The opinion
59 So.3d 792 (2010)
In re AMENDMENTS TO THE FLORIDA SUPREME COURT APPROVED FAMILY LAW FORMS.
No. SC08-2058.
Supreme Court of Florida.
December 16, 2010.
Judge John Charles Lenderman, Sixth Judicial Circuit, St. Petersburg, FL; Judge Renee Goldenberg, Seventeenth Judicial Circuit, Fort Lauderdale, FL; Margaret Pearce, Gulfcoast Legal Services, Inc., St. Petersburg, FL; Jack A. Moring, Past Chair, Family Law Rules Committee, Crystal River, FL; and Peter Gladstone, Chair, Rules and Forms Committee of the Family Law Section of The Florida Bar, Fort Lauderdale, FL and Matthew B. Capstraw, Co Chair, Longwood FL, Responding with comments.
PER CURIAM.
Under Amendments to the Florida Family Law Rules of Procedure & Family Law Forms, 810 So.2d 1, 13-14 (Fla.2000), the Court internally reviews and maintains the Florida Supreme Court Approved Family Law Forms. In this matter, the Court previously adopted amendments to multiple Florida Supreme Court Approved Family Law Forms and adopted three new forms. In re Amendments to Fla. Supreme Court Approved Family Law Forms, 20 So.3d 173 (Fla.2009). The majority of the amendments to existing forms removed the terms "custody," "custodial or noncustodial parent," "primary or secondary residential parent," "visitation," and the like, and incorporated the concepts of the "parenting plan" and "time-sharing" into the forms. [1] The three new forms were: (1) form 12.995(a) (Parenting Plan *793 (non-supervised)); (2) form 12.995(b) (Parenting Plan (supervised/safety focused)); and (3) form 12.993(d) (Children of Military Parents). [2] After their adoption, the amended and new forms were published for comment. Comments were filed by Margaret Pearce of Gulf Coast Legal Services, Inc., the Honorable Renee Goldenberg, Circuit Judge of the Seventeenth Judicial Circuit (Unified Family Court Division), the Honorable John C. Lenderman, Circuit Judge of the Sixth Judicial Circuit, the Family Law Rules Committee, and the Family Law Section of The Florida Bar. The Court also received additional input from its Advisory Workgroup on the Florida Supreme Court Approved Family Law Forms.
Upon consideration of the comments and the input of the Workgroup, we further amend the Florida Supreme Court Approved Family Law Forms as shown in the appendix to this opinion. [3] The forms are fully engrossed and ready for use. The amendments shall become effective immediately upon the release of this opinion.
It is so ordered.
CANADY, C.J., and PARIENTE, LEWIS, QUINCE, POLSTON, LABARGA, and PERRY, JJ., concur.
APPENDIX
FAMILY LAW FORMS, COMMENTARY, AND INSTRUCTIONS GENERAL INFORMATION FOR SELF-REPRESENTED LITIGANTS (12/10)
You should read this General Information thoroughly before taking any other steps to file your case or represent yourself in court. Most of this information is not repeated in the attached forms. This information should provide you with an overview of the court system, its participants, and its processes. It should be useful whether you want to represent yourself in a pending matter or have a better understanding of the way family court works. This is not intended as a substitute for legal advice from an attorney. Each case has its own particular set of circumstances, and an attorney may advise you of what is best for you in your individual situation.
These instructions are not the only place that you can get information about how a family case works. You may want to look at other books for more help. The Florida Statutes, Florida Family Law Rules of Procedure, Florida Rules of Civil Procedure, and other legal information or books may be found at the public library or in a law library at your county courthouse or a law school in your area. If you are filing a *794 petition for Name Change and/or Adoption, these instructions may not apply.
If the word(s) is printed in bold, this means that the word is being emphasized. Throughout these instructions, you will also find words printed in bold and underlined. This means that the definitions of these words may be found in the glossary of common family law terms at the end of this general information section.
Commentary
1995 Adoption. To help the many people in family law court cases who do not have attorneys to represent them (pro se litigants), the Florida Supreme Court added these simplified forms and directions to the Florida Family Law Rules of Procedure. The directions refer to the Florida Family Law Rules of Procedure or the Florida Rules of Civil Procedure. Many of the forms were adapted from the forms accompanying the Florida Rules of Civil Procedure. Practitioners should refer to the committee notes for those forms for rule history.
The forms were adopted by the Court pursuant to Family Law Rules of Procedure, 667 So.2d 202 (Fla.1995[1996]); In re Petition for Approval of Forms Pursuant to Rule 10-1.1(b) of the Rules Regulating the Florida BarStepparent Adoption Forms, 613 So.2d 900 (Fla.1992); Rules Regulating the Florida BarApproval of Forms, 581 So.2d 902 (Fla.1991).
Although the forms are part of these rules, they are not all inclusive and additional forms, as necessary, should be taken from the Florida Rules of Civil Procedure as provided in Florida Family Law Rules of Procedure. Also, the following notice has been included to strongly encourage individuals to seek the advice, when needed, of an attorney who is a member in good standing of the Florida Bar.
1997 Amendment. In 1997, the Florida Family Law Forms were completely revised to simplify and correct the forms. Additionally, the appendices were eliminated, the instructions contained in the appendices were incorporated into the forms, and the introduction following the Notice to Parties was created. Minor changes were also made to the Notice to Parties set forth below.
NOTICE TO PARTIES WHO ARE NOT REPRESENTED BY AN ATTORNEY WHO IS A MEMBER IN GOOD STANDING OF THE FLORIDA BAR
If you have questions or concerns about these forms, instructions, commentary, the use of the forms, or your legal rights, it is strongly recommended that you talk to an attorney. If you do not know an attorney, you should call the lawyer referral service listed in the yellow pages of the telephone book under "Attorney." If you do not have the money to hire an attorney, you should call the legal aid office in your area.
Because the law does change, the forms and information about them may have become outdated. You should be aware that changes may have taken place in the law or court rules that would affect the accuracy of the forms or instructions.
In no event will the Florida Supreme Court, The Florida Bar, or anyone contributing to the production of these forms or instructions be liable for any direct, indirect, or consequential damages resulting from their use.
*795 FAMILY LAW PROCEDURES
Communication with the court Ex parte communication is communication with the judge with only one party present. Judges are not allowed to engage in ex parte communication except in very limited circumstances, so, absent specific authorization to the contrary, you should not try to speak with or write to the judge in your case unless the other party is present or has been properly notified. If you have something you need to tell the judge, you must ask for a hearing and give notice to the other party or file a written statement in the court file and send a copy of the written statement to the other party.
Filing a case. A case begins with the filing of a petition. A petition is a written request to the court for some type of legal action. The person who originally asks for legal action is called the petitioner and remains the petitioner throughout the case.
A petition is given to the clerk of the circuit court, whose office is usually located in the county courthouse or a branch of the county courthouse. A case number is assigned and an official court file is opened. Delivering the petition to the clerk's office is called filing a case. A filing fee is usually required.
Once a case has been filed, a copy must be given to (served on) the respondent. The person against whom the original legal action is being requested is called the respondent, because he or she is expected to respond to the petition. The respondent remains the respondent throughout the case.
Service. When one party files a petition, motion, or other pleading, the other party must be "served" with a copy of the document. This means that the other party is given proper notice of the pending action(s) and any scheduled hearings. Personal service of the petition and summons on the respondent by a deputy sheriff or private process server is required in all original petitions and supplemental petitions, unless constructive service is permitted by law. Personal service may also be required in other actions by some judges. After initial service of the original or supplemental petition and summons by a deputy sheriff or private process server, service of most motions and other documents or papers filed in the case generally may be made by regular U.S. mail or hand delivery. However, service by certified mail is required at other times so you have proof that the other party actually received the papers. The instructions with each form will advise you of the type of service required for that form. If the other party is represented by an attorney, you should serve the attorney and send a copy to the other party, except for original or supplemental petitions, which must be personally served on the respondent.
Other than the initial original or supplemental petitions, anytime you file additional pleadings or motions in your case, you must provide a copy to the other party and include a certificate of service. Likewise, the other party must provide you with copies of everything that he or she files. Service of additional documents is usually completed by U.S. mail. For more information, see the instructions for Certificate of Service (General), Florida Supreme Court Approved Family Law Form 12.914.
Forms for service of process are included in the Florida Family Law Forms, along with more detailed instructions and information regarding service. The instructions to those forms should be read carefully to ensure that you have the other party properly served. If proper service *796 is not obtained, the court cannot hear your case.
Note: If you absolutely do not know where the other party to your case lives or if the other party resides in another state, you may be able to use constructive service. However, if constructive service is used, other than granting a divorce, the court may only grant limited relief. For more information on constructive service, see Notice of Action for Dissolution of Marriage, Florida Supreme Court Approved Family Law Form 12.913(a), and Affidavit of Diligent Search and Inquiry, Florida Family Law Rules of Procedure Form 12.913(b). Additionally, if the other party is in the military service of the United States, additional steps for service may be required. See, for example, Memorandum for Certificate of Military Service, Florida Supreme Court Approved Family Law Form 12.912(a). In sum, the law regarding constructive service and service on an individual in the military service is very complex and you may wish to consult an attorney regarding these issues.
Default ... After being served with a petition or counterpetition, the other party has 20 days to file a response. If a response to a petition is not filed, the petitioner may file a Motion for Default, Florida Supreme Court Approved Family Law Form 12.922(a), with the clerk. This means that you may proceed with your case and set a final hearing, and a judge will make a decision, even if the other party will not cooperate. For more information, see rule 12.080(c), Florida Family Law Rules of Procedure.
Answer and Counterpetition ... After being served, the respondent has 20 days to file an answer admitting or denying each of the allegations contained in the petition. In addition to an answer, the respondent may also file a counterpetition. In a counterpetition, the respondent may request the same or some other relief or action not requested by the petitioner. If the respondent files a counterpetition, the petitioner should then file an Answer to Counterpetition, Florida Supreme Court Approved Family Law Form 12.903(d), and either admit or deny the allegations in the respondent's counterpetition.
Mandatory disclosure ... Rule 12.285, Florida Family Law Rules of Procedure, requires each party in a dissolution of marriage to exchange certain information and documents, and file a Family Law Financial Affidavit, Florida Family Law Rules of Procedure Form 12.902(b) or (c). Failure to make this required disclosure within the time required by the Florida Family Law Rules of Procedure may allow the court to dismiss the case or to refuse to consider the pleadings of the party failing to comply. This requirement also must be met in other family law cases, except adoptions, simplified dissolutions of marriage, enforcement proceedings, contempt proceedings, and proceedings for injunctions for domestic or repeat violence. The Certificate of Compliance with Mandatory Disclosure, Florida Family Law Rules of Procedure Form 12.932, lists the documents that must be given to the other party. For more information see rule 12.285, Florida Family Law Rules of Procedure, and the instructions to the Certificate of Compliance with Mandatory Disclosure, Florida Family Law Rules of Procedure Form 12.932.
Parenting Plan. If your case involves minor or dependent child(ren), a Parenting Plan shall be approved or established by the court. Parenting Plan, Florida Supreme Court Approved Family Law Form, 12.995(a) or Safety-Focused Parenting Plan, Florida Supreme Court Approved Family Law Form 12.995(b). The Parenting Plan shall be developed and agreed to by the parents and approved by a court. *797 If the parents cannot agree, or if the agreed Parenting Plan is not approved, the court must establish a Parenting Plan. The Parenting Plan shall contain a time-sharing schedule and should address the issues regarding the child(ren)'s education, health care, and physical, social, and emotional well-being.
Setting a hearing or trial. Generally, the court will have hearings on motions, final hearings on uncontested or default cases, and trials on contested cases. Before setting your case for final hearing or trial, certain requirements such as completing mandatory disclosure and filing certain papers and having them served on the other party must be met. These requirements vary depending on the type of case and the procedures in your particular jurisdiction. For further information, you should refer to the instructions for the type of form you are filing.
Next, you must obtain a hearing or trial date so that the court may consider your request. You should ask the clerk of court, or family law intake staff about the local procedure for setting a hearing or trial, which you should attend. These family law forms contain orders and final judgments, which the judge may use. You should ask the clerk of court or family law intake staff if you need to bring one of these forms with you to the hearing or trial. If so, you should type or print the heading, including the circuit, county, case number, division, and the parties' names, and leave the rest blank for the judge to complete at your hearing or trial.
Below are explanations of symbols or parts of different family law forms ...
{specify }, { date }, { name(s) }, { street }, { city }, { state }, { phone }
Throughout these forms, you will find hints such as those above. These tell you what to put in the blank(s).
[one only] [all that apply]
These show how many choices you should check. Sometimes you may check only one, while other times you may check several choices. () This also shows an area where you must make a choice. Check the () in front of the choice that applies to you or your case.
IN THE CIRCUIT COURT OF THE
(1) JUDICIAL CIRCUIT,
IN AND FOR (2)
COUNTY, FLORIDA
Case No.: (3)
Division: (4)
(5) ,
Petitioner,
and
(6) ,
Respondent.
Line 1 The clerk of court can tell you the number of your judicial circuit. Type or print it here.
Line 2 Type or print your county name on line (2).
