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IN THE CIRCUIT COURT OF THE THIRTEENTH JUDICIAL
CIRCUIT IN AND FOR HILLSBOROUGH COUNTY, FLORIDA
FAMILY LAW DIVISION
IN RE: The Matter of

Petitioner,

Case
No.
Divisio
n

And

Respondent.
/

PARENTING PLAN
This parenting plan is: (Choose only one)
[ ] A Parenting Plan submitted to the court with the agreement of the parties.
This parenting plan is: (Choose only one)
[ ] Intended to be final and adopted by the court.
[ ] Intended to be temporary and adopted by the court until further order.
[ ] A modification of a prior final Parenting Plan or prior final order.
I.

PARENTS Mother
Name: Address:
Telephone Number:
E-Mail:

Father
Name:
Address:
Telephone Number:
E-Mail:
II. CHILDREN: This parenting plan is for the following child(ren) born to, or adopted by the parties:
(add additional lines as needed)
Name
Date of Birth
Gender

Florida Supreme Court Approved Family Law Form 12.995(a), Parenting Plan (03/09) Adapted for mediation use
th
in the 13 Judicial Circuit November 15, 2010.

III