Petition For Dissolution Of Marriage With Dependent Or Minor Child(Ren) Florida Legal Form

IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,
IN AND FOR COUNTY, FLORIDA

Case No.:

Division::

In re: The Marriage of:

Husband,

and

Wife,

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 is or is not a member of the military service. The wife is or is not a member of the military service.

3.	MARRIAGE HISTORY

Date of marriage: {month, day, year}
Date of separation: {month, day, year} (Please indicate if approximate)
Place of marriage: {county, state, country}

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

Birth date

c.	The minor child(ren) born or conceived during the marriage who are not common to both parties are:

Name

Birth date

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

Birth date

5.	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 petition 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

1.	There are no marital assets or liabilities. OR

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), filed in this case.

{Indicate all that apply}

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.	Husband Wife should be awarded an interest in the other spouse’s property because:

SECTION II.SPOUSAL SUPPORT (ALIMONY)

1.	Husband Wife forever gives up his/her right to spousal support (alimony) from the other spouse.

Husband Wife requests that the Court order the other spouse to pay the following spousal support (alimony) and claims that he or she has an actual need for the support that he or she is requesting and that the other spouse 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 Husband Wife to pay, and any specific request(s) for type of alimony (temporary, permanent, bridge-the-gap, durational, rehabilitative, and/or lump sum}:

3.	Other provisions relating to alimony, including any tax treatment and consequences:

4.	Husband Wife requests life insurance on the other spouse’s life, provided by that spouse, 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 {Choose only one} 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 Father Mother.

Limited time-sharing with the Father Mother.

Supervised Time-Sharing for the Father Mother.

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}

Husband Wife 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.	Husband Wife 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, is (are) in high school, and 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.

Husband Wife requests that the Court award a child support amount that is more than or less than Florida’s child support guidelines and understands that a 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.	Husband Wife requests that medical/dental insurance for the minor child(ren) be provided by: {Choose only one}

a.	by Husband.

by Wife.

5.	Husband Wife requests that uninsured medical/dental expenses for the child(ren) be paid: {Choose only one}

a.	by Husband.

by Wife.

c.	by Husband and Wife equally [each pay one-half].

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.	Husband Wife requests that life insurance to secure child support be provided by the other spouse.

SECTION V.OTHER

1.	Wife requests to be known by her former name, which was {full legal name}: .

2.	Other relief {specify}:

SECTION VI. REQUEST (This section summarizes what you are asking the Court to include in the final judgment of dissolution of marriage.)

Husband Wife requests that the Court enter an order dissolving the marriage and:
{Indicate 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.	adopting or establishing 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 HUSBAND WIFE

Printed Name:

Address:

City,State,Zip:

Fax Number:

Designated E – mail Address(es):

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]

This form was prepared for the: {choose only one} ( ) Petitioner ( ) Respondent.This form was completed with the assistance of:

{name of individual}

{name of business}

{address}

{city}

{state}

{telephone number}

Contact Information

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