IN THE ___________ COURT, 15TH JUDICIAL CIRCUIT, IN AND FOR PALM BEACH COUNTY, FLORIDA ______________________ Plaintiff/Petitioner, v. ______________________ Defendant/Respondent. __________________________________ / 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 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: ________________________ ________________________________________________________________________ . . ___________________________________ Filer's Signature CASE NO.: ______________________ rev. 8/21/13 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF SERVICE I HEREBY CERTIFY that a copy of the foregoing was furnished by ___________ on: _____________ _________________________________________________________________________________ __________________________________________________ on _____________________ , 20___. ______________________________________ Name ............................................................. Address ......................................................... Phone ............................................................ Florida Bar No. (if applicable) ......................... E-mail address ............................................... Note: The clerk of court shall review filings identified as containing confidential information to determine whether the information is facially subject to confidentiality under subdivision (d)(1)(B). The clerk shall notify 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). rev. 8/21/13 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com