidencing money owed to me or my
spouse at any time within the last 24 months. All leases, whether in my name
individually, in my name jointly with any other person or entity, in my name as trustee
or guardian for a party or a minor or adult dependent child of both parties, or in
someone else’s name on my behalf wherein either party (A) is receiving or has received
payments at any time within the last 3 years, or (B) owns or owned an interest. The
following are produced:
.
Florida Family Law Rules of Procedure Form 12.932, Certificate of Compliance with Mandatory Disclosure (10/21)