Florida Settlement Agreement-no kids

 


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

Case No.:

Division::

Husband,

and

Wife,
MARITAL SETTLEMENT AGREEMENT FOR DISSOLUTION OF MARRIAGE WITH PROPERTY BUT NO 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:
ASSETS: DESCRIPTION OF ITEM(S) WIFE SHALL RECEIVE
Please describe each item as clearly as possible.You do 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.		 Current Fair Market Value
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)
Business interests
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., stereo, 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(To avoid confusion at a later date, describe each item as clearly as possible. You do 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.) Current Fair Market Value
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)
Business interests
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., stereo, etc.) equipment
Other assets
Total Assets to Husband $
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, include whether the name on any mortgage, note, or account described below is wife’s, husband’s, or both.) Monthly Payment Current Amount 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 Debts to Be Paid by Wife $ $
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,include whether the name on any mortgage, note or account described below is wife’s, husband’s, or both. Monthly Payment Current Amount 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 Debts to Be Paid by Husband $ $
c. Contingent Assets and Liabilities (listed in Section III of our Family Law Financial Affidavits) will be divided as follows:
d. Beneficiary Designation (Complete only if beneficiary designations continue after entry of Final Judgment of Dissolution of Marriage.)
The Final Judgment of Dissolution of Marriage shall provide that the designations set forth below remain in full force and effect:
1. The shall acquire or maintain the following assets for the benefit of the other spouse or child(ren) to be paid upon his/her death outright or in trust. This provision only applies if other assets fulfilling such requirement for the benefit of the other spouse or child(ren) do not exist upon his/her death and unless precluded by statute. {Describe the assets with specificity}:
1. The _ shall not unilaterally terminate or modify the ownership of the following assets, or their disposition upon his/her death. {Describe the assets with specificity}:
SECTION II. SPOUSAL SUPPORT (ALIMONY)(If you have not agreed on this matter, write n/a on the lines provided.)
1.
OR
2. (hereinafter “Obligor”) 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 (permanent, bridge-the-gap, durational, rehabilitative, and/or lump sum) and any other specifics:
3.
3. will provide life insurance in the amount of $ to secure the above support.
SECTION III. OTHER
SECTION IV. 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.
Dated:

Signature of Husband ,
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}
Dated:

Signature of 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}


Your full legal name:
I am the:
Other Party’s legal name:
My address:
City, state, zip:
My Phone (area code and number):
My Fax (area code and number):
My email address(es):
My Occupation:
I’m employed by:
Business Address:


IN THE CIRCUIT COURT OF THE

JUDICIAL CIRCUIT,
IN AND FOR
 COUNTY, FLORIDA


(If you don’t have this information yet, leave it blank)
,

,

 

,

Petitioner,

and

.

Respondent.


Employment Information

If you have a different pay period than the choices given below, or your pay varies (for instance if you have more than one job and different pay periods), estimate your total average pay as closely as possible and convert it to a monthly pay amount. Enter it here as monthly.

If you receive a regular paycheck from an employer, then choose your pay rate and pay period below, and the income table will calculate monthly totals for you, based on your pay stub deductions. However, if you have multiple jobs with different pay periods, are self-employed, retired, etc, choose “monthly” here so that no further calculations will be done on your entries in the income table.
Pay rate $

Your Gross Monthly pay is $
If this doesn’t seem right, please double-check your entry, or calculate your monthly gross wages manually and enter it above as “Monthly”.

 

SECTION I. PRESENT MONTHLY GROSS INCOME
Attach extra sheets to your printed form, if needed to cover extra items and
descriptions. Items included under “other” should be listed separately with
separate dollar amounts. Where you calculate amounts, make sure and use MONTHLY
amounts for all the following sections, unless otherwise noted.
The online form makes conversions between other pay periods to monthy, as far as
possible.

1. Monthly gross salary or wages 1. $
0
2. Monthly bonuses, commission, allowances, overtime, tips and similar payments 2. $
3. Monthly business income from sources such as self-employment, partnerships, close corporations, and/or independent contracts (gross receipts minus ordinary and necessary expenses required to produce income) (Attach sheet itemizing such income and expenses.) 3. $
4. Monthly disability benefits/SSI received 4. $
5. Monthly Workers’ Compensation received 5. $
6. Monthly Unemployment Compensation received 6. $
7. Monthly pension, retirement, or annuity payments received 7. $
8. Monthly Social Security Benefits received 8. $
9. Monthly Alimony payment actually received      9a. From this case: $

9b. From other case(s): $

9. $ 0
10. Monthly interest and dividends received 10. $
11. Monthly rental income (gross receipts minus ordinary and necessary expenses required to produce income)
(Attach sheet itemizing such income and expense items.)		 11. $
12. Monthly income from royalties, trusts, or estates 12. $
13. Monthly reimbursed expenses and in-kind payments to the extent that they reduce personal living expenses 13. $
14. Monthly gains derived from dealing in property (not including nonrecurring gains) 14. $
15. Any other income of a recurring nature (list source) 15. $
16. Any other income of a recurring nature (list source) 16. $
17. PRESENT MONTHLY GROSS INCOME TOTAL: 17.  $ 0.00


SECTION I. PRESENT MONTHLY DEDUCTIONS

18. Federal, state and local income tax (corrected for filing status and allowable dependents
and income tax liabilities)
Add up your adjusted tax totals from your current IRS, State and local returns.
Do not
convert to monthly

$   

a. Filing Status

b. Number of dependents claimed    

 18. $
0.00 /month
19. FICA or self-employment taxes
Amount listed on your most recent pay stub:
 19. $ 0
/month
20. Medicare payments
Amount listed on your most recent pay stub:
 20. $
/month
21. Mandatory union dues
Amount listed on your most recent pay stub:
 21. $
/month
22. Mandatory retirement payments
Amount listed on your most recent pay stub:
 22. $
/month
23. Employer health  insurance payments, including
dental insurance. Exclude portion paid for any minor children of this
relationship, or insurance not provided by your employer.

