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INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM 12.900(d), TERMINATION OF LIMITED APPEARANCE When should this form be used? This form should be used by an attorney who is terminating a limited appearance for a client under Florida Family Law Rule of Procedure 12.040. This form should be typed or printed in black ink. After completing this form, the attorney should sign it and then file it with the clerk of the circuit court in the county in which the action is pending. The attorney should keep a copy for his or her records. What should I do next? A copy of this form must be mailed or hand delivered to the other party or his or her attorney and to the attorney's client. Where can I look for more information? See Florida Family Law Rule of Procedure 12.040.

Instructions for Florida Family Law Rule of Procedure Form 12.900(d), Termination of Limited Appearance (09/04)

IN THE CIRCUIT COURT OF THE IN AND FOR

JUDICIAL CIRCUIT, COUNTY, FLORIDA Case No.: Division: ,

Petitioner, and , Respondent. TERMINATION OF LIMITED APPEARANCE , files this Termination of {Attorney's name} Limited Appearance on behalf of the [/ one only] ( ) Petitioner ( ) Respondent, {name}, , and certifies that the proceeding or matter is concluded. The clerk of the above-styled court is requested to enter this Notice of Completion of Limited Appearance of record. Copies of all future court papers should be mailed to the [/ one only] ( ) Petitioner ( ) Respondent at: {name, address, and telephone number} . I certify that a copy of this termination of limited appearance was: ( and mailed, or ( ) hand delivered to the person(s) listed below on {date} Other party or his/her attorney: Name: Address: City, State, Zip: Fax Number: Petitioner/Respondent: Name: Address: City, State, Zip: Fax Number: ) mailed, ( ) faxed .

Signature of Attorney
Printed Name: Address: City, State, Zip: Telephone Number: Florida Bar Number

Instructions for Florida Family Law Rule of Procedure Form 12.900(d), Termination of Limited Appearance (09/04)