| IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT, IN AND FOR COUNTY, FLORIDA |
|
Case No.: Judge:: |
| In re: the Marriage of: |
|
Husband, |
|
and |
|
Wife |
PETITION FOR DISSOLUTION OF MARRIAGE WITH NO DEPENDENT OR MINOR CHILD(REN) OR PROPERTY
|
| 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} Place of marriage: {county, state, country} |
| 4 | THERE ARE NO MINOR (under 18) OR DEPENDENT CHILD(REN) COMMON TO BOTH PARTIES AND THE WIFE IS NOT PREGNANT. |
| 5 | A completed Notice of Social Security Number, Florida Supreme Court Approved Family Law Form 12.902(j), is filed with this petition. |
| 6 | THIS PETITION FOR DISSOLUTION OF MARRIAGE SHOULD BE GRANTED BECAUSE: |
| a | The marriage is irretrievably broken. |
| OR |
| b | One of the parties has been adjudged mentally incapacitated for a period of 3 years before the filing of this petition. A copy of the Judgment of Incapacity is attached. |
| 7 | THERE ARE NO MARITAL ASSETS OR LIABILITIES. |
| 8 | HUSBAND WIFE FOREVER GIVES UP HIS/HER RIGHTS TO SPOUSAL SUPPORT (ALIMONY) FROM THE OTHER SPOUSE. |
| 9 | Wife requests to be known by her former name, which was {full legal name} |
| 10. | Other relief {specify}: |
| 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. | restoring Wife’s former name as specified in paragraph 9 of this petition; |
| 2. | awarding other relief as specified in paragraph 10 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: |
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} ( ) ( ) .This form was completed with the assistance of: |
| {name of individual} |
| {name of business} |
| {address} |
| {city} | {state} | {telephone number} |