IN THE CIRCUIT COURT FOR FLORIDA IN RE: ESTATE OF COUNTY, PROBATE DIVISION File No. Deceased. Division NOTICE OF CONFIDENTIAL INFORMATION WITHIN COURT FILING Pursuant to Florida Rule of Judicial Administration 2.420(d)(2), I hereby certify: ( ) (1) I am filing herewith a document containing confidential information as described in Rule 2.420(d)(1)(B) and that: (a) The title/type of document is: and (b) ( )The entire document is confidential, or ( ) The confidential information within the document is precisely located at: OR ( ) (2) A document was previously filed in this case that contains confidential information as described in Rule 2.420(d)(1)(B), but a Notice of Confidential Information within Court Filing was not filed with the document and the confidential information was not maintained as a confidential by the clerk of the court. I hereby notify the clerk that this confidential information is located as follows: (a) Title/type of document: (b) Date of filing (if known): (c) Date of document (d) Docket entry number: (e) ( ) Entire document is confidential, or ( ) Precise location of confidential information in document: Signed on this ________ day of , ________. Filer's Signature Bar Form No. P-1.0640 - 1 of 2 © Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF SERVICE I HEREBY CERTIFY that a copy of the foregoing hereof was furnished by delivery to: _______________________________________________________________________ on this _______ day of _____________________________, ________. (All Parties and Affected Non-Parties, Note: If the name or address of a Party or Affected Non-Party is confidential DO NOT include such information in this Certificate of Service. Instead, serve the State Attorney or request Court Service. See Florida Rule of Judicial Administration 2.420(k)). Attorney for Personal Representative Email Addresses: ________________________________________ ________________________________________ Florida Bar No. (address) Telephone: [Print or Type Names Under All Signature Lines] Note: The clerk of court shall review filings identifi ed as containing confidential information to determine whether the information is facially subject to confidentality under subdivision (d)(1)(B). The clerk shall notify i the filer in writing within 5 days if the clerk determines that the information is NOT subject to confidentiality, and the records shall not be held as confidential for more than 10 days, unless a motion is filed pursuant to subdivision (d)(3) of the Rule. Fla. R. Jud. Admin. 2.420(d)(2). Bar Form No. P-1.0640 - 2 of 2 © Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com