Title: In Re: Amendments to Florida Supreme Court Approved Family Law Forms
Citation: N/A
Docket Number: SC13-532
State: Florida
Issuer: Florida Supreme Court
Date: May 1, 2014

Supreme Court of Florida 
 
 
____________ 
 
No. SC13-532 
____________ 
 
 
IN RE:  AMENDMENTS TO THE FLORIDA SUPREME COURT 
APPROVED FAMILY LAW FORMS. 
 
[May 1, 2014] 
 
PER CURIAM. 
 
Previously in this case, the Court amended four Florida Supreme Court 
Approved Family Law Forms, forms 12.902(f)(1) and 12.902(f)(2), the marital 
settlement agreement forms, and forms 12.990(c)(1) and 12.990(c)(2), the final 
judgment of dissolution of marriage forms.  These forms were amended in 
response to the enactment of section 732.703, Florida Statutes (2012), entitled 
“Effect of divorce, dissolution, or invalidity of marriage on disposition of certain 
assets at death.”  In re Amends. to the Fla. Supreme Court Approved Family Law 
Forms,  122 So. 3d 320 (Fla. 2013).1
                                          
 
 
1.  We have jurisdiction.  See art. V, § 2(a), Fla. Const. 
  Interested parties were given an opportunity 
to file comments regarding the amended forms.  Id. at 321.   
 
2 
 
Several comments were filed.   Upon consideration of the comments, and 
with input from the Advisory Workgroup on the Florida Supreme Court Family 
Law Forms, we adopt additional amendments to the forms, as follows: (1) the 
phrase “deceased’s party former spouse” is changed to “deceased party’s former 
spouse” in each of the four forms; and (2) the references to tax “deductions” are 
changed to tax “exemptions” in paragraph 6 of Section IV of form 12.902(f)(1).   
Accordingly, the Florida Supreme Court Approved Family Law Forms are 
amended, as reflected in the appendix to this opinion.  The amended forms are 
fully engrossed and ready for use.  The forms may also be accessed and 
downloaded from the Florida State Courts’ website at 
www.flcourts.org/gen_public/family/forms_rules/index.shtml.  By adoption of the 
amended forms, we express no opinion as to their correctness or applicability.  The 
forms shall become effective immediately upon release of this opinion.   
It is so ordered. 
 
POLSTON, C.J., and PARIENTE, LEWIS, QUINCE, CANADY, LABARGA, 
and PERRY, JJ., concur.  
 
THE FILING OF A MOTION FOR REHEARING SHALL NOT ALTER THE 
EFFECTIVE DATE OF THESE AMENDMENTS.  
 
Original Proceeding – Florida Supreme Court Approved Family Law Forms 
Lori M. Caldwell-Carr, Maitland Florida, and Elizabeth Ann Blackburn, Daytona 
Beach, Florida, Co-Chairs, Family Law Section Rules Committee; Elisha D. Roy, 
3 
 
Chair, Family Law Section, The Florida Bar, West Palm Beach, Florida; 
Christopher M. Pratt, Palmetto, Florida; and Melvyn B. Frumkes, Miami, Florida, 
 
 
Responding with comments 
 
 
 
 
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) (05/14) 
4 
APPENDIX 
 
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) (05/14) 
 
 
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. 
 
 
Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for Dissolution of 
Marriage with Dependent or Minor Child(ren) (05/14) 
5 
IN THE CIRCUIT COURT OF THE                                                       JUDICIAL CIRCUIT, 
IN AND FOR                                                       COUNTY, FLORIDA 
 
 
                             
Case No.: ________________ 
                             
Division:   ________________ 
 
In re the Marriage of: 
 
                                                                      , 
       Husband, 
 
and 
 
                                                                       , 
     Wife. 
                        