Line 3 If you are filing an initial petition or pleading, the Clerk of the Court will assign a case number after the case is filed. You should type or print this case number on all papers you file in this case.
Line 4 The clerk of the court can tell you the name of the division in which your case is being filed, and you should type or print it here. Divisions vary from court to court. For example, your case may be filed in the civil division, the family division, or the juvenile division.
Line 5 Type or print the legal name of the person who originally filed the case on line 5. This person is the petitioner because *798 he/she is the one who filed the original petition.
Line 6 Type or print the other party's legal name on line 6. The other party is the respondent because he/she is responding to the petition.
I understand that I am swearing or affirming under oath to the truthfulness of the claims made in this petition and that the punishment for knowingly making a false statement includes fines and/or imprisonment.
Dated: (1)
(2)
Signature of Petitioner
Printed Name: (3)
Address: (4)
City, State, Zip: (5)
Telephone Number:
(6)
Fax Number: (7)
Some forms require that your signature be witnessed. You must sign the form in the presence of a notary public or deputy clerk (employee of the clerk of the court's office). When signing the form, you must have a valid photo identification unless the notary knows you personally. You should completely fill in all lines (1 & 3-7) except 2 with the requested information, if applicable. Line 2, the signature line, must be signed in the presence of the notary public or deputy clerk.
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
___________
DO NOT SIGN OR FILL IN THIS PART OF ANY FORM. This section of the form is to be completed by the notary public who is witnessing your signature.
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 } (1) , a nonlawyer, located at { street } (2) , { city } (3) , { state } (4) , { phone } (5) , helped { name } (6) , who is the petitioner, fill out this form.
This section should be completed by anyone who helps you fill out these forms but is not an attorney who is a member in good standing of The Florida Bar, which means that he or she is not licensed to practice law in Florida.
Line 1 The nonlawyer who helps you should type or print his or her name on line 1.
Lines 2-5 The nonlawyer's address and telephone number should be typed or printed on lines 2-5.
Line 6 Your name should be typed or printed on line 6.
In addition, a Disclosure from Nonlawyer, Florida Family Law Rules of Procedure Form 12.900(a), should be completed if a nonlawyer assists you. The disclosure is available as a family law form and should be completed before the nonlawyer helps you. This is to be sure that you understand the role and limitations of a nonlawyer. You and the nonlawyer should *799 keep a copy of this disclosure for your records.
FAMILY LAW GLOSSARY OF COMMON TERMS AND DEFINITIONS
Note: The following definitions are intended to be helpful, BUT they are not intended to constitute legal advice or address every possible meaning of the term(s) contained in this glossary.
Affidavit a written statement in which the facts stated are sworn or affirmed to be true.
Answer written response by a respondent that states whether he or she admits (agrees with) or denies (disagrees with) the allegations in the petition. Any allegations not specifically denied are considered to be admitted.
Appeal asking a district court of appeal to review the decision in your case. There are strict procedural and time requirements for filing an appeal.
Asset everything owned by you or your spouse, including property, cars, furniture, bank accounts, jewelry, life insurance policies, businesses, or retirement plans. An asset may be marital or nonmarital, but that distinction is for the court to determine if you and your spouse do not agree.
Attorney a person with special education and training in the field of law who is a member in good standing of The Florida Bar and licensed to practice law in Florida. An attorney is the only person who is allowed to give you legal advice. An attorney may file your case and represent you in court, or just advise you of your rights before you file your own case. In addition to advising you of your rights, an attorney may tell you what to expect and help prepare you for court. In family law matters, you are not entitled to a court-appointed lawyer, like a public defender in a criminal case. However, legal assistance is often available for those who are unable to hire a private attorney. You may consult the yellow pages of the telephone directory for a listing of legal aid or lawyer referral services in your area, or ask your local clerk of court or family law intake staff what services are available in your area. You may also obtain information from the Florida Supreme Court's Internet site located at http://www.flcourts.org.
Bond money paid to the clerk of court by one party in a case, to be held and paid to an enjoined party in the event that the first party causes loss or damage of property as a result of wrongfully enjoining the other party.
Central Governmental Depository the office of the clerk of court that is responsible for collecting and disbursing court-ordered alimony and child support payments. The depository also keeps payment records and files judgments if support is not paid.
Certificate of Service a document that must be filed whenever a form you are using does not contain a statement for you to fill in showing to whom you are sending copies of the form. Florida Supreme Court Approved Family Law Form 12.914 is the certificate of service form and contains additional instructions.
Certified Copy a copy of an order or final judgment, certified by the clerk of the circuit court to be an authentic copy.
Certified Mail mail which requires the receiving party to sign as proof that they received it.
Child Support money paid from one parent to the other for the benefit of their dependent or minor child(ren).
Clerk of the Circuit Court elected official in whose office papers are filed, a case number is assigned, and case files are *800 maintained. The clerk's office usually is located in the county courthouse.
Constructive Service notification of the other party by newspaper publication or posting of notice at designated places when the other party cannot be located for personal service. You may also be able to use constructive service when the other party lives in another state. Constructive service is also called "service by publication." However, when constructive service is used, the relief the Court may grant is limited. For more information on service, see the instructions for Florida Family Law Rules of Procedure Forms 12.910(a) and 12.913(b) and Florida Supreme Court Approved Family Law Form 12.913(a).
Contested Issues any or all issues upon which the parties are unable to agree and which must be resolved by the judge at a hearing or trial.
Contingent Asset an asset that you may receive or get later, such as income, tax refund, accrued vacation or sick leave, a bonus, or an inheritance.
Contingent Liability a liability that you may owe later, such as payments for lawsuits, unpaid taxes, or debts that you have agreed or guaranteed to pay if someone else does not.
Counterpetition a written request to the court for legal action, which is filed by a respondent after being served with a petition.
Custody Order a judgment or order incorporating a Parenting Plan is a child custody determination for the purposes of the Uniform Child Custody Jurisdiction and Enforcement Act, the International Child Abduction Remedies Act, 42 U.S.C. ss. 11601 et seq., the Parental Kidnapping Prevention Act, and the Convention on the Civil Aspects of International Child Abduction enacted at the Hague on October 25, 1980.
Default a failure of a party to respond to the pleading of another party. This failure to respond may allow the court to decide the case without input from the party who did not appear or respond.
Delinquent late.
Dependent Child(ren) child(ren) who depend on their parent(s) for support either because they are under the age of 18, they have a mental or physical disability that prevents them from supporting themselves, or they are in high school while between the ages of 18 and 19 and are performing in good faith with reasonable expectation of graduation before the age of 19.
Deputy Clerk an employee of the office of the clerk of court, which is usually located in the county courthouse or a branch of the county courthouse.
Dissolution of Marriage divorce; a court action to end a marriage.
Electronic Communication Contact, other than face-to-face contact, facilitated by tools such as telephones, electronic mail or e-mail, webcams, video-conferencing equipment and software or other wired or wireless technologies, or other means of communication to supplement fact-to face contact between a parent and that parent's minor child.
Enjoined prohibited by the court from doing a specific act.
Ex Parte communication with the judge by only one party. In order for a judge to speak with either party, the other party must have been properly notified and have an opportunity to be heard. If you have something you wish to tell the judge, you should ask for a hearing or file information in the clerk of court's office, with certification *801 that a copy was sent to the other party.
Family Law Intake Staffa court's employee(s) who is (are) available to assist you in filing a family law case. Family law intake staff are not attorneys and cannot give legal advice. They may only assist you with filling out the form(s). Your local clerk's office can tell you if your county has such assistance available.
Filingdelivering a petition, response, motion, or other pleading in a court case to the clerk of court's office.
Filing Feean amount of money, set by law, that the petitioner must pay when filing a case. If you cannot afford to pay the fee, you must file an Application for Determination of Civil Indigent Status, to ask the clerk to file your case without payment of the fee. This form can be obtained from the clerk's office.
Final Hearingtrial in your case.
Financial Affidavita sworn statement that contains information regarding your income, expenses, assets, and liabilities.
Final Judgmenta written document signed by a judge and recorded in the clerk of the circuit court's office that contains the judge's decision in your case.
Guardian ad Litema neutral person who may be appointed by the court to evaluate or investigate your child's situation, and file a report with the court about what is in the best interests of your child(ren). Guardians do not "work for" either party. The guardian may interview the parties, visit their homes, visit the child(ren)'s school(s) and speak with teachers, or use other resources to make their recommendation.
Hearinga legal proceeding before a judge or designated officer (general magistrate or hearing officer) on a motion.
Health Insurancecoverage under a fee-for-service arrangement, health care maintenance organization, or preferred provider organization, and other types of coverage available to either parent, under which medical services could be provided to a minor or dependent child.
Judgean elected official who is responsible for deciding matters on which you and the other parties in your case are unable to agree. A judge is a neutral person who is responsible for ensuring that your case is resolved in a manner which is fair, equitable, and legal. A judge is prohibited by law from giving you or the other party any legal advice, recommendations, or other assistance, and may not talk to either party unless both parties are present, represented, or at a properly scheduled hearing.
Judicial Assistantthe judge's personal staff assistant.
Liabilitieseverything owed by you or your spouse, including mortgages, credit cards, or car loans. A liability may be marital or nonmarital, but that distinction is for the court to determine if you and your spouse do not agree.
Lump Sum Alimonymoney ordered to be paid by one spouse to another in a limited number of payments, often a single payment.
Mandatory Disclosureitems that must be disclosed by both parties except those exempted from disclosure by Florida Family Law Rule 12.285.
Marital Assetgenerally, anything that you and/or your spouse acquired or received (by gift or purchase) during the marriage. For example, something you owned before your marriage may be nonmarital. An asset may only be determined to be marital by agreement of the parties or determination of the judge.
*802 Marital Liabilitygenerally, any debt that you and/or your spouse incurred during the marriage. A debt may only be determined to be nonmarital by agreement of the parties or determination of the judge.
Mediatora person who is trained and certified to assist parties in reaching an agreement before going to court. Mediators do not take either party's side and are not allowed to give legal advice. They are only responsible for helping the parties reach an agreement and putting that agreement into writing. In some areas, mediation of certain family law cases may be required before going to court.
Modificationa change made by the court in an order or final judgment.
Motiona request made to the court, other than a petition.
No Contacta court order directing a party not speak to, call, send mail to, visit, or go near his or her spouse, ex-spouse, child(ren), or other family member.
Nonlawyera person who is not a member in good standing of The Florida Bar.
Nonmarital Assetgenerally, anything owned separately by you or your spouse. An asset may only be determined to be nonmarital by either agreement of the parties or determination of the judge.
Nonmarital Liabilitygenerally, any debt that you or your spouse incurred before your marriage or since your separation. A debt may only be determined to be nonmarital by either agreement of the parties or determination of the judge.
Nonpartya person who is not the petitioner or respondent in a court case.
Notary Publica person authorized to witness signatures on court related forms.
Obligeea person to whom money, such as child support or alimony, is owed.
Obligora person who is ordered by the court to pay money, such as child support or alimony.
Ordera written decision signed by a judge and filed in the clerk of the circuit court's office, that contains the judge's decision on part of your case, usually on a motion.
Original Petitionsee Petition.
Parenting Coursea class that teaches parents how to help their child(ren) cope with divorce and other family issues.
Parenting Plana document created to govern the relationship between the parents relating to the decisions that must be made regarding the minor child(ren). The Parenting Plan must contain a time-sharing schedule for the parents and child(ren) and shall address the issues concerning the minor child(ren). The issues concerning the minor child(ren) may include, but are not limited to, the child(ren)'s education, health care, physical, social, and emotional well-being. In creating the Plan, all circumstances between the parents, including their historic relationship, domestic violence, and other factors must be taken into consideration. The Parenting Plan must be developed and agreed to by the parents and approved by the court. If the parents cannot agree to a Parenting Plan, or if the parents agreed to a plan that is not approved by the court, a parenting plan will be established by the court with or without the use of parenting plan recommendations.
Parenting Plan RecommendationA nonbinding recommendation concerning one or more elements of a parenting plan made by a court-appointed mental health practitioner or other professional designated pursuant to either section 61.20 or 61.401, Florida Statutes, or Florida Family Law Rule of Procedure 12.363.
*803 Partya person involved in a court case, either as a petitioner or respondent.
Paternity ActionA lawsuit used to determine whether a designated individual is the father of a specific child or children.
Payoran employer or other person who provides income to an obligor.
Permanent Alimonyspousal support ordered to be paid at a specified, periodic rate until modified by a court order, the death of either party, or the remarriage of the Obligee, whichever occurs first.
Personal Servicewhen a summons and a copy of a petition (or other pleading) that has been filed with the court are delivered by a deputy sheriff or private process server to the other party. Personal service is required for all petitions and supplemental petitions.
Petitiona written request to the court for legal action, which begins a court case.
Petitionerthe person who files a petition that begins a court case.
Pleadinga formal written statement of exactly what a party wants the court to do in a lawsuit or court action.
Pro Se Litiganta person who appears in court without the assistance of a lawyer.
Pro Se Coordinatorsee Family Law Intake Staff.
Rehabilitative Alimonyspousal support ordered to be paid for a limited period of time to allow one of the parties an opportunity to complete a plan of education or training, according to a rehabilitative plan accepted by the court, so that he or she may better support himself or herself.