Amount listed on your
most recent pay stub:
 23. $
/month
24. Monthly court-ordered child support actually paid
for children from another relationship		 24. $
/month
25. Monthly court-ordered alimony actually paid      25a. From this case: $
/month

25b. From other case(s): $

/month

 25. $
0
/month

26. TOTAL DEDUCTIONS
ALLOWABLE UNDER SECTION 61.30, FLORIDA STATUTES

(Add lines 18 through 25):
26. $
PRESENT NET MONTHLY INCOME : 26. $


SECTION II. AVERAGE MONTHLY EXPENSES

A. HOUSEHOLD:
Mortgage or rent $
Property taxes $
Utilities $
Telephone $
Food $
Meals outside home $
Maintenance/Repairs $
Other
 $
B. AUTOMOBILE:
Gasoline $
Repairs $
Insurance $
C. CHILD(REN)’S EXPENSES:
Day Care $
Lunch Money $
Clothing $
Grooming $
Gifts for holidays $
Medical/Dental (uninsured) $
Other
 $
D. INSURANCE:
Medical/Dental (Do not include insurance deductions from your paycheck) $
Children(ren)’s medical/dental $
Life $
Other
 $
E. OTHER EXPENSES NOT LISTED ABOVE:
Clothing $
Medical/Dental (uninsured) $
Grooming $
Entertainment $
Gifts $
Religious Organizations $
Miscellaneous $
Other
 $
Other  $
 Other $
 Other $
 Other $
 Other $
 Other $
F. PAYMENTS TO CREDITORS:
Creditor Monthly
Payment
 1.
 $
 2.
 $
 3.
 $
 4.
 $
 5.
 $
 6.
 $
 7.
 $
 8.
 $
 9.
 $
 10. $
 11. $
 12. $
28. TOTAL MONTHLY EXPENSES 28. $

SUMMARY

29. TOTAL PRESENT MONTHLY NET INCOME
(from line 27 of SECTION I. INCOME)		 29. $ 0
30. TOTAL MONTHLY EXPENSES
(from line 28 above)
30. $
0.00
31. SURPLUS
(if line 29 is more than line 30, subtract line 30 from line 29. This is the amount of your surplus. Enter that amount here.)		 31. $
32. (DEFICIT)
(if line 29 is less than line 30, subtract line 29 from line 30. This is the amount of your deficit. Enter that amount here.)		 $ ()

SECTION III. ASSETS AND LIABILITIES
Use the nonmarital column only if this is a petition for dissolution of marriage and you believe an item is “nonmarital,” meaning it belongs to only one of you and should not be divided. You should indicate to whom you believe the item(s) or debt belongs. (Typically, you will only use this column if property/debt was owned/owed by one spouse before the marriage. See the “General Information for Self-Represented Litigants” found at the beginning of these forms and section 61.075(1), Florida Statutes, for definitions of “marital” and “nonmarital” assets and liabilities.)


A. ASSETS:

butInfo

Description of Items.
List a description of each separate item owned by you (and/or your spouse, if this is a petition for dissolution of marriage).
LIST ONLY LAST 4 DIGITS OF ACCOUNT NUMBERS.
Check the box next to any asset(s) which you are requesting the judge award to you.
 Current Fair Market Value husband (Don’t check this column except for separate, non-marital items) wife (Don’t check this column except for separate, non-marital items)
$
$
$
$

$

$

$
$

$
$
$
$
$
$
$
Total Assets $0.00


B. LIABILITIES (DEBTS):

DESCRIPTION OF ITEM(S). List a description of each separate debt owed by you (and/or your spouse, if this is a petition for dissolution of marriage). LIST ONLY LAST 4 DIGITS OF ACCOUNT NUMBERS. Check the line next to any debt(s) for which you believe you should be responsible. Current Amount Owed husband (Don’t check this column except for separate, non-marital items) wife (Don’t check this column except for separate, non-marital items)
$

$

$
$

$
$

$
$
$
$

$
$
$
$
Total Debts $0.00


C. CONTINGENT ASSETS AND LIABILITIES:
INSTRUCTIONS: If you have any POSSIBLE assets (income potential, accrued vacation or sick leave, bonus, inheritance, etc.) or POSSIBLE liabilities (possible lawsuits, future unpaid taxes, contingent tax liabilities, debts assumed by another), you must list them here.


Contingent AssetsCheck the box next to any asset(s) which you are requesting the judge award to you.		 Possible Value husband(Don’t check this column except for separate, non-marital items) wife(Don’t check this column except for separate, non-marital items)
$
$
Total contingent Assets $0.00


Contingent LiabilitiesCheck the box next to any asset(s) which you believe you should be responsible.		 Possible Amount Owed husband(Don’t check this column except for separate, non-marital items) (Don’t check this column except for separate, non-marital items)
wife
$
$
Total contingent Liabilities $0.00


 

SECTION IV. CHILD SUPPORT GUIDELINES WORKSHEET
(Florida Family Law Rules of Procedure Form 12.902(e), Child Support Guidelines Worksheet, MUST be filed with the court at or prior to a hearing to establish or modify child support. This requirement cannot be waived by the parties.)

I certify that a copy of this document was [check allused]“
to the person(s) listed below on {date}.

Other party or his/her attorney:
Name:
Address:
City, State, Zip:
Fax Number:
E-mail Address(es):

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.

IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW: [fill in all blanks]

full legal name of Non-Lawyer
Business
Street:
City:
State:
Phone:

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