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 (are) the property of the party currently in possession of the 
 
 
Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for Dissolution of 
Marriage with Dependent or Minor Child(ren) (05/14) 
6 
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 
 
 
 
 
 
 
 
 
 
 
Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for Dissolution of 
Marriage with Dependent or Minor Child(ren) (05/14) 
7 
 
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 
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 
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) 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for Dissolution of 
Marriage with Dependent or Minor Child(ren) (05/14) 
8 
 
ASSETS:  DESCRIPTION OF ITEM(S) HUSBAND 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 
 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 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for Dissolution of 
Marriage with Dependent or Minor Child(ren) (05/14) 
9 
 
ASSETS:  DESCRIPTION OF ITEM(S) HUSBAND 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 
 
 
 
 
 
 
 
Total Assets to Husband 
 
$  
  
 
 
Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for Dissolution of 
Marriage with Dependent or Minor Child(ren) (05/14) 
10 
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 
Please 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: 
 
 
Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for Dissolution of 
Marriage with Dependent or Minor Child(ren) (05/14) 
11 
 
LIABILITIES:  DESCRIPTION OF DEBT(S) TO BE PAID BY HUSBAND 
Please 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:  
 
 
 
 
 
 
 
 
Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for Dissolution of 
Marriage with Dependent or Minor Child(ren) (05/14) 
12 
 
D. Beneficiary Designation (Complete only if beneficiary designations continue after entry of Final    
 
     Judgment of Dissolution of Marriage.) 
 
 _____The Husband and Wife agree that the designation providing for the payment or transfer at death 
of an interest in the assets set forth below to or for the benefit of the deceased party’s former spouse 
SHALL  NOT BE VOID as of the date of entry of the 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 _____Husband _____Wife 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}:________ 
________________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________. 
_____2. The _____Husband _____Wife 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. ____Each of us forever gives up any right to spousal support (alimony) that we may have. 
 
OR 
 
2.  ____ (    ) HUSBAND (    ) WIFE (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 (such as, permanent, bridge-the-gap, durational, rehabilitative, and/or lump 
sum) and any other specifics:  
 
 
 
 
 
 
 
 
 
Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for Dissolution of 
Marriage with Dependent or Minor Child(ren) (05/14) 
13 
 
 
 
 
     3. _____Other provisions relating to alimony, including any tax treatment and consequences: 
___________________________________________________________________________ 
________________________________________________________________________ 
 
4.  _____Husband _____Wife will provide life insurance in the amount of $__________ to secure the 
above support. 
 
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. ____ Wife ____ Husband (hereinafter “Obligor”) 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. 
 Child support established at the rate of $_________per month for the ________children {total number 
of parties’ minor or dependent children} shall be paid commencing_________________ {month, day, 
year} and terminating _____________________ {month, day, year}. Child support shall be paid in the 
amount of $________ per ___________ {week, month, other} which is consistent with the Obligor’s 
current payroll cycle. 
  
Upon the termination of the obligation of child support for one of the parties’ children, child support in 
the amount of $_______  for the remaining ______ children {total number of remaining children} shall 
be paid commencing_____________________ {month, day, year} and terminating 
_______________________ {month, day, year}.This child support shall be paid in the amount of 
$_________ per _____________ {week, month, other} consistent with Obligor’s current payroll cycle. 
  
{Insert schedule for the child support obligation, including the amount, and commencement and 
 
 
Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for Dissolution of 
Marriage with Dependent or Minor Child(ren) (05/14) 
14 
termination dates, for the remaining minor or dependent children, which shall be payable as the 
obligation for each child ceases.  Please indicate whether the schedule ____appears below or ____is 
attached as part of this form.} 
_____________________________________________________________________________ 
_____________________________________________________________________________ 
_____________________________________________________________________________ 
_____________________________________________________________________________ 
_____________________________________________________________________________ 
_____________________________________________________________________________ 
 
The Obligor shall pay child support until all the minor or dependent child(ren): reach the age of 18; 
become emancipated, marry, join the armed services, die, or become self-supporting; or until further 
order of the court or agreement of the parties.  The child support obligation shall continue beyond the 
age of 18 and until high school graduation for any child who is: dependent in fact; between the ages of 
18 and 19; and is still in high school, performing in good faith with a reasonable expectation of 
graduation before the age of 19. 
 
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.  ____ Wife ____ Husband 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 either not reasonable in cost or 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 husband and wife. 
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. 
 
 
Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for Dissolution of 
Marriage with Dependent or Minor Child(ren) (05/14) 
15 
 
4. Dental Insurance.  ____ Wife ____ Husband 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 either not reasonable in cost or 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 husband and wife. 
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.  _____ Wife _____ Husband will maintain life insurance 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 Exemptions(s).  The assignment of any tax exemptions for the child(ren) shall be 
as follows: {explain} ______________________________________________________ 
_________________________________________________________________________ 
The other parent will convey any applicable IRS form regarding the income tax exemption. 
 