Respondentthe person who is served with a petition requesting some legal action against him or her.
Scientific Paternity Testinga medical test to determine who is the father of a child.
Servicethe delivery of legal documents to a party. This must be accomplished as directed by Florida Family Law Rules 12.070 and 12.080.
Shared Parental Responsibilityan arrangement under which both parents have full parental rights and responsibilities for their child(ren), and the parents make major decisions affecting the welfare of the child(ren) jointly. Shared Parental Responsibility is presumptive in Florida.
Sole Parental Responsibilitya parenting arrangement under which the responsibility for the minor child(ren) is given to one parent by the court, with or without rights of time-sharing to the other parent.
Supervised Time-Sharinga parenting arrangement under which time-sharing between a parent and his or her child(ren) is supervised by either a friend, family member, or a supervised visitation center.
Supplemental Petitiona petition that may be filed by either party after the judge has made a decision in a case and a final judgment or order has been entered. For example, a supplemental petition may be used to request that the court modify the previously entered final judgment or order.
Time-Sharing Schedulea timetable that must be included in the Parenting Plan that specifies the time, including overnights and holidays, that a minor child or children will spend with each parent. The time-sharing schedule shall either be developed and agreed to by the parents of a minor child or children and approved by the court, or established by the court if the parents cannot agree, or if their agreed-upon schedule is not approved by the court.
*804 Trialthe final hearing in a contested case.
Uncontestedany and all issues on which the parties are able to agree and which are part of a marital settlement agreement.
INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.901(b)(1), PETITION FOR DISSOLUTION OF MARRIAGE WITH DEPENDENT OR MINOR CHILD(REN) (12/10)
When should this form be used?
This form should be used when a husband or wife is filing for a dissolution of marriage and you and your spouse have a dependent or minor child(ren) together or the wife is pregnant. You and/or your spouse must have lived in Florida for at least 6 months before filing for a dissolution in Florida. You must file this form if the following is true:
You and your spouse have a dependent or minor child(ren) together or the wife is pregnant.
This form should be typed or printed in black ink. After completing this form, you should sign the form before a notary public or deputy clerk. You should file the original with the clerk of the circuit court in the county where you live and keep a copy for your records.
What should I do next?
For your case to proceed, you must properly notify your spouse of the petition. If you know where he or she lives, you should use personal service. If you absolutely do not know where he or she lives, you may use constructive service. You may also be able to use constructive service if your spouse resides in another state or country. However, if constructive service is used, other than granting a divorce, the court may only grant limited relief. For more information on constructive service, see Notice of Action for Dissolution of Marriage, Florida Supreme Court Approved Family Law Form 12.913(a), and Affidavit of Diligent Search and Inquiry, Florida Family Law Rules of Procedure Form 12.913(b). If your spouse is in the military service of the United States, additional steps for service may be required. See, for example, Memorandum for Certificate of Military Service, Florida Supreme Court Approved Family Law Form 12.912(a). In sum, the law regarding constructive service and service on an individual in the military service is very complex and you may wish to consult an attorney regarding these issues.
If personal service is used, the respondent has 20 days to answer after being served with your petition. Your case will then generally proceed in one of the following three ways:
DEFAULT. If after 20 days, your spouse has not filed an answer, you may file a Motion for Default, Florida Supreme Court Approved Family Law Form 12.922(a), with the clerk of court. Then, if you have filed all of the required papers, you may call the clerk, family law intake staff, or judicial assistant to set a final hearing. You must notify your spouse of the hearing by using a Notice of Hearing (General), Florida Supreme Court Approved Family Law Form 12.923, or other appropriate notice of hearing form.
UNCONTESTED. If your spouse files an answer that agrees with everything in your petition or an answer and waiver, and you have complied with mandatory disclosure and filed all of the required papers, you may call the clerk, family law intake staff, or judicial assistant to set a final hearing. You must notify your spouse of the hearing by using a Notice of Hearing (General), Florida Supreme Court Approved *805 Family Law Form 12.923, or other appropriate notice of hearing form.
CONTESTED. . . If your spouse files an answer or an answer and counterpetition, which disagrees with or denies anything in your petition, and you are unable to settle the disputed issues, you should file a Notice for Trial, Florida Supreme Court Approved Family Law Form 12.924, after you have complied with mandatory disclosure and filed all of the required papers. Some circuits may require the completion of mediation before a final hearing may be set. You should contact the clerk, family law intake staff, or judicial assistant for instructions on how to set your case for trial (final hearing). If your spouse files an answer and counterpetition, you should answer the counterpetition within 20 days using an Answer to Counterpetition, Florida Supreme Court Approved Family Law Form 12.903(d).
Where can I look for more information?
Before proceeding, you should read "General Information for Self-Represented Litigants" found at the beginning of these forms. The words that are in "bold underline" in these instructions are defined there. For further information, see chapter 61, Florida Statutes.
Special notes. . .
If you do not have the money to pay the filing fee, you may obtain an Application for Determination of Civil Indigent Status from the clerk, fill it out, and the clerk will determine whether you are eligible to have filing fees deferred.
If this is a domestic violence case and you want to keep your address confidential for safety reasons, do not enter the address, telephone, and fax information at the bottom of this form. Instead, file a Request for Confidential Filing of Address, Florida Supreme Court Approved Family Law Form 12.980(h).
With this form, you must also file the following:
Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Affidavit, Florida Supreme Court Approved Family Law Form 12.902(d).
Child Support Guidelines Worksheet, Florida Family Law Rules of Procedure Form 12.902(e), if you are asking that child support be ordered in the final judgment. (If you do not know your spouse's income, you may file this worksheet after his or her financial affidavit has been served on you.)
Affidavit of Corroborating Witness, Florida Supreme Court Approved Family Law Form 12.902(i) OR photocopy of current Florida driver's license, Florida identification card, or voter's registration card (issue date of copied document must be at least six months before date case is actually filed with the clerk of the circuit court).
Marital Settlement Agreement for Dissolution of Marriage with Dependent or Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.902(f)(1), if you and your spouse have reached an agreement on any or all of the issues.
Notice of Social Security Number, Florida Supreme Court Approved Family Law Form 12.902(j).
Family Law Financial Affidavit, Florida Family Law Rules of Procedure Form 12.902(b) or (c). (This must be filed with the petition if the petitioner seeks to establish child support. Otherwise, it must be filed within 45 days of service of the petition on the respondent.)
Certificate of Compliance with Mandatory Disclosure, Florida Family Law *806 Rules of Procedure Form 12.932. (This must be filed within 45 days of service of the petition on the respondent, if not filed at the time of the petition, unless you and your spouse have agreed not to exchange these documents.)
Parenting Plan, Florida Supreme Court Approved Family Law Form 12.995(a) or Safety Focused Parenting Plan, Form 12.995(b) If the parents have reached an agreement, a signed and notarized Parenting Plan should be attached. If the parents have not reached an agreement, a proposed Parenting Plan may be filed.
Parenting Plan and Time-Sharing. . . If you and your spouse are unable to agree on parenting arrangements and a time-sharing schedule, a judge will decide for you as part of establishing a Parenting Plan. The judge will decide the parenting arrangements and time-sharing based on the child(ren)'s best interests. Regardless of whether there is an agreement, the court reserves jurisdiction to modify issues relating to the minor child(ren).
The judge may request a parenting plan recommendation or appoint a guardian ad litem in your case. This means that a neutral person will review your situation and report to the judge concerning parenting issues. The purpose of such intervention is to be sure that the best interests of the child(ren) is (are) being served. For more information, you may consult section 61.13, Florida Statutes.
A parenting course must be completed prior to entry of the final judgment. You should contact the clerk, family law intake staff, or judicial assistant about requirements for parenting courses where you live.
Listed below are some terms with which you should become familiar before completing your petition. If you do not fully understand any of the terms below or their implications, you should speak with an attorney before going any further.
Shared Parental Responsibility
Sole Parental Responsibility
Supervised Time-Sharing
No contact
Parenting Plan
Parenting Plan Recommendation
Time-Sharing Schedule
Child Support. . . The court may order one parent to pay child support to assist the other parent in meeting the child(ren)'s material needs. Both parents are required to provide financial support, but one parent may be ordered to pay a portion of his or her support for the child(ren) to the other parent. Florida has adopted guidelines for determining the amount of child support to be paid. These guidelines are based on the combined income of both parents and take into account the financial contributions of both parents. You must file a Family Law Financial Affidavit, Florida Family Law Rules of Procedure Form 12.902(b) or (c), and your spouse will be required to do the same. From your financial affidavits, you should be able to calculate the amount of child support that should be paid using the Child Support Guidelines Worksheet, Florida Family Law Rules of Procedure Form 12.902(e). Because the child support guidelines take several factors into consideration, change over time, and vary from state to state, your child support obligation may be more or less than that of other people in seemingly similar situations.
Alimony. . . Alimony may be awarded to a spouse if the judge finds that he or she needs it and that the other spouse has the ability to pay it. If you want alimony, *807 you must request it in writing in the original petition or counterpetition. If you do not request alimony in writing before the final hearing, it is waived (you may not request it later). You may request either permanent alimony, lump sum alimony, or rehabilitative alimony.
Marital/Nonmarital Assets and Liabilities. . . Florida law requires an equitable distribution of marital assets and marital liabilities. "Equitable" does not necessarily mean "equal." Many factors, including child support, time-sharing, and alimony awards, may lead the court to make an unequal (but still equitable) distribution of assets and liabilities. Nonmarital assets and nonmarital liabilities are those assets and liabilities which the parties agree or the court determines belong to, or are the responsibility of, only one of the parties. If the parties agree or the court finds an asset or liability to be nonmarital, the judge will not consider it when distributing marital assets and liabilities.
Temporary Relief. . . If you need temporary relief regarding temporary use of assets, temporary responsibility for liabilities, parental responsibility and time-sharing with child(ren), temporary child support, or temporary alimony, you may file a Motion for Temporary Support and Time-Sharing with Dependent or Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.947(a). For more information, see the instructions for that form.
Marital Settlement Agreement. . . If you and your spouse are able to reach an agreement on any or all of the issues, you should file a Marital Settlement Agreement for Dissolution of Marriage with Dependent or Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.902(f)(1). Both of you must sign this agreement before a notary public or deputy clerk. Any issues on which you are unable to agree will be considered contested and settled by the judge at the final hearing.
Parenting Plan. . . In all cases involving minor or dependent child(ren), a Parenting Plan shall be approved or established by the court. If you and your spouse have reached an agreement, you should file a Parenting Plan, Florida Supreme Court Approved Family Law Form 12.995(a), or a Safety Focused Parenting Plan, Florida Supreme Court Approved Family Law Form 12.995(b) which addresses the time-sharing schedule for the child(ren). If you have not reached an agreement, a proposed Parenting Plan may be filed. If the parties are unable to agree, a Parenting Plan will be established by the court.
Final Judgment Form. . . These family law forms contain a Final Judgment of Dissolution of Marriage with Dependent or Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.990(c)(1), which the judge may use if your case is contested. If you and your spouse reach an agreement on all of the issues, the judge may use a Final Judgment of Dissolution of Marriage with Dependent or Minor Child(ren) (Uncontested), Florida Supreme Court Approved Family Law Form 12.990(b)(1). You should check with the clerk, family law intake staff, or judicial assistant to see if you need to bring a final judgment with you to the hearing. If so, you should type or print the heading, including the circuit, county, case number, division, and the parties' names, and leave the rest blank for the judge to complete at your hearing or trial.
Nonlawyer. . . Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you fill out these forms, that person must give you a copy of a Disclosure from Nonlawyer, Florida Family Law Rules of Procedure Form *808 12.900(a), before he or she helps you. A nonlawyer helping you fill out these forms also must put his or her name, address, and telephone number on the bottom of the last page of every form he or she helps you complete.
IN THE CIRCUIT COURT OF THE__________________ JUDICIAL CIRCUIT,
IN AND FOR____________________ COUNTY, FLORIDA
Case No.:___________________
Division:___________________
_____________________,
Petitioner,
and
_____________________,
Respondent.
PETITION FOR DISSOLUTION OF MARRIAGE
WITH DEPENDENT OR MINOR CHILD(REN)
I, (full legal name} __________________________________________, the
[Choose only one] () Husband () Wife, being sworn, certify that the following statements
are true:
1. JURISDICTION/RESIDENCE
() Husband () Wife () Both has (have) lived in Florida for at least 6 months before the filing
of this Petition for Dissolution of Marriage.
2. The husband [Choose only one] () is () is not a member of the military service.
The wife [Choose only one] () is () is not a member of the military service.
3. MARRIAGE HISTORY
Date of marriage: {month, day, year} _______________________________________
Place of marriage: {city, state, country} ___________________________________
Date of separation: {month, day, year} _____________(Please indicate if approximate)
4. DEPENDENT OR MINOR CHILD(REN)
[Choose all that apply]
a. ___ The wife is pregnant. Baby is due on: {date} _______________
b. ___ The minor (under 18) child(ren) common to both parties are:
Name Place of Birth Birth date Sex
____________________ ____________ __________ _________
____________________ ____________ __________ _________
____________________ ____________ __________ _________
____________________ ____________ __________ _________
____________________ ____________ __________ _________
*809
c. ___ The minor child(ren) born or conceived during the marriage who are not common to
both parties are:
Name Place of Birth Birth date Sex
__________________ _______________ __________ _______
__________________ _______________ __________ _______
The birth father(s) of the above minor child(ren) is (are) {name and address} _______
________________________________________________________________________________________
d. ___ The child(ren) common to both parties who are 18 or older but who are dependent
upon the parties due to a mental or physical disability are:
Name Place of Birth Birth date Sex
_______________________ _________________ ___________ ________
_______________________ _________________ ___________ ________
5. A completed Family Law Financial Affidavit, Florida Family Law Rules of Procedure Form
12.902(b) or (c) ()is filed or () will be timely filed.
