Affidavit of Corroborating Witness Form

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IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,

IN AND FOR COUNTY, FLORIDA

Case No.: Division:

,

Petitioner,

and

,

Respondent.

AFFIDAVIT OF CORROBORATING WITNESS 

I, {full legal name} , being sworn, certify that the following statements are true: I have known {name} since {approximate date} ; to the best of my understanding the petition in this action was filed on {date} ; and I know of my own personal knowledge that this person has resided in the State of Florida for at least 6 months immediately before {date} .

I understand that I am swearing or affirming under oath to the truthfulness of the claims made in this affidavit and that the punishment for knowingly making a false statement includes fines and/or imprisonment. 

Dated: Signature of Corroborating Witness

Printed Name: Address: City,State,Zip: Telephone Number:

STATE OF FLORIDA

COUNTY OF

Sworn to or affirmed and signed before me on by .

NOTARY PUBLIC or DEPUTY CLERK

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

____ Personally known

____ Produced identification

Type of identification produced

IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW:[fill in all blanks]

I, {full legal name and trade name of nonlawyer} ,

a nonlawyer, located at {street} , {city} ,

{state} , {phone} , helped {name} ,

who is the affiant, fill out this form.

Florida Supreme Court Approved Family Law Form 12.902(i), Affidavit of Corroborating Witness (09/06)