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.):  
 
 
 
 
 
 
 
 
________________________________________________________________________ 
 
SECTION V.  OTHER 
 
 
 
 
 
 
 
 
 
 
 
_________________________________________________________ 
________________________________________________________________________ 
_________________________________________________________________________
 
 
Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for Dissolution of 
Marriage with Dependent or Minor Child(ren) (05/14) 
16 
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. 
 
 
Dated:                                                    
 
 
 
 
 
 
 
 
 
Signature of Husband 
Printed Name:  
 
Address:  
 
City, State, Zip:  
 
Telephone Number:  
 
Fax Number:  
 
Email Address: ______________________________ 
 
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] This form was prepared for the: {choose only one} (     ) Husband (     ) Wife 
This form was completed with the assistance of: 
{name of individual} ____________________________________________________________, 
{name of business} _____________________________________________________________, 
{address}  
 
 
 
______________________________________________,  
{city} _______________________,{state}  
 __, {telephone number} _____________________. 
 
  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. 
 
 
Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for Dissolution of 
Marriage with Dependent or Minor Child(ren) (05/14) 
17 
 
 
Dated:                                                    
 
 
 
 
 
 
 
 
 
Signature of Wife 
Printed Name:  
 
Address:  
 
City, State, Zip:  
 
Telephone Number:  
 
Fax Number:  
 
 
 
 
 
 
 
Email Address: ______________________________ 
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] This form was prepared for the: {choose only one} (      ) Husband (      ) Wife 
This form was completed with the assistance of: 
{name of individual}_____________________________________________________________, 
{name of business}______________________________________________________________, 
{address}  
 
___________________________________________________________, 
{city}                                         ____{state}  _______, {telephone number},_______________________. 
 
 
 
 
 
 
Instructions for Florida Supreme Court Approved Family Law Form 12.902(f)(2), Marital Settlement Agreement for 
Dissolution of Marriage with Property but No Dependent or Minor Child(ren)  (05/14) 
18 
INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW 
FORM 12.902(f)(2) 
 MARITAL SETTLEMENT AGREEMENT FOR DISSOLUTION OF MARRIAGE 
WITH PROPERTY BUT NO DEPENDENT OR MINOR CHILD(REN) (05/14) 
 
When should this form be used? 
 
This form should be used when a Petition for Dissolution of Marriage with Property but no Dependent 
or Minor Child(ren),  Florida Supreme Court Approved Family Law Form 12.901(b)(2), 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... 
 
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.
 
 
Florida Supreme Court Approved Family Law Form 12.902(f)(2), Marital Settlement Agreement for Dissolution of 
Marriage with Property but No Dependent or Minor Child(ren)  (05/14) 
19 
 
IN THE CIRCUIT COURT OF THE                                                       JUDICIAL CIRCUIT, 
IN AND FOR                                                       COUNTY, FLORIDA 
 
 
                     
Case No.: _______________ 
                    
 Division:  _______________ 
In re the Marriage of: 
 
 
 
                                     _________________, 
  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. 
 
 
 
Florida Supreme Court Approved Family Law Form 12.902(f)(2), Marital Settlement Agreement for Dissolution of 
Marriage with Property but No Dependent or Minor Child(ren)  (05/14) 
20 
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 (are) 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 
 
 
 
 
Florida Supreme Court Approved Family Law Form 12.902(f)(2), Marital Settlement Agreement for Dissolution of 
Marriage with Property but No Dependent or Minor Child(ren)  (05/14) 
21 
 
 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: 
 
 
Florida Supreme Court Approved Family Law Form 12.902(f)(2), Marital Settlement Agreement for Dissolution of 
Marriage with Property but No Dependent or Minor Child(ren)  (05/14) 
22 
ASSETS: DESCRIPTION OF ITEM(S) HUSBAND 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 
 
 
 
 
Florida Supreme Court Approved Family Law Form 12.902(f)(2), Marital Settlement Agreement for Dissolution of 
Marriage with Property but No Dependent or Minor Child(ren)  (05/14) 
23 
 
 
 
 
 
 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 
Please 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 
 
 
 
 
 
 
 
 
 
 
 
 
Florida Supreme Court Approved Family Law Form 12.902(f)(2), Marital Settlement Agreement for Dissolution of 
Marriage with Property but No Dependent or Minor Child(ren)  (05/14) 
24 
 
 
 
 
 
 
 
 
 
 
 
 
 
 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 DEBTS TO BE PAID BY HUSBAND 
Please 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) 
 