6. A completed Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Affidavit, Florida
Supreme Court Approved Family Law Form 12.902(d), is filed with this petition. (You must
complete and attach this form in a dissolution of marriage with minor child(ren)).
7. A completed Notice of Social Security Number, Florida Supreme Court Approved Family Law
Form 12.902(j), is filed with this petition.
8. This petition for dissolution of marriage should be granted because:
[Choose only one]
a. ___ The marriage is irretrievably broken.
b. ___ One of the parties has been adjudged mentally incapacitated for a period of 3 years
prior to the filing of this petition. A copy of the Judgment of Incapacity is attached.
SECTION I. MARITAL ASSETS AND LIABILITIES
[Choose only one]
1. ___ There are no marital assets or liabilities.
2. ___ There are marital assets or liabilities. All marital and nonmarital assets and liabilities are (or
will be) listed in the financial affidavits, Florida Family Law Rules of Procedure Form
12.902(b) or (c), to be filed in this case.
[Choose all that apply]
a. ___ All marital assets and liabilities have been divided by a written agreement between
the parties, which is attached, to be incorporated into the final judgment of dissolution
of marriage. (The parties may use Marital Settlement Agreement for Dissolution of
Marriage with Dependent or Minor Child(ren), Florida Supreme Court Approved Family
Law Form 12.902(f)(1).
b. ___ The Court should determine how the assets and liabilities of this marriage are to be
distributed, under section 61.075, Florida Statutes.
c. ___ Petitioner should be awarded an interest in Respondent's property because:
_______________________________________________________________________________
*810
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
SECTION II. SPOUSAL SUPPORT (ALIMONY)
[Choose only one]
1. ___ Petitioner forever gives up his/her right to spousal support (alimony) from Respondent.
2. ___ Petitioner requests that the Court order Respondent to pay the following spousal support
(alimony) and claims that he or she has a need for the support that he or she is requesting and
Respondent has the ability to pay that support. Spousal support (alimony) is requested in the
amount of $ ___ every () week () other week () month, beginning {date} ___ and
continuing until {date or event} ______________.
Explain why the Court should order Respondent to pay and any specific request(s) for type of
alimony (temporary, permanent, rehabilitative, and/or lump sum): ___________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
[Choose if applicable] () Petitioner requests life insurance on Respondent's life, provided by
Respondent, to secure such support.
SECTION III. PARENTING PLAN ESTABLISHING PARENTAL RESPONSIBILITY AND TIME-SHARING
1. The minor child(ren) currently reside(s) with () Mother () Father () Other:
{explain}
_________________________________________________________________________________
2. Parental Responsibility. It is in the child(ren)'s best interests that parental
responsibility be:
[Choose only one]
a. ___ shared by both Father and Mother.
b. ___ awarded solely to () Father () Mother. Shared parental responsibility would be
detrimental to the child(ren) because: _________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
3. Parenting Plan and Time-Sharing. It is in the best interests of the child(ren) that the
family be ordered to comply with a Parenting Plan that () includes () does not include
parental time-sharing with the child(ren). The Petitioner states that it is in the best interests of
the child (ren) that:
(Choose only one)
a. ___ The attached proposed Parenting Plan should be adopted by the court. The parties
() have () have not agreed to the Parenting Plan.
b. ___ The court should establish a Parenting Plan with the following provisions:
*811
___ No time-sharing for the ___ Husband ___ Wife.
___ Limited time-sharing with the ___ Husband ___ Wife.
___ Supervised Time-Sharing for the ___ Husband ___ Wife.
___ Supervised or third-party exchange of the child(ren).
___ Time-Sharing Schedule as follows:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
4. Explain why this request is in the best interests of the child(ren): _________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
SECTION IV. CHILD SUPPORT
[Choose all that apply]
1. ___ Petitioner requests that the Court award child support as determined by Florida's child
support guidelines, section 61.30, Florida Statutes. A completed Child Support Guidelines
Worksheet,
Florida Family Law Rules of Procedure Form 12.902(e), is, or will be filed. Such support should
be ordered retroactive to:
a. ___ the date of separation {date} _____.
b. ___ the date of the filing of this petition.
c. ___ other {date} ________ {explain} ____
2. ___ Petitioner requests that the Court award child support to be paid beyond the age of 18
years because:
a. ___ the following child(ren) {name(s)} __________________________
is (are) dependent because of a mental or physical incapacity which began before the
age of 18. {explain} ______________________________________________________
____________________________________________________________________________________
b. ___ the following child(ren) {name(s)} ________________________________ is (are)
dependent in fact and is (are) in high school while he/she (they) are between the ages of 18 and 19; said
child(ren) is (are) performing in good faith with reasonable expectation of graduation before the age of
19.
3. ___ Petitioner requests that the Court award a child support amount that is more than or less
than Florida's child support guidelines. Petitioner understands that Motion to Deviate from
Child Support Guidelines, Florida Supreme Court Approved Family Law Form 12.943, must be
filed before the court will consider this request.
4. ___ Petitioner requests that medical/dental insurance for the minor child(ren) be provided by:
[Choose only one]
a. ___ Father.
b. ___ Mother.
5. ___ Petitioner requests that uninsured medical/dental expenses for the child(ren) be paid:
[Choose only one]
a. ___ by Father.
b. ___ by Mother.
c. ___ by Father and Mother [each pays one-half].
*812
d. ___ according to the percentages in the Child Support Guidelines Worksheet, Florida Family
Law Rules of Procedure Form 12.902(e).
e. ___ Other {explain}: ____________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
6. Petitioner requests that life insurance to secure child support be provided by:
a. ___ Father.
b. ___ Mother.
c. ___ Both.
SECTION V. OTHER
1. [If Petitioner is also the Wife, please indicate by either () yes () or no whether
Petitioner/Wife wants to be known by her former name, which was {full legal name}
_____________________________________________________.
2. Other relief {specify}:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
SECTION VI. PETITIONER'S REQUEST (This section summarizes what you are asking the Court to include
in the final judgment of dissolution of marriage.)
Petitioner requests that the Court enter an order dissolving the marriage and:
[Choose all that apply]
1. ___ distributing marital assets and liabilities as requested in Section I of this petition;
2. ___ awarding spousal support (alimony) as requested in Section II of this petition;
3. ___ adopt or establish a Parenting Plan containing provisions for parental responsibility and
time-sharing for the dependent or minor child(ren) common to both parties, as requested in
Section III of this petition;
4. ___ establishing child support for the dependent or minor child(ren) common to both parties, as
requested in Section IV of this petition;
5. ___ restoring Wife's former name as requested in Section V of this petition;
6. ___ awarding other relief as requested in Section V of this petition; and any other terms the
Court deems necessary.
I understand that I am swearing or affirming under oath to the truthfulness of the claims
made In this petition and that the punishment for knowingly making a false statement includes fines
and/or imprisonment.
Dated: _______________________ ___________________________________
Signature of Petitioner
Printed Name: _____________________
Address: __________________________
City, State, Zip: _________________
Telephone Number: _________________
*813
Fax 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
deputy 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 petitioner, fill out this form.
*814 INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.902(d), UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA) AFFIDAVIT (12/10)
When should this form be used?
This form should be used in any case involving custody of, visitation with, or time-sharing with any minor child(ren). This affidavit is required even if the custody of, visitation, or time-sharing with the minor child(ren) are not in dispute.
This form should be typed or printed in black ink. After completing this form, you should sign the form before a notary public or deputy clerk. You should then file the original with the clerk of the circuit court in the county where the petition was filed and keep a copy for your records.
What should I do next?
A copy of this form must be mailed or hand delivered to the other party in your case, if it is not served on him or her with your initial papers.
Where can I look for more information?
Before proceeding, you should read General Information for Self-Represented Litigants found at the beginning of these forms. The words that are in bold underline in these instructions are defined there. For further information, see sections 61.501-61.542, Florida Statutes.
Special notes. . .
Chapter 2008-61, Laws of Florida, effective October 1, 2008, eliminated such terms as custodial parent, noncustodial parent, primary residential parent, secondary residential parent, and visitation from Chapter 61, Florida Statutes. Instead, parents are to develop a Parenting Plan that includes, among other things, their time-sharing schedule with the minor child(ren). If the parents cannot agree, a parenting plan will be established by the Court. However, because the UCCJEA uses the terms custody and visitation, they are included in this form.
If you are the petitioner in an injunction for protection against domestic violence case and you have filed a Request for Confidential Filing of Address, Florida Supreme Court Approved Family Law Form 12.980(h), you should write confidential in any space on this form that would require you to write the address where you are currently living.
Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you fill out these forms, that person must give you a copy of a Disclosure from Nonlawyer, Florida Family Law Rules of Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fill out these forms also must put his or her name, address, and telephone number on the bottom of the last page of every form he or she helps you complete.
*815
IN THE CIRCUIT COURT OF THE _________ JUDICIAL CIRCUIT,
IN AND FOR ____________ COUNTY, FLORIDA
Case No.: ___________________
Division: ___________________
_________________________,
Petitioner,
and
________________________,
Respondent.
UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT (UCCJEA)
AFFIDAVIT
I, {full legal name} _____________, being sworn, certify that the following
statements are true:
1. The number of minor child(ren) subject to this proceeding is _______. The name, place of
birth, birth date, and sex of each child; the present address, periods of residence, and places
where each child has lived within the past five (5) years; and the name, present address, and
relationship to the child of each person with whom the child has lived during that time are:
THE FOLLOWING INFORMATION IS TRUE ABOUT CHILD # 1:
Child's Full Legal Name: _____________________________________________________________________
Place of Birth: _____________ Date of Birth: ______________ Sex: _____________________________
Child's Residence for the past 5 years:
|--------------------------|---------------------------------|-----------------------------|--------------|
| Dates | Address (including city and | Name and present address of | Relationship |
| (From/To) | state) where child lived | person child lived with | to child |
|--------------------------|---------------------------------|-----------------------------|--------------|
|/present [*] | | | |
|--------------------------|---------------------------------|-----------------------------|--------------|
| ____/____ | | | |
|--------------------------|---------------------------------|-----------------------------|--------------|
| ____/____ | | | |
|--------------------------|---------------------------------|-----------------------------|--------------|
| ____/____ | | | |
|--------------------------|---------------------------------|-----------------------------|--------------|
| ____/____ | | | |
|__________________________|_________________________________|_____________________________|______________|
*816
|__________________________|_________________________________|____________________________________________|
| ____/____ | | | |
|--------------------------|---------------------------------|-----------------------------|--------------|
THE FOLLOWING INFORMATION IS TRUE ABOUT CHILD # ___:
Child's Full Legal Name: ___________________________________________________________________________________
Place of Birth: ________________ Date of Birth: _______________ Sex:________________________________________
Child's Residence for the past 5 years:
|-------------------------|---------------------------------|-----------------------------|----------------|
| Dates | Address (including city and | Name and present address of | Relationship |
| (From/To) | state) where child lived | person child lived with | to child |
|-------------------------|---------------------------------|-----------------------------|----------------|
| ____/present | | | |
|-------------------------|---------------------------------|-----------------------------|----------------|
| ____/____ | | | |
|-------------------------|---------------------------------|-----------------------------|----------------|
| ____/____ | | | |
|-------------------------|---------------------------------|-----------------------------|----------------|
| ____/____ | | | |
|-------------------------|---------------------------------|-----------------------------|----------------|
| ____/____ | | | |
|_________________________|_________________________________|_____________________________|________________|
THE FOLLOWING INFORMATION IS TRUE ABOUT CHILD # ___:
Child's Full Legal Name: ______________________________________________________________________
Place of Birth: ___________________ Date of Birth: _______________ Sex: _______________________
Child's Residence for the past 5 years:
|-------------------------|----------------------------------|-----------------------------|-------------|
| Dates | Address (including city and | Name and present address of | Relationship|
| (From/to) | state) where child lived | person child lived with | to child |
|-------------------------|----------------------------------|-----------------------------|-------------|
| ____/present | | | |
|-------------------------|----------------------------------|-----------------------------|-------------|
|_________________________|__________________________________|_____________________________|_____________|
*817
|-------------------------|----------------------------------|-----------------------------|-------------|
| ____/____ | | | |
|-------------------------|----------------------------------|-----------------------------|-------------|
| ____/____ | | | |
|-------------------------|----------------------------------|-----------------------------|-------------|
| ____/____ | | | |
|-------------------------|----------------------------------|-----------------------------|-------------|
| ____/____ | | | |
|_________________________|__________________________________|_____________________________|_____________|
2. Participation in custody or time-sharing proceeding(s):
[Choose only one]
___ I HAVE NOT participated as a party, witness, or in any capacity in any other litigation or custody
proceeding in this or any other state, concerning custody of or time-sharing with a child subject
to this proceeding.
