REQUIRED INFORMATION SHEET

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THE ELEVENTH JUDICIAL CIRCUIT OF MIAMI-DADE COUNTY, FLORIDA

REQUIRED INFORMATION PER ADMINISTRATIVE ORDER 91-35       Case No. _________________

 

 

Petitioner’s Name: Jamie Crown                       D.O.B. XXXXXXX                     SSN: ending #XXXX

Address: XXXXXXXXXXXXXX              Zip Code:  XXXX

Home Phone:    XXXXXXX

Attorney: Larry D. Schott, Esquire

Attorney=s Address: XXXXXXXXXXXXXX

City, State, Zip:        XXXXXXXXXXXX

Phone Number:       XXXXXXXX

Respondent=s Name:    Jack King                                            SSN: XXXXXX

Address: XXXXXXXXXXXXXXXXXXXXX                      Zip Code:  XXXXXXX

Home Phone:    XXXXXXXXX                                        Work Phone:

Attorney(if known):

Attorney=s Address:

City, State, Zip:

Phone Number:

Minor childs name:  N/A

The following is requested for reporting to the Bureau of Vital Statistics N/A

Place of Marriage:   Miami                     State or Province: Florida      County: XXXXXXX

Date of Marriage:          XXXXXXXXXXX

Maiden Name of Wife: Crown

 

 

 

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This document is a sample pleading related to a specific set of facts and circumstances and should not be used or relied upon for any family law matter. This document is being provided for illustrative purposes only. We recommend and urge you to consult with an experienced divorce lawyer for professional advice as each case is unique.

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