 
 
 
 
 
 
 
 
 
 
 
Florida Supreme Court Approved Family Law Form 12.902(f)(2), Marital Settlement Agreement for Dissolution of 
Marriage with Property but No Dependent or Minor Child(ren)  (05/14) 
25 
 
 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 Husband and Wife agree that the designation providing for the payment or transfer at death 
of an interest in the assets set forth below to or for the benefit of the deceased party’s former spouse 
SHALL NOT BE VOID as of the date of entry of the 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 _____Husband _____Wife 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}:_______ 
__________________________________________________________________________________ 
__________________________________________________________________________________ 
_________________________________________________________________________________. 
_____2. The _____Husband _____Wife shall not unilaterally terminate or modify the ownership of the 
following assets, or their disposition upon his/her death. {Describe the assets with specificity}:_________ 
___________________________________________________________________________________ 
 
 
Florida Supreme Court Approved Family Law Form 12.902(f)(2), Marital Settlement Agreement for Dissolution of 
Marriage with Property but No Dependent or Minor Child(ren)  (05/14) 
26 
___________________________________________________________________________________ 
____________________________________________________________________________________. 
 
SECTION II.  SPOUSAL SUPPORT (ALIMONY) (If you have not agreed on this matter, write n/a on the 
lines provided.) 
 
 
1. _____  Each of us forever gives up any right to spousal support (alimony) that we may have. 
 
OR 
 
2.____  (    ) HUSBAND (    ) WIFE (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._____Other provisions relating to alimony, including any tax treatment and consequences: 
        ______________________________________________________________________________ 
        ______________________________________________________________________________
 
______________________________________________________________________________. 
 
 
4.    _____Husband _____ Wife 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: 
 
 
 
 
 
 
______________________________________________________________________________ 
______________________________________________________________________________. 
 
 
Florida Supreme Court Approved Family Law Form 12.902(f)(2), Marital Settlement Agreement for Dissolution of 
Marriage with Property but No Dependent or Minor Child(ren)  (05/14) 
27 
 
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:  
 
Telephone Number:  
 
Fax Number:  
 
Email Address: _________________________________ 
 
 
 
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:      
[Please fill in all blanks] This form was prepared for the: {choose only one} (     ) Husband (     ) Wife 
This form was completed with the assistance of: 
 {name of individual} ______________________________________________________________, 
{name of business} ________________________________________________________________, 
{address}  
 
 
 
_______________________________________________,  
{city} ______________________,{state}  
___, {telephone number}  
_______________.  
 
 
 
 
 
Florida Supreme Court Approved Family Law Form 12.902(f)(2), Marital Settlement Agreement for Dissolution of 
Marriage with Property but No Dependent or Minor Child(ren)  (05/14) 
28 
 
 
 
 
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____________________________________________ 
Email Address: ________________________________  
 
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] This form was prepared for the: {choose only one} (     ) Husband (      ) Wife 
This form was completed with the assistance of: 
{name of individual}  
, 
{name of business} _____________________________________________________________________, 
{address}_____________________________________________________________________________,  
{city}   ___________           ____,{state}  
__, {telephone number}  
_________________________. 
 
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(1), Final Judgment of Dissolution of Marriage with 
Dependent or Minor Child(ren) (05/14) 
29 
IN THE CIRCUIT COURT OF THE                            JUDICIAL CIRCUIT, 
IN AND FOR                                                       COUNTY, FLORIDA 
 
 
Case No.:______________________________  
 
 
Division: ______________________________ 
 
 
In re the Marriage of: 
 
 
                                                                      , 
Husband , 
 
and 
 
                                                                       , 
Wife. 
 
 
FINAL JUDGMENT OF DISSOLUTION OF MARRIAGE  
WITH DEPENDENT OR MINOR CHILD(REN) 
 
This cause came before this Court for a trial on a Petition for Dissolution of Marriage. The Court, having 
reviewed the file and heard the testimony, makes these findings of fact and reaches these conclusions of 
law: 
 
1. The Court has jurisdiction over the subject matter and the parties. 
2. At least one party has been a resident of the State of Florida for more than 6 months immediately 
before filing the Petition for Dissolution of Marriage. 
3. The marriage between the parties is irretrievably broken. Therefore, the marriage between the 
parties is dissolved, and the parties are restored to the status of being single. 
 