___ I HAVE participated as a party, witness, or in any capacity in any other litigation or custody
proceeding in this or another state, concerning custody of or time-sharing with a child subject
to this proceeding. Explain:
a. Name of each child: ________________________________________
b. Type of proceeding: ________________________________________
c. Court and state: ___________________________________________
d. Date of court order or judgment (if any): __________________
3. Information about custody or time-sharing proceeding(s):
[Choose only one]
___ I HAVE NO INFORMATION of any custody or time-sharing proceeding pending in a court of this
or any other state concerning a child subject to this proceeding.
___ I HAVE THE FOLLOWING INFORMATION concerning a custody or time-sharing proceeding
pending in a court of this or another state concerning a child subject to this proceeding, other
than set out in item 2. Explain:
a. Name of each child: _______________________________________
b. Type of proceeding: _______________________________________
c. Court and state: __________________________________________
d. Date of court order or judgment (if any): _________________
4. Persons not a party to this proceeding:
[Choose only one]
___ I DO NOT KNOW OF ANY PERSON not a party to this proceeding who has physical custody or
claims to have custody, visitation or time-sharing with respect to any child subject to this
proceeding.
___ I KNOW THAT THE FOLLOWING NAMED PERSON(S) not a party to this proceeding has (have)
physical custody or claim(s) to have custody, visitation, or time-sharing with respect to any
child subject to this proceeding:
*818
a. Name and address of person: _____________________________________________________
____________________________________________________________________________________
() has physical custody () claims custody rights () claims visitation or time-sharing
Name of each child: ______________________________________________________________
b. Name and address of person: ______________________________________________________
_____________________________________________________________________________________
() has physical custody () claims custody rights () claims visitation or time-sharing
c. Name and address of person:_______________________________________________________
_____________________________________________________________________________________
() has physical custody () claims custody rights () claims visitation or time-sharing
5. Knowledge of prior child support proceedings:
[Choose only one]
___ The child(ren) described in this affidavit are NOT subject to existing child support order(s) in this
or any state or territory.
___ The child(ren) described in this affidavit are subject to the following existing child support
order(s):
a. Name of each child:
b. Type of proceeding:
c. Court and address:
d. Date of court order/judgment (if any):
e. Amount of child support paid and by whom:______________________________________
6. I acknowledge that I have a continuing duty to advise this Court of any custody, visitation or
time-sharing, child support, or guardianship proceeding (including dissolution of marriage,
separate maintenance, child neglect, or dependency) concerning the child(ren) in this state or
any other state about which information is obtained during this proceeding.
I certify that a copy of this document was [Choose only one] () mailed () faxed and mailed () hand
delivered to the person(s) listed below on {date} ___________________________________________________
Other party or his/her attorney:
Name:________________________
Address:_____________________
City, State, Zip:____________
Fax Number:__________________
*819
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 Party
Printed Name:_______________________________________
Address:_____________________________________________________
City, State, Zip:____________________________________________
Telephone Number:____________________________________________
Fax 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 [Choose only one] ___ petitioner or ___ respondent, fill out this form.
*820 INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.902(f)(1), MARITAL SETTLEMENT AGREEMENT FOR DISSOLUTION OF MARRIAGE WITH DEPENDENT OR MINOR CHILD(REN) (12/10)
When should this form be used?
This form should be used when a Petition for Dissolution of Marriage with Dependent or Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.901(b)(1), has been filed and the parties have reached an agreement on some or all of the issues at hand.
This form should be typed or printed in black ink. Both parties must sign the agreement and have their signatures witnessed by a notary public or deputy clerk. After completing this form, you should file the original with the clerk of the circuit court in the county where the petition was filed and keep a copy for your records. You should then refer to the instructions for your petition, answer, or answer and counterpetition concerning the procedures for setting a hearing or trial (final hearing).
Where can I look for more information?
Before proceeding, you should read General Information for Self-Represented Litigants found at the beginning of these forms. The words that are in bold underline in these instructions are defined there. For further information, see chapter 61, Florida Statutes, and the instructions for the petition and/or answer that were filed in this case.
Special notes. . .
With this form you must also file a Child Support Guidelines Worksheet, Florida Family Law Rules of Procedure Form 12.902(e), if not already filed.
This form does not act to transfer title to the property. Such transfer must be done by deed or supplemental final judgment.
Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you fill out these forms, that person must give you a copy of a Disclosure from Nonlawyer, Florida Family Law Rules of Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fill out these forms also must put his or her name, address, and telephone number on the bottom of the last page of every form he or she helps you complete.
*821
IN THE CIRCUIT COURT OF THE _________________ JUDICIAL CIRCUIT,
IN AND FOR ____________________ COUNTY, FLORIDA
Case No.: _____________________
Division: _____________________
__________________________,
Petitioner,
and
_________________________,
Respondent.
MARITAL SETTLEMENT AGREEMENT FOR DISSOLUTION OF MARRIAGE
WITH DEPENDENT OR MINOR CHILD(REN)
We, {Husband's full legal name} ______________________________________,
and {Wife's full legal name} _________________________________________,
being sworn, certify that the following statements are true:
1. We were married to each other on {date} ______________________.
2. Because of irreconcilable differences in our marriage (no chance of staying together), we have
made this agreement to settle once and for all what we owe to each other and what we can
expect to receive from each other. Each of us states that nothing has been held back, that we
have honestly included everything we could think of in listing our assets (everything we own and
that is owed to us) and our debts (everything we owe), and that we believe the other has been
open and honest in writing this agreement.
3. We have both filed a Family Law Financial Affidavit, Florida Family Law Rules of Procedure Form
12.902(b) or (c). Because we have voluntarily made full and fair disclosure to each other of all
our assets and debts, we waive any further disclosure under rule 12.285, Florida Family Law
Rules of Procedure.
4. Each of us agrees to execute and exchange any papers that might be needed to complete this
agreement, including deeds, title certificates, etc.
SECTION I. MARITAL ASSETS AND LIABILITIES
A. Division of Assets. We divide our assets (everything we own and that is owed to us) as follows: Any
personal item(s) not listed below is the property of the party currently in possession of the item(s).
1. Wife shall receive as her own and Husband shall have no further rights or responsibilities
regarding these assets:
*822
______________________________________________________________________________________________________________
| ASSETS: DESCRIPTION OF ITEM(S) WIFE SHALL RECEIVE | Current Fair |
| (To avoid confusion at a later date, describe each item as clearly as possible. You do | Market Value |
| not need to list account numbers. Where applicable, include whether the name on | |
| any title/deed/account described below is wife's, husband's, or both.) | |
|___________________________________________________________________________________________|________________|
| Cash (on hand) | $ |
|-------------------------------------------------------------------------------------------|----------------|
| Cash (in banks/credit unions) | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Stocks/Bonds | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Notes (money owed to you in writing) | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Money owed to you (not evidenced by a note) | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Real estate: (Home) | |
|-------------------------------------------------------------------------------------------|----------------|
| (Other) | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Busness interests | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Automobiles | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Boats | |
|-------------------------------------------------------------------------------------------|----------------|
| Other vehicles | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Retirement plans (Profit sharing, Pension, IRA, 401(k)s, etc.) | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Furniture & furnishing in home | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Furniture & furnishings elsewhere | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Collectibles | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Jewlry | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Life Insurance (cash surrender value) | |
|___________________________________________________________________________________________|________________|
*823
_____________________________________________________________________________________________________________
| | |
|-------------------------------------------------------------------------------------------|----------------|
| Sporting and entertainment (T.V., stero, etc.) equipment | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Other assets | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Total Assets to Wife | $_____________ |
|___________________________________________________________________________________________|________________|
2. Husband shall receive as his own and Wife shall have no further rights or responsibilities
regarding these assets:
______________________________________________________________________________________________________________
| ASSETS: DESCRIPTION OF ITEM(S) HUSBAND SHALL RECEIVE | Current Fair |
| (To avoid confusion at a later date, describe each item as clearly as possible. You do | Market Value |
| not need to list account numbers. Where applicable, include whether the name on | |
| any title/deed/account described below is wife's, husband's, or both.) | |
|___________________________________________________________________________________________|________________|
| Cash (on hand) | $ |
|-------------------------------------------------------------------------------------------|----------------|
| Cash (in banks/credit unions) | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Stocks/Bonds | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Notes (money owed to you in writing) | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Money owed to you (not evidenced by a note) | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Real estate: (Home) | |
|-------------------------------------------------------------------------------------------|----------------|
| (Other) | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Busness interests | |
|-------------------------------------------------------------------------------------------|----------------|
*824
|-------------------------------------------------------------------------------------------|----------------|
| Automobiles | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Boats | |
|-------------------------------------------------------------------------------------------|----------------|
| Other vehicles | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Retirement plans (Profit Sharing, Pension, IRA, 401(k)s, etc.) | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Furniture & furnishings in home | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Furniture & furnishings elsewhere | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Collectibles | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Jewelry | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Life Insurance (cash surrender value) | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Sporting and entertainment (T.V., stero, etc.) equipment | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
| Other assets | |
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
|-------------------------------------------------------------------------------------------|----------------|
|___________________________________________________________________________________________|________________|
| Total Assets to Husband | $_____________ |
|___________________________________________________________________________________________|________________|
*825
B. Division of Liabilities/Debts. We divide our liabilities (everything we owe) as follows:
1. Wife shall pay as her own the following and will not at any time ask Husband to pay these
debts/bills:
____________________________________________________________________________________________________
| LIABILITIES: DESCRIPTION OF DEBT(S) TO BE PAID BY WIFE | | |
| (To avoid confusion at a later date, describe each item as clearly as | | |
| possible. You do not need to list account numbers. Where applicable, | | Current |
| Include whether the name on any mortgage, note, or account described | Monthly | Amount |
| below Is wife's, husband's, or both.) | Payment | Owed |
|--------------------------------------------------------------------------|-----------|-----------|
| Mortgages on real estate: (Home) | $ | $ |
|--------------------------------------------------------------------------|-----------|-----------|
| (Other) | | |
|--------------------------------------------------------------------------|-----------|-----------|
|--------------------------------------------------------------------------|-----------|-----------|
| Charge/credit card accounts | | |
|--------------------------------------------------------------------------|-----------|-----------|
|--------------------------------------------------------------------------|-----------|-----------|
|--------------------------------------------------------------------------|-----------|-----------|
|--------------------------------------------------------------------------|-----------|-----------|
|--------------------------------------------------------------------------|-----------|-----------|
|--------------------------------------------------------------------------|-----------|-----------|
| Auto loan | | |
|--------------------------------------------------------------------------|-----------|-----------|
| Auto loan | | |
|--------------------------------------------------------------------------|-----------|-----------|
| Bank/credit union loans | | |
|--------------------------------------------------------------------------|-----------|-----------|
|--------------------------------------------------------------------------|-----------|-----------|
|--------------------------------------------------------------------------|-----------|-----------|
| Money you owe (not evidenced by a note) | | |
|--------------------------------------------------------------------------|-----------|-----------|
|--------------------------------------------------------------------------|-----------|-----------|
| Judgments | | |
|--------------------------------------------------------------------------|-----------|-----------|
|--------------------------------------------------------------------------|-----------|-----------|
| Other | | |
|--------------------------------------------------------------------------|-----------|-----------|
|--------------------------------------------------------------------------|-----------|-----------|
|--------------------------------------------------------------------------|-----------|-----------|
|__________________________________________________________________________|___________|___________|
| Total Assets to Husband | $ | $_________|
|--------------------------------------------------------------------------|-----------|-----------|
*826
2. Husband shall pay as his own the following and will not at any time ask Wife to pay these
debts/bills:
|--------------------------------------------------------------------------|-----------|-----------|
| LIABILITIES: DESCRIPTION OF DEBT(S) TO BE PAID BY HUSBAND | | |
| (To avoid confusion at a later date, describe each item as clearly as | | |
| possible. You do not need to list account numbers. Where applicable, | | Current |
| Include whether the name on any mortgage, note, or account described | Monthly | Amount |
| below Is wife's, husband's, or both.) | Payment | Owed |
|--------------------------------------------------------------------------|-----------|-----------|
| Mortgages on real estate: (Home) | $ | $ |
|--------------------------------------------------------------------------|-----------|-----------|
| (Other) | | |
|--------------------------------------------------------------------------|-----------|-----------|
| Charge/credit card accounts | | |
|--------------------------------------------------------------------------|-----------|-----------|
|--------------------------------------------------------------------------|-----------|-----------|
|--------------------------------------------------------------------------|-----------|-----------|
|--------------------------------------------------------------------------|-----------|-----------|
|--------------------------------------------------------------------------|-----------|-----------|
|--------------------------------------------------------------------------|-----------|-----------|
| Auto loan | | |
|--------------------------------------------------------------------------|-----------|-----------|
| Auto loan | | |
|--------------------------------------------------------------------------|-----------|-----------|
| Bank/credit union loans | | |
| | | |
|--------------------------------------------------------------------------|-----------|-----------|
|--------------------------------------------------------------------------|-----------|-----------|
|--------------------------------------------------------------------------|-----------|-----------|
| Money you owe (not evidenced by a note) | | |
|--------------------------------------------------------------------------|-----------|-----------|
|--------------------------------------------------------------------------|-----------|-----------|
| Judgments | | |
|--------------------------------------------------------------------------|-----------|-----------|
|--------------------------------------------------------------------------|-----------|-----------|
| Other | | |
|--------------------------------------------------------------------------|-----------|-----------|
|--------------------------------------------------------------------------|-----------|-----------|
|--------------------------------------------------------------------------|-----------|-----------|
|__________________________________________________________________________|___________|___________|
| Total Assets to Husband | $ | $ _______ |
|--------------------------------------------------------------------------|-----------|-----------|
C. Contingent Assets and Liabilities (listed in Section III of our Family Law Financial Affidavits) will be
divided as follows:
*827
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
SECTION II. SPOUSAL SUPPORT (ALIMONY) (If you have not agreed on this matter, write n/a on the
lines provided.)
[Choose only one]
1. ___ Each of us forever gives up any right to spousal support (alimony) that we may have.
2. ___ () HUSBAND () WIFE agrees to pay spousal support (alimony) in the amount of $ _____
every () week () other week () month, beginning {date} _______________ and continuing
until {date or event} ______________________________________________________________
Explain type of alimony (such as temporary, permanent, rehabilitative, and/or lump sum) and any other
specifics: ___________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
[Choose if applicable] () Life insurance in the amount of $ ______ to secure the above support,
will be provided by the obligor.
SECTION III. PARENTING PLAN ESTABLISHING PARENTAL RESPONSIBILITY AND TIME-SHARING
1. The parties' minor child(ren) are:
Name Birth date
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
2. The parties shall have time-sharing and parental responsibility in accordance with the Parenting
Plan attached as Exhibit _____.
SECTION IV. CHILD SUPPORT
1. () Mother () Father will pay child support, under Florida's child support guidelines, section
61.30, Florida Statutes, to the other parent. The Child Support Guidelines Worksheet, Florida
Family Law Rules of Procedure Form 12.902(e), is completed and attached.
This parent shall be obligated to pay child support in the amount of $_______,
every () week () other week () month, beginning {date} _________ and continuing until:
() modification by court order, ()the youngest child turns 18, becomes emancipated, marries, joins
the armed services, dies, or,
*828
() if after the age of 18, until {date} _________. If the child support amount above deviates
from the guidelines by 5% or more, explain the reason(s) here:
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
2. Child Support Arrearage. There currently is a child support arrearage of $ _________
for retroactive child support and/or $________ for previously ordered unpaid child support.
The total of $_______ in child support arrearage shall be repaid at the rate of $________ every
() week () other week () month, beginning {date} ______, until paid in full including statutory
interest.
3. Health Insurance. () Mother () Father will maintain health insurance for the parties' minor
child(ren). The party providing coverage will provide insurance cards to the other party showing
coverage. OR () Health insurance is not reasonable in cost and accessible to the child(ren) at
this time. Any uninsured/ unreimbursed medical costs for the minor child(ren) shall be assessed
as follows:
a. ___Shared equally by both parents.
b. ___Prorated according to the child support guideline percentages.
c. ___Other {explain} : _______________________________________________________
As to these uninsured/unreimbursed medical expenses, the party who incurs the expense shall submit a
request for reimbursement to the other party within 30 days, and the other party, within 30 days of
receipt, shall submit the applicable reimbursement for that expense, according to the schedule of
reimbursement set out in this paragraph.
4. Dental Insurance. () Mother () Father will maintain () dental insurance for the parties'
minor child(ren). The party providing coverage will provide insurance cards to the other party
showing coverage. OR () dental insurance is not reasonable in cost and accessible to the
child(ren) at this time. Any uninsured/ unreimbursed dental costs for the minor child(ren) shall
be assessed as follows:
a. ___Shared equally by both parents.
b. ___Prorated according to the child support guideline percentages.
c. ___Other {explain}: ______________________________________________________
As to these uninsured/unreimbursed dental expenses, the party who incurs the expense shall submit a
request for reimbursement to the other party within 30 days, and the other party, within 30 days of
receipt, shall submit the applicable reimbursement for that expense, according to the schedule of
reimbursement set out in this paragraph.
5. Life Insurance. () Mother () Father shall be required to maintain life insurance coverage for
the benefit of the parties' minor child(ren) in the amount of $ ______ until the youngest child
turns 18, becomes emancipated, marries, joins the armed services, or dies.
6. IRS Income Tax Deduction(s). The assignment of any tax deductions for the child(ren) shall be
*829
as follows: {explain} _________________________________________________________
__________________________________________________________________________________________
The other parent will convey any applicable IRS form regarding the income tax deduction.
7. Other provisions relating to child support (e.g., uninsured medical/dental expenses, health or
dental insurance, life insurance to secure child support, orthodontic payments, college fund,
etc.):
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
*830
___________________________________________________________________________________________________
___________________________________________________________________________________________________
SECTION V. OTHER
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
SECTION VI. We have not agreed on the following issues:
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
I certify that I have been open and honest in entering into this settlement agreement. I am satisfied
with this agreement and intend to be bound by it.
*831
Dated: _____________________ ___________________________________________
Signature of Husband
Printed Name:______________________________
Address:___________________________________
City, State, Zip: _________________________
Telephone Number: _________________________
Fax 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 [Choose only one] ___ petitioner or ___ respondent, fill out this form.
I certify that I have been open and honest in entering into this settlement agreement. I am satisfied
with this agreement and intend to be bound by it.
Dated: _________________________ _____________________________________________
Signature of Wife
Printed Name:________________________________
Address:_____________________________________
City, State, Zip:____________________________
Telephone Number: ___________________________
Fax Number:__________________________________
*832
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 [Choose only one] ___ petitioner or ___ respondent, fill out this form.
*833 INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.903(a), ANSWER, WAIVER, AND REQUEST FOR COPY OF FINAL JUDGMENT OF DISSOLUTION OF MARRIAGE (12/10)
When should this form be used?
This form should be used when you have been served with a petition for dissolution of marriage and you do not wish to contest it or appear at a hearing. If you file this form, you are admitting all of the allegations in the petition, saying that you do not need to be notified of or appear at the final hearing, and that you would like a copy of the final judgment mailed to you.
This form should be typed or printed in black ink, and your signature should be witnessed by a notary public or deputy clerk. After completing this form, you should sign the form before a notary public. You should file the original with the clerk of the circuit court in the county where the petition was filed and keep a copy for your records.
What should I do next?
You have 20 days to answer after being served with the other party's petition. A copy of this form, along with all of the other forms required with this answer and waiver, must be mailed or hand delivered to the other party in your case.
Where can I look for more information?
Before proceeding, you should read General Information for Self-Represented Litigants found at the beginning of these forms. The words that are in bold underline in these instructions are defined there.
Special notes. . .
With this form, you must also file the following:
Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Affidavit, Florida Supreme Court Approved Family Law Form 12.902(d), if the case involves a dependent or minor child(ren).
Child Support Guidelines Worksheet, Florida Family Law Rules of Procedure Form 12.902(e), if the case involves a dependent or minor child(ren). (If you do not know the other party's income, you may file this worksheet after his or her financial affidavit has been served on you).
Marital Settlement Agreement for Dissolution of Marriage with Dependent or Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.902(f)(1), or Marital Settlement Agreement for Dissolution of Marriage with No Dependent or Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.902(f)(2), if you have reached an agreement on any or all of the issues.
Notice of Social Security Number, Florida Supreme Court Approved Family Law Form 12.902(j).
Family Law Financial Affidavit, Florida Family Law Rules of Procedure Form 12.902(b) or (c). (This must be filed within 45 days of service of the petition on you, if not filed at the time you file this answer.)
Certificate of Compliance with Mandatory Disclosure, Florida Family Law Rules of Procedure Form 12.932. (This must be filed within 45 days of service of the petition on you, if not filed at the time you file this answer, unless you and the other party have agreed not to exchange these documents.)
*834 Parenting Plan and Time-Sharing.... . . By filing this answer and waiver, you are agreeing to any parenting plan and time-sharing requests in the petition. The judge may request a parenting plan recommendation or appoint a guardian ad litem in your case. This means that a neutral person will review your situation and report to the judge concerning parenting issues. The purpose of such intervention is to be sure that the best interests of the child(ren) is (are) being served. For more information, you may consult section 61.13, Florida Statutes.
A parenting course must be completed prior to entry of a final judgment. You should contact the clerk, family law intake staff, or judicial assistant about requirements for parenting courses where you live.
Listed below are some terms with which you should become familiar before completing your answer to the petition. If you do not fully understand any of the terms below or their implications, you should speak with an attorney before going any further.
Shared Parental Responsibility
Sole Parental Responsibility
Supervised Time-Sharing
No contact
Parenting Plan
Parenting Plan Recommendation
Time-Sharing Schedule
Child Support. . . By filing this answer and waiver, you are agreeing to any child support requests in the petition. The court may order one parent to pay child support to assist the other parent in meeting the child(ren)'s material needs. Both parents are required to provide financial support, but one parent may be ordered to pay a portion of his or her support for the child(ren) to the other parent. Florida has adopted guidelines for determining the amount of child support to be paid. These guidelines are based on the combined income of both parents and take into account the financial contributions of both parents. You must file a Family Law Financial Affidavit, Florida Family Law Rules of Procedure Form 12.902(b) or (c), and your spouse will be required to do the same. From your financial affidavits, you should be able to calculate the amount of child support that should be paid using the Child Support Guidelines Worksheet, Florida Family Law Rules of Procedure Form 12.902(e). Because the child support guidelines take several factors into consideration, change over time, and vary from state to state, your child support obligation may be more or less than that of other people in seemingly similar situations.
Alimony.. . . By filing this answer and waiver, you are agreeing to any alimony requests in the petition. Alimony may be awarded to a spouse if the judge finds that he or she needs it and that the other spouse has the ability to pay it. If you want alimony, you must request it in writing in a counterpetition and should not use this form. If you do not request alimony in writing before the final hearing, it is waived (you may not request it later). You may request either permanent alimony, lump sum alimony, or rehabilitative alimony.
Marital/Nonmarital Assets and Liabilities. . . Florida law requires an equitable distribution of marital assets and marital liabilities. "Equitable" does not necessarily mean "equal." Many factors, including child support, time-sharing and alimony awards, may lead the court to make an unequal (but still equitable) distribution of assets and liabilities. Nonmarital assets and nonmarital liabilities are those assets and liabilities which the *835 parties agree or the court determines belong to, or are the responsibility of, only one of the parties. By filing this answer and waiver, you are agreeing to any requests in the petition regarding division of assets and liabilities.
Final Judgment. . . You should receive a copy of the Final Judgment in the mail. If, for some reason you do not, you should call the clerks office to request a copy. It is important for you to review a copy of the Final Judgment in your case to see what happened and to know what you must do and what you are entitled to receive.
Nonlawyer. . . Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you fill out these forms, that person must give you a copy of a Disclosure from Nonlawyer, Florida Family Law Rules of Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fill out these forms also must put his or her name, address, and telephone number on the bottom of the last page of every form he or she helps you complete.
*836
IN THE CIRCUIT COURT OF THE _________________ JUDICIAL CIRCUIT,
IN AND FOR ____________________________ COUNTY, FLORIDA
Case No: ________________________
Division: _______________________
________________________________,
Petitioner,
And
________________________________,
Respondent.
ANSWER, WAIVER, AND REQUEST FOR COPY OF FINAL JUDGMENT OF
DISSOLUTION OF MARRIAGE
I, {full legal name} , Respondent, being sworn, certify
that the following information is true:
1. Respondent answers the Petition for Dissolution of Marriage filed in this action and admits all
the allegations. By admitting all of the allegations in the petition, respondent agrees to all relief
requested in the petition including any requests regarding parenting and time-sharing, child
support, alimony, distribution of marital assets and liabilities, and temporary relief.
2. Respondent waives notice of hearing as well as all future notices in connection with the Petition
for Dissolution of Marriage, as filed. Respondent also waives appearance at the final hearing.
3. Respondent requests that a copy of the Final Judgment of Dissolution of Marriage entered in
this case be forwarded to Respondent at the address below.
4. If this case involves minor child(ren), a completed Uniform Child Custody Jurisdiction and
Enforcement Act (UCCJEA) Affidavit, Florida Supreme Court Approved Family Law Form
12.902(d), is filed with this answer.
5. A completed Notice of Social Security Number, Florida Supreme Court Approved Family Law
Form 12.902(j), is filed with this answer.
6. A completed Family Law Financial Affidavit, Florida Family Law Rules of Procedure Form
12.902(b) or (c), () is filed with this answer () will be timely filed.
*837
I certify that a copy of this document was [Choose only one] () mailed () faxed and mailed
() hand delivered to the person(s) listed below on {date} __________________________
Other party or his/her attorney:
Name: _______________________________________
Address:_____________________________________
City, State, Zip: ___________________________
Fax Number: _________________________________
I understand that I am swearing or affirming under oath to the truthfulness of the claims
made in this motion and that the punishment for knowingly making a false statement includes fines
and/or imprisonment.