SECTION I.  MARITAL ASSETS AND LIABILITIES 
A. Date of Valuation of Property. The assets and liabilities listed below are divided as indicated. The 
date of valuation of these assets and liabilities is, unless otherwise indicated: 
a. _____  date of filing petition for dissolution of marriage. 
b. _____  date of separation . 
c. _____  date of final hearing . 
d. _____  other: {specify date}_____________________________________________ 
 
B. Division of Assets. 
1. The assets listed below are nonmarital assets. Each party shall keep, as his or her own, the 
assets found to be nonmarital, and the other party shall have no further rights or responsibilities 
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(1), Final Judgment of Dissolution of Marriage with 
Dependent or Minor Child(ren) (05/14) 
30 
regarding these assets. 
 
                           ASSETS: DESCRIPTION OF ITEM(S) 
                Please describe each item as clearly as possible.  
                    You do not need to list account numbers. 
 
Current 
Fair 
Market 
Value 
 
Wife’s  
Non-
marital 
Property  
 
Husband’s 
Non- 
Marital  
Property  
 
 
 
$ 
 
$ 
 
$ 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
Total Nonmarital Assets 
$  
  $  
  $  
  
 
2. The assets listed below are marital assets. Each party shall keep, as his or her own, the assets 
awarded in this section, and the other party shall have no further rights or responsibilities regarding 
these assets. Any personal item(s) not listed below are awarded to the party currently in 
possession or control of the item(s). 
 
                      ASSETS: DESCRIPTION OF ITEM(S) 
            Please describe each item as clearly as possible.  
                You do not need to list account numbers. 
 
Current 
Fair 
Market 
Value 
 
Wife 
Shall 
Receive 
 
Husband 
Shall 
Receive 
 
Cash (on hand or in banks/credit unions) 
 
$ 
 
$ 
 
$ 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Stocks/bonds 
 
 
 
 
 
 
 
 
 
Notes 
 
 
 
 
 
 
 
Business interests 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Real estate: (Home) 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Automobiles 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Boats 
 
 
 
 
 
 
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(1), Final Judgment of Dissolution of Marriage with 
Dependent or Minor Child(ren) (05/14) 
31 
                      ASSETS: DESCRIPTION OF ITEM(S) 
            Please describe each item as clearly as possible.  
                You do not need to list account numbers. 
 
Current 
Fair 
Market 
Value 
 
Wife 
Shall 
Receive 
 
Husband 
Shall 
Receive 
 
Furniture & furnishings 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Jewelry 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Life Insurance (cash surrender value) 
 
 
 
 
 
 
 
Retirement Plans (Profit sharing, Pension, IRA,  401(k)(s) etc) 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Other assets 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total Marital Assets 
 
$   
 
$   
 
$  
  
 
C. Division of Liabilities/Debts. 
1. The liabilities listed below are nonmarital liabilities and, therefore, are owed as indicated. Each 
party shall owe, as his or her own, the liabilities found to be nonmarital, and the other party 
shall have no responsibilities regarding these debts. 
 
 
                  LIABILITIES: DESCRIPTION OF DEBTS 
           Please describe each item as clearly as possible.  
               You do not need to list account numbers. 
 
Current  
Amount 
Owed 
 
Wife’s  
Non-
Marital 
Liability 
 
Husband’s 
Non-
Marital 
Liability 
 
 
 
 
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(1), Final Judgment of Dissolution of Marriage with 
Dependent or Minor Child(ren) (05/14) 
32 
 
                  LIABILITIES: DESCRIPTION OF DEBTS 
           Please describe each item as clearly as possible.  
               You do not need to list account numbers. 
 
Current  
Amount 
Owed 
 
Wife’s  
Non-
Marital 
Liability 
 
Husband’s 
Non-
Marital 
Liability 
 
$ 
$ 
$ 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total Nonmarital Liabilities 
 
$ 
 
$ 
 
$ 
 
2. The liabilities listed below are marital liabilities and are divided as indicated. Each party shall 
hold the other party harmless and pay, as his or her own, the marital liabilities awarded below. 
 