Dated: ______________________ _________________________________________
Signature of RESPONDENT
Printed Name: ____________________________
Address: _________________________________
City, State, Zip: ________________________
Telephone Number: ________________________
Fax 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
deputy 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, whose address is {street} _____________________, {city} _______________,
{state} ___________, {phone} ______, helped {name} ____________________, who is
the respondent, fill out this form.
*838 INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.903(b), ANSWER TO PETITION FOR DISSOLUTION OF MARRIAGE (12/10)
When should this form be used?
This form should be used when you are responding to a petition for dissolution of marriage and you wish to admit or deny all of the allegations in the petition but you do not plan to file a counterpetition seeking relief. You can use this form to answer any petition for dissolution of marriage, whether or not there are minor child(ren).
This form should be typed or printed in black ink. After completing this form, you should sign the form before a notary public or deputy clerk. You should file the original with the clerk of the circuit court in the county where the petition was filed and keep a copy for your records. This must be done within 20 days of receiving the petition.
What should I do next?
A copy of this form, along with all of the other forms required with this answer, must be mailed or hand delivered to the other party in your case. You have 20 days to answer after being served with the other party's petition. After you file your answer, the case will generally proceed in one of the following two ways:
UNCONTESTED. . . If you file an answer that agrees with everything in the other party's petition and you have complied with mandatory disclosure and filed all of the required papers, either party may call the clerk, family law intake staff, or judicial assistant to set a final hearing. If you request the final hearing, you must notify the other party of the hearing by using a Notice of Hearing (General), Florida Supreme Court Approved Family Law Form 12.923, or other appropriate notice of hearing form.
CONTESTED. . . If you file an answer which disagrees with or denies anything in the petition, and you are unable to settle the disputed issues, either party may file a Notice for Trial, Florida Supreme Court Approved Family Law Form 12.924, after you have complied with mandatory disclosure and filed all of the required papers. Some circuits may require the completion of mediation before a final hearing may be set. You should contact the clerk, family law intake staff, or judicial assistant for instructions on how to set your case for trial (final hearing).
Where can I look for more information?
Before proceeding, you should read "General Information for Self-Represented Litigants" found at the beginning of these forms. The words that are in "bold underline" in these instructions are defined there. See chapter 61, Florida Statutes, for more information.
Special notes. . .
With this form, you must also file the following:
Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Affidavit, Florida Supreme Court Approved Family Law Form 12.902(d), if the case involves a dependent or minor child(ren).
Child Support Guidelines Worksheet, Florida Family Law Rules of Procedure Form 12.902(e), if the case involves a dependent or minor child(ren). (If you do not know the other party's income, you may file this worksheet after his or her financial affidavit has been served on you).
*839 Marital Settlement Agreement for Dissolution of Marriage with Dependent or Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.902(f)(1), or Marital Settlement Agreement for Dissolution of Marriage with Property but No Dependent or Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.902(f)(2), if you have reached an agreement on any or all of the issues.
Notice of Social Security Number, Florida Supreme Court Approved Family Law Form 12.902(j).
Family Law Financial Affidavit, Florida Family Law Rules of Procedure Form 12.902(b) or (c). (This must be filed within 45 days of service of the petition on you, if not filed at the time you file this answer.)
Certificate of Compliance with Mandatory Disclosure, Florida Family Law Rules of Procedure Form 12.932. (This must be filed within 45 days of service of the petition on you, if not filed at the time you file this answer, unless you and the other party have agreed not to exchange these documents.)
Parenting and Time-sharing. . . If you and your spouse are unable to agree on parenting arrangements and a time-sharing schedule, a judge will decide for you as part of establishing a Parenting Plan. The judge will decide the parenting arrangements and time-sharing schedule based on the child(ren)'s best interests. Regardless of whether there is an agreement, the court reserves jurisdiction to modify issues relating to the minor child(ren).
The judge may request a parenting plan recommendation or appoint a guardian ad litem in your case. This means that a neutral person will review your situation and report to the judge concerning parenting issues. The purpose of such intervention is to be sure that the best interests of the child(ren) is (are) being served. For more information, you may consult section 61.13, Florida Statutes.
A parenting course must be completed prior to the entry of a final judgment. You should contact the clerk, family law intake staff, or judicial assistant about requirements for parenting courses where you live.
Listed below are some terms with which you should become familiar before completing your answer to the petition. If you do not fully understand any of the terms below or their implications, you should speak with an attorney before going any further.
Shared Parental Responsibility
Sole Parental Responsibility
Supervised Time-Sharing
No contact
Parenting Plan
Parenting Plan Recommendation
Time-Sharing Schedule
Child Support. . . The court may order one parent to pay child support to assist the other parent in meeting the child(ren)'s material needs. Both parents are required to provide financial support, but one parent may be ordered to pay a portion of his or her support for the child(ren) to the other parent. Florida has adopted guidelines for determining the amount of child support to be paid. These guidelines are based on the combined income of both parents and take into account the financial contributions of both parents and the number of overnights the child(ren) spend with each parent. You must file a Family Law Financial Affidavit, Florida Family Law Rules of Procedure Form 12.902(b) or (c), and your spouse will be required to do the same. *840 From your financial affidavits, you should be able to calculate the amount of child support that should be paid using the Child Support Guidelines Worksheet, Florida Family Law Rules of Procedure Form 12.902(e). Because the child support guidelines take several factors into consideration, change over time, and vary from state to state, your child support obligation may be more or less than that of other people in seemingly similar situations.
Alimony. . . Alimony may be awarded to a spouse if the judge finds that he or she needs it and that the other spouse has the ability to pay it. If you want alimony, you must request it in writing in a counterpetition. Florida Supreme Court Approved Family Law Form 12.903(c)(1) (with dependent or minor child(ren)), or Florida Supreme Court Approved Family Law Form 12.903(c)(2) (no dependent or minor child(ren)). If you do not request alimony in writing before the final hearing, it is waived (you may not request it later).
Marital/Nonmarital Assets and Liabilities. . . Florida law requires an equitable distribution of marital assets and marital liabilities. "Equitable" does not necessarily mean "equal." Many factors, including child support, any parenting plan and time-sharing schedule, and alimony awards, may lead the court to make an unequal (but still equitable) distribution of assets and liabilities. Nonmarital assets and nonmarital liabilities are those assets and liabilities which the parties agree or the court determines belong to, or are the responsibility of, only one of the parties. If the parties agree or the court finds an asset or liability to be nonmarital, the judge will not consider it when distributing marital assets and liabilities.
Temporary Relief. . . If you need temporary relief regarding temporary use of assets, temporary responsibility for liabilities, parental responsibility and time-sharing with child(ren), temporary child support, or temporary alimony, you may file a Motion for Temporary Support and Time-Sharing with Dependent or Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.947(a), or, if there are no dependent or minor child(ren), Motion for Temporary Support with No Dependent or Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.947(c). For more information, see the instructions for these forms.
Marital Settlement Agreement. . . If you and your spouse are able to reach an agreement on any or all of the issues, you should file a Marital Settlement Agreement for Dissolution of Marriage with Dependent or Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.902(f)(1), or Marital Settlement Agreement for Dissolution of Marriage with No Dependent or Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.902(f)(2). Both parties must sign this agreement before a notary public or deputy clerk. Any issues on which you are unable to agree will be considered contested and settled by the judge at the final hearing.
Final Judgment Form. . . These family law forms contain a Final Judgment of Dissolution of Marriage with Dependent or Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.990(c)(1), and Final Judgment of Dissolution of Marriage with Property but No Dependent or Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.990(c)(2), which the judge may use if your case is contested. If you and your spouse reach an agreement on all of *841 the issues, the judge may use Final Judgment of Dissolution of Marriage with Dependent or Minor Child(ren) (Uncontested), Florida Supreme Court Approved Family Law Form 12.990(b)(1), Final Judgment of Dissolution of Marriage with Property but No Dependent or Minor Child(ren) (Uncontested), Florida Supreme Court Approved Family Law Form 12.990(b)(2), or Final Judgment of Dissolution of Marriage with No Property and No Dependent or Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.990(b)(3). You should check with the clerk, family law intake staff, or judicial assistant to see if you need to bring a final judgment with you to the hearing. If so, you should type or print the heading, including the circuit, county, case number, division, and the parties names, and leave the rest blank for the judge to complete at your hearing or trial.
Nonlawyer... Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you fill out these forms, that person must give you a copy of a Disclosure from Nonlawyer, Florida Family Law Rules of Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fill out these forms also must put his or her name, address, and telephone number on the bottom of the last page of every form he or she helps you complete.
*842
IN THE CIRCUIT COURT OF THE ____________________ JUDICIAL CIRCUIT,
IN AND FOR ______________________ COUNTY, FLORIDA
Case No.: _____________________________
Division: _____________________________
________________________,
Petitioner,
and
_________________________,
Respondent.
ANSWER TO PETITION FOR DISSOLUTION OF MARRIAGE
I, {full legal name} ___________________________, Respondent, being
sworn, certify that the following information is true:
1. I agree with Petitioner as to the allegations raised in the following numbered paragraphs in the
Petition and, therefore, admit those allegations: {indicate section and paragraph number}
______________________________________________________________________________
___________________________________________________________________________________________
2. I disagree with Petitioner as to the allegations raised in the following numbered paragraphs in
the Petition and, therefore, deny those allegations: {indicate section and paragraph number}
______________________________________________________________________________
___________________________________________________________________________________________
3. I currently am unable to admit or deny the allegations raised in the following paragraphs due to
lack of information: {indicate section and paragraph number} _________________
___________________________________________________________________________________________
4. If this case involves a dependent or minor child(ren), a completed Uniform Child Custody
Jurisdiction and Enforcement Act (UCCJEA) Affidavit, Florida Supreme Court Approved Family
Law Form 12.902(d), is filed with this answer.
5. If this case involves a dependent or minor child(ren), a completed Child Support Guidelines
Worksheet, Florida Family Law Rules of Procedure Form 12.902(e), is [ ✓ one only ( ) filed
with this answer or ( ) will be filed after the other party serves his or her financial affidavit.
6. If necessary a completed Notice of Social Security Number, Florida Supreme Court Approved
Family Law Form 12.902(j), is filed with this answer.
7. A completed Family Law Financial Affidavit, Florida Family Law Rules of Procedure Form
12.902(b) or (c), [ Choose only one] ( ) is filed with this answer or ( ) will be timely filed.
I certify that a copy of this document was [one only] ( ) mailed ( ) faxed and mailed
( ) hand delivered to the person(s) listed below on {date} ____________________________.
*843
Petitioner or his/her attorney:
Name: ___________________________________________
Address: ________________________________________
City, State, Zip: _______________________________
Fax Number: _____________________________________
I understand that I am swearing or affirming under oath to the truthfulness of the claims
made in this answer and that the punishment for knowingly making a false statement includes fines
and/or imprisonment.
Dated: _____________________ ____________________________________________________
Signature of Respondent
Printed Name: ______________________________________
Address: ___________________________________________
City, State, Zip: __________________________________
Telephone Number: __________________________________
Fax 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 respondent, fill out this form.
*844 INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.903(c)(1), ANSWER TO PETITION AND COUNTERPETITION FOR DISSOLUTION OF MARRIAGE WITH DEPENDENT OR MINOR CHILD(REN)(12/10)
When should this form be used?
This form should be used when you are responding to a petition for dissolution of marriage with dependent or minor child(ren) and you are asking the court for something not contained in the petition. The answer portion of this form is used to admit or deny the allegations contained in the petition, and the counterpetition portion of this form is used to ask for whatever you want the court to do for you.
This form should be typed or printed in black ink. After completing this form, you should sign the form before a notary public or deputy clerk. You should file the original with the clerk of the circuit court in the county where the petition was filed and keep a copy for your records.
What should I do next?
You have 20 days to answer after being served with the other party's petition. A copy of this form must be mailed or hand delivered to the other party. After you file an answer and counterpetition your case will then generally proceed as follows:
The other party is required to answer your counterpetition within 20 days using an Answer to Counterpetition, Florida Supreme Court Approved Family Law Form 12.903(d).
UNCONTESTED... Your dissolution is uncontested if you and your spouse agree on all issues raised in the petition and the counterpetition. If this is the case, and you and the other party have complied with mandatory disclosure and filed all of the required papers, either party may call the clerk, family law intake staff, or judicial assistant to set a final hearing. If you request the hearing, you must notify the other party of the hearing by using a Notice of Hearing (General), Florida Supreme Court Approved Family Law Form 12.923, or other appropriate notice of hearing form.
CONTESTED... Your dissolution is contested if you and your spouse disagree on any issues raised in the petition or counterpetition. If you are unable to settle the disputed issues, either party may file a Notice for Trial, Florida Supreme Court Approved Family Law Form 12.924, after you have complied with mandatory disclosure and filed all of the required papers. Some circuits may require the completion of mediation before a final hearing may be set. You should contact the clerk, family law intake staff, or judicial assistant for instructions on how to set your case for trial (final hearing).
Where can I look for more information?
Before proceeding, you should read General Information for Self-Represented Litigants found at the beginning of these forms. The words that are in bold underline in these instructions are defined there. For further information, see chapter 61, Florida Statutes.
Special notes...