 
                  LIABILITIES: DESCRIPTION OF DEBTS 
          Please describe each item as clearly as possible.  
              You do not need to list account numbers. 
Current 
Amount 
Owed 
 
Wife 
Shall Pay 
 
Husband 
Shall Pay 
 
Mortgages on real estate: (Home) 
 
$ 
 
$ 
 
$ 
 
(Other) 
 
 
 
 
 
 
 
Charge/Credit card accounts 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Auto loan 
 
 
 
 
 
 
 
Auto loan 
 
 
 
 
 
 
 
Bank/Credit Union loans 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Other 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(1), Final Judgment of Dissolution of Marriage with 
Dependent or Minor Child(ren) (05/14) 
33 
 
                  LIABILITIES: DESCRIPTION OF DEBTS 
          Please describe each item as clearly as possible.  
              You do not need to list account numbers. 
Current 
Amount 
Owed 
 
Wife 
Shall Pay 
 
Husband 
Shall Pay 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total Marital Liabilities 
 
$ 
 
$ 
 
$ 
 
D. Contingent assets and liabilities will be divided as follows: _________________________________ 
________________________________________________________________________________ 
________________________________________________________________________________ 
 
E. The distribution of assets and liabilities in this final judgment is equitable; if each party does not 
receive approximately one-half, the distribution is based on the following facts and reasoning:  
 
________________________________________________________________________________ 
________________________________________________________________________________ 
 
F.   Beneficiary Designation (By completing this section, the beneficiary designations continue after 
entry of Final Judgment of Dissolution of Marriage.) 
 
The designation providing for the payment or transfer at death of an interest in the assets described 
below to or for the benefit of the deceased party’s former spouse is NOT VOID as of the date of entry of 
the 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 _____Husband _____Wife 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}:_______ 
________________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________. 
 
_____2. The _____Husband _____Wife shall not unilaterally terminate or modify the ownership of the 
following assets, or their disposition upon his/her death. {Describe the assets with specificity}:_________ 
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(1), Final Judgment of Dissolution of Marriage with 
Dependent or Minor Child(ren) (05/14) 
34 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________. 
 
 
SECTION II.  EXCLUSIVE USE AND POSSESSION OF HOME 
[Indicate all that apply] 
1. _____The ____  Husband ____Wife, as a condition of support, shall have exclusive use and 
possession of the dwelling located at the following 
address:________________________________________________________________________    
 until: {date or event} ______________________________________________________________   
________________________________________________________________________________ 
________________________________________________________________________________ 
________________________________________________________________________________ 
 
2. _____The _____ Husband  _____Wife  may make visits to the premises described in the paragraph 
above for the purpose of obtaining any items awarded in this Final Judgment. These visits shall occur 
after notice to the person granted exclusive use and possession of the dwelling and at the earliest 
convenience of both parties or as ordered in paragraph 4 below. 
 
3. ____Upon the termination of the right of exclusive use and possession, the dwelling shall be sold 
and the net proceeds divided        _% to Husband and        _% to Wife, with the following credits 
and/or setoffs being allowed: 
________________________________________________________________________________ 
________________________________________________________________________________ 
________________________________________________________________________________ 
________________________________________________________________________________ 
 
4. ____Other: ______________________________________________________________________ 
_______________________________________________________________________________ 
_______________________________________________________________________________ 
 
SECTION III.  PARENTING PLAN ESTABLISHING PARENTAL RESPONSIBILITY AND TIME-SHARING WITH 
DEPENDENT OR MINOR CHILD(REN) 
1. Jurisdiction. The Court has jurisdiction to determine parental responsibility, to establish or adopt a 
Parenting Plan, and a time-sharing schedule with regard to the minor child(ren) listed in paragraph 2 
below. 
 
2. The parties’ dependent or minor child(ren) is (are): 
Name  
 
 
 
 
 
Birth date 
______________________________________________________________________________ 
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(1), Final Judgment of Dissolution of Marriage with 
Dependent or Minor Child(ren) (05/14) 
35 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
 
3. Parenting Plan. The parties shall comply with the Parenting Plan which is attached and incorporated 
herein as Exhibit _____. 
 
SECTION IV.   ALIMONY 
1. _____ The Court denies the request(s) for alimony;  
                          OR 
2. _____ The Court finds that the _____Husband     _____Wife, (hereinafter Obligee), has an actual need 
for, and that the _____Husband  _____Wife (hereinafter Obligor), has the present ability to pay, alimony 
as follows: 
       
 [Indicate all that apply] 
  
a._____Permanent Periodic.   
 
  
 
1.     The Court finds that no other form of alimony is fair and reasonable under the 
 
circumstances of the parties. 
 