With this form, you must also file the following:
Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Affidavit, Florida Supreme Court Approved Family Law Form 12.902(d)
Child Support Guidelines Worksheet, Florida Family Law Rules of Procedure Form 12.902(e). (If you do *845 not know the other party's income, you may file this worksheet after his or her financial affidavit has been served on you.)
Affidavit of Corroborating Witness, Florida Supreme Court Approved Family Law Form 12.902(i) OR photocopy of current Florida driver's license, Florida identification card, or voters registration card (issue date of copied document must be at least six months before date case is actually filed with the clerk of the circuit court).
Marital Settlement Agreement for Dissolution of Marriage with Dependent or Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.902(f)(1), if you have reached an agreement on any or all of the issues.
Parenting Plan, Florida Supreme Court Approved Family Law Form 12.9.995(a) or Safety Focused Parenting Plan, Form 12.995(b). If the parents have reached an agreement, a signed and notarized Parenting Plan should be attached. If the parents have not reached an agreement, a proposed Parenting Plan may be filed.
Notice of Social Security Number, Florida Supreme Court Approved Family Law Form 12.902(j).
Family Law Financial Affidavit, Florida Family Law Rules of Procedure Form 12.902(b) or (c). (This must be filed within 45 days of service of the petition on you, if not filed at the time you file this answer.)
Certificate of Compliance with Mandatory Disclosure, Florida Family Law Rules of Procedure Form 12.932. (This must be filed within 45 days of service of the petition on you, if not filed at the time you file this answer, unless you and the other party have agreed not to exchange these documents.)
Parenting Plan and Time-Sharing... If you and your spouse are unable to agree on parenting arrangements and a time-sharing schedule, a judge will decide for you as part of establishing a Parenting Plan. The judge will decide the parenting arrangements and time-sharing schedule based on the child(ren)'s best interests. Regardless of whether there is an agreement, the court reserves jurisdiction to modify issues relating to the minor child(ren).
The judge may request a parenting plan recommendation or appoint a guardian ad litem in your case. This means that a neutral person will review your situation and report to the judge concerning parenting issues. The purpose of such intervention is to be sure that the best interests of the child(ren) is (are) being served. For more information, you may consult section 61.13, Florida Statutes.
A parenting course must be completed prior to entry of the final judgment. You should contact the clerk, family law intake staff, or judicial assistant about requirements for parenting courses or mediation where you live.
Listed below are some terms with which you should become familiar before completing your petition. If you do not fully understand any of the terms below or their implications, you should speak with an attorney before going any further.
Shared Parental Responsibility
Sole Parental Responsibility
Supervised Time-Sharing
No contact
Parenting Plan
Parenting Plan Recommendation
Time-Sharing Schedule
*846 Child Support... The court may order one parent to pay child support to assist the other parent in meeting the child(ren)'s material needs. Both parents are required to provide financial support, but one parent may be ordered to pay a portion of his or her support for the child(ren) to the other parent. Florida has adopted guidelines for determining the amount of child support to be paid. These guidelines are based on the combined income of both parents and take into account the financial contributions of both parents. You must file a Family Law Financial Affidavit, Florida Family Law Rules of Procedure Form 12.902(b) or (c), and your spouse will be required to do the same. From your financial affidavits, you should be able to calculate the amount of child support that should be paid using the Child Support Guidelines Worksheet, Florida Family Law Rules of Procedure Form 12.902(e). Because the child support guidelines take several factors into consideration, change over time, and vary from state to state, your child support obligation may be more or less than that of other people in seemingly similar situations.
Alimony... Alimony may be awarded to a spouse if the judge finds that he or she needs it and that the other spouse has the ability to pay it. If you want alimony, you must request it in writing in your counterpetition. If you do not request alimony in writing before the final hearing, it is waived (you may not request it later). You may request either permanent alimony, lump sum alimony, or rehabilitative alimony.
Marital/Nonmarital Assets and Liabilities... Florida law requires an equitable distribution of marital assets and marital liabilities. Equitable does not necessarily mean equal. Many factors, including child support, time-sharing and alimony awards, may lead the court to make an unequal (but still equitable) distribution of assets and liabilities. Nonmarital assets and nonmarital liabilities are those assets and liabilities which the parties agree or the court determines belong to, or are the responsibility of, only one of the parties. If the parties agree or the court finds an asset or liability to be nonmarital, the judge will not consider it when distributing marital assets and liabilities.
Parenting Plan... In all cases involving minor or dependent child(ren), a Parenting Plan shall be approved or established by the court. If you and your spouse have reached an agreement, you should file a Parenting Plan, Florida Supreme Court Approved Family Law Form 12.995(a), or a Safety Focused Parenting Plan, Florida Supreme Court Approved Family Law Form 12.995(b) which addresses the time-sharing schedule for the child(ren). If you have not reached an agreement, a proposed Parenting Plan may be filed. If the parties are unable to agree, a Parenting Plan will be established by the court.
Temporary Relief... If you need temporary relief regarding temporary use of assets, temporary responsibility for liabilities, parental responsibility and time-sharing with child(ren), temporary child support, or temporary alimony, you may file a Motion for Temporary Support and Time-Sharing with Dependent or Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.947(a). For more information, see the instructions for that form.
Marital Settlement Agreement... If you and your spouse are able to reach an agreement on any or all of the issues, you should file a Marital Settlement Agreement for Dissolution of Marriage with Dependent or Minor Child(ren), Florida *847 Supreme Court Approved Family Law Form 12.902(f)(1). Both parties must sign this agreement before a notary public or deputy clerk. Any issues on which you are unable to agree will be considered contested and settled by the judge at the final hearing.
Final Judgment Form... These family law forms contain a Final Judgment of Dissolution of Marriage with Dependent or Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.990(c)(1), which the judge may use if your case is contested. If you and your spouse reach an agreement on all of the issues, the judge may use a Final Judgment of Dissolution of Marriage with Dependent or Minor Child(ren) (Uncontested), Florida Supreme Court Approved Family Law Form 12.990(b)(1). You should check with the clerk, family law intake staff, or judicial assistant to see if you need to bring a final judgment with you to the hearing. If so, you should type or print the heading, including the circuit, county, case number, division, and the parties' names, and leave the rest blank for the judge to complete at your hearing or trial.
Nonlawyer... Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you fill out these forms, that person must give you a copy of a Disclosure from Nonlawyer, Florida Family Law Rules of Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fill out these forms also must put his or her name, address, and telephone number on the bottom of the last page of every form he or she helps you complete.
*848
IN THE CIRCUIT COURT OF THE ___________________ JUDICIAL CIRCUIT,
IN AND FOR_____________________ COUNTY, FLORIDA
Case No.: _____________________________________
Division: ______________________________________
_________________________________,
Petitioner/Counter respondent,
and
_________________________________,
Respondent/Counterpetitioner.
ANSWER TO PETITION AND COUNTERPETITION
FOR DISSOLUTION OF MARRIAGE WITH DEPENDENT OR MINOR CHILD(REN)
I, {full legal name} ___________________________, Respondent, being
sworn, certify that the following information is true:
ANSWER TO PETITION
1. I agree with Petitioner as to the allegations raised in the following numbered paragraphs in the
Petition and, therefore, admit those allegations: {indicate section and paragraph number}
______________________________________________________________________________
__________________________________________________________________________________________.
2. I disagree with Petitioner as to the allegations raised in the following numbered paragraphs in
the Petition and, therefore, deny those allegations: {indicate section and paragraph number}
______________________________________________________________________________
__________________________________________________________________________________________.
3. I currently am unable to admit or deny the following paragraphs due to lack of information:
{indicate section and paragraph number} _____________________________
__________________________________________________________________________________________.
COUNTERPETITION FOR DISSOLUTION OF MARRIAGE WITH MINOR CHILD(REN)
1. JURISDICTION/RESIDENCE
( ) Husband ( ) Wife ( ) Both has (have) lived in Florida for at least 6 months before the filing
of this Petition for Dissolution of Marriage.
2. Petitioner [Choose only one] ( ) is ( ) is not a member of the military service.
Respondent [Choose only one] ( ) is ( ) is not a member of the military service.
*849
3. MARRIAGE HISTORY
Date of marriage: {month, day, year} _________________________________________
Place of marriage: {city, state, country} ____________________________________
Date of separation: {month, day, year} _______________ (indicate if approximate)
4. DEPENDENT OR MINOR CHILD(REN)
[Choose all that apply]
a. ____ The wife is pregnant. Baby is due on: {date} ______________
b. ____ The minor (under 18) child(ren) common to both parties are:
Name Place of Birth Birth date Sex
__________________ ________________________ _____________________ ______
__________________ ________________________ _____________________ ______
__________________ ________________________ _____________________ ______
__________________ ________________________ _____________________ ______
__________________ ________________________ _____________________ ______
__________________ ________________________ _____________________ ______
c. ____ The minor child(ren) born or conceived during the marriage who are not common to
both parties are:
Name Place of Birth Birth date Sex
_______________________ ____________________________ ______________________ _______
_______________________ ____________________________ ______________________ _______
The birth father(s) of the above minor child(ren) is (are) {name and address} _____________
___________________________________________________________________________________________
d. ____ The child(ren) common to both parties who are 18 or older but who are dependent upon
the parties due to a mental or physical disability are:
Name Place of Birth Birth date Sex
_______________________ ____________________________ ______________________ _______
_______________________ ____________________________ ______________________ _______
5. A completed Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Affidavit Florida
Supreme Court Approved Family Law Form 12.902(d), is filed with this counterpetition. You
must complete and attach this form in a dissolution of marriage with minor child(ren).
6. A completed Notice of Social Security Number, Florida Supreme Court Approved Family Law
Form 12.902(j), is filed with this counterpetition.
7. A completed Family Law Financial Affidavit, Florida Family Law Rules of Procedure Form
12.902(b) or (c) ( ) is filed or ( ) will be timely filed.
8. This counterpetition for dissolution of marriage should be granted because:
[Choose only one]
a. ____ The marriage is irretrievably broken.
*850
b. ____ One of the parties has been adjudged mentally incapacitated for a period of 3 years prior
to the filing of this counterpetition. A copy of the Judgment of Incapacity is attached.
SECTION I. MARITAL ASSETS AND LIABILITIES
[Choose only one]
1. ____ There are no marital assets or liabilities.
2. ____ There are marital assets or liabilities. All marital and nonmarital assets and liabilities are (or
will be) listed in the financial affidavits, Florida Family Law Rules of Procedure Form 12.902(b) or
(c), to be filed in this case.
[Choose all that apply]
a. ____ All marital assets and liabilities have been divided by a written agreement between the
parties, which is attached to be incorporated into the final judgment of dissolution of
marriage. (The parties may use Marital Settlement Agreement for Dissolution of Marriage
with Dependent or Minor Child(ren), Florida Supreme Court Approved Family Law Form
12.902(f)(1).
b. ____ The Court should determine how the assets and liabilities of this marriage are to be
distributed, under section 61.075, Florida Statutes.
c.
____Respondent should be awarded an interest in Petitioner's property because:_______
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
SECTION II. SPOUSAL SUPPORT (ALIMONY)
[Choose only one]
1. ____ Respondent forever gives up his/her right to spousal support (alimony) from
Petitioner.
2. ____ Respondent requests that the Court order Petitioner to pay the following spousal
support (alimony) and claims that he or she has a need for the support that he or she is
requesting and that Petitioner has the ability to pay that support. Spousal support
(alimony) is requested in the amount of $____ every ( ) week ( ) other week ( )
month, beginning {date} _________ and continuing until {date or event}
____________________________.
Explain why the Court should order Petitioner to pay and any specific request(s) for type of
alimony (temporary, permanent, rehabilitative, and/or lump sum): __________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
[Choose if applies] ( ) Respondent requests life insurance on Petitioner's life, provided by
*851
Petitioner, to secure such support.
SECTION III. PARENTING PLAN ESTABLISHING PARENTAL RESPONSIBILITY AND TIME-SHARING
1. The minor child(ren) currently reside(s) with ( ) Mother ( ) Father ( ) Other: {explain}
___________________________________________________________________________________________
2. Parental Responsibility. It is in the child(ren)'s best interests that parental responsibility be:
[Choose only one]
a. ____shared by both Father and Mother.
b. ____awarded solely to ( ) Father ( ) Mother. Shared parental responsibility would be
detrimental to the child(ren) because: _________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
3. Parenting Plan and Time-Sharing. It is in the best interests of the child(ren) that the family be
ordered to comply with a Parenting Plan that ( ) includes ( ) does not include parental time-sharing
with the child(ren). The Respondent states that it is in the best interests of the
child(ren) that:
(Choose only one)
a. ____The attached proposed Parenting Plan should be adopted by the court. The parties
( ) have ( ) have not agreed to the Parenting Plan.
b. ____ The court should establish a Parenting Plan with the following provisions:
( )No time-sharing for the ____ Husband ____ Wife.
( ) Limited time-sharing with the ____ Husband ____ Wife.
( )Supervised time-sharing for the ____ Husband ____ Wife.
( )Supervised or third-party exchange of the child(ren).
( ) Time-sharing as follows: ___________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Explain why this request is in the best interests of the child(ren):_______________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
SECTION IV. CHILD SUPPORT [Choose all that apply]
1. Respondent requests that the Court award child support as determined by Florida's child
support guidelines, section 61.30, Florida Statutes. A c
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