 
 
2.     As a marriage of: (Choose only one) 
 
 
_______ Long Duration (17 years or greater) alimony is appropriate upon consideration  of all 
relevant factors; 
 
 
_______Moderate Duration (greater than 7 years but less than 17) alimony is  appropriate 
based upon clear and convincing evidence after consideration of all relevant  
factors; or 
 
 
_______Short Duration (less than 7 years) alimony is appropriate based upon the 
 
following exceptional circumstances:__________________________________________ 
 
________________________________________________________________________  
 
________________________________________________________________________
 
________________________________________________________________________
 
_______________________________________________________________________. 
 
  
 
3.     Obligor shall pay permanent periodic alimony to Obligee in the amount of   
 
               $                     per  month, payable (    ) in accordance with Obligor’s employer’s       
               
 
 
payroll cycle, and in any event, at least once a month or (    ) other {explain}   
 
 
______________________________________________________________________   
 
              beginning {date} ___________________.  This alimony shall continue until: modified by 
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(1), Final Judgment of Dissolution of Marriage with 
Dependent or Minor Child(ren) (05/14) 
36 
              court order; the death of either party; or remarriage of Obligee, whichever occurs first.     
              The alimony may be modified or terminated based upon either a substantial change in  
              circumstances, or the existence of a supportive relationship in accordance with section   
              61.14, Florida Statutes. 
 
 
b.____ Bridge-the-Gap.  Obligor shall pay bridge-the-gap alimony to Obligee in the amount of                              
$_______ per month, payable (     ) in accordance with Obligor’s employer’s payroll cycle, and in any 
event, at least once a month or (    ) other {explain}_________________________________ 
beginning {date}_____________________and continuing until :{date}______________________ 
{a period not to exceed two (2) years}; death of either party; or remarriage of the Obligee, whichever 
occurs first. 
 
 
 
c.___  _ Rehabilitative. Obligor shall pay rehabilitative alimony to Obligee in the amount of 
$______________ per   month, payable (    ) in accordance with Obligor’s employer’s payroll cycle, and 
in any event, at least once a month or (    ) other {explain}_______________________ 
beginning {date}_________________________. This rehabilitative alimony shall continue until: modified 
by court order; the death of either party; or until {date/event} __________________, 
whichever occurs first. The rehabilitative plan presented demonstrated the following: ________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________. 
 
 
               d.____Durational. Obligor shall pay durational alimony to Obligee in the amount of $________ 
 per month payable (     ) in accordance with Obligor’s employer’s payroll cycle, and in any event, at least 
once a month or (      ) other {explain}_________________________________________ 
beginning {date}_____________________and terminating on: {date}_____________________, the 
death of either party; remarriage of the Obligee; or until modified by court order in accordance with 
section 61.08(7), Florida Statutes; whichever occurs first. 
 
              e.____Lump Sum.  Obligor shall pay lump sum alimony to Obligee in the amount of $_________,         
              which shall be paid as follows:_____________________________________________________. 
 
 
 
 
f. ____Retroactive.  Obligor shall pay retroactive alimony in the amount of $                    _ for the 
period of {date}_______________, through {date} __________________, which shall be paid pursuant 
to paragraph 4 below. 
 
3.         Reasons for (     ) Awarding (     ) Denying Alimony.  The Court has considered all of the following 
 
in  awarding/denying alimony: 
        a. The standard of living established during the marriage; 
        b. The duration of the marriage; 
 
c. The age and the physical and emotional condition of each party; 
 
d. The financial resources of each party, including the nonmarital and marital assets and   
 
liabilities distributed to each; 
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(1), Final Judgment of Dissolution of Marriage with 
Dependent or Minor Child(ren) (05/14) 
37 
 
e. The earning capacities, educational levels, vocational skills, and employability of the parties      
and,  when applicable, the time necessary for either party to acquire sufficient education or training to 
enable such party to find appropriate employment; 
 
f. The contribution of each party to the marriage, including, but not limited to, services rendered  
in  homemaking, child care, education, and career building of the other party;  
 
g. The responsibilities each party will have with regard to any minor or dependent children they  
have in common; 
 
h.  The tax treatment and consequences to both parties of any alimony award, including the 
designation of all or a portion of the payment as a nontaxable, nondeductible payment; 
 
i. All sources of income available to either party, including income available to either party        
 
through investments of any asset held by that party and 
 
j. Any other factor necessary to do equity and justice between the parties: {explain} 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________. 
_______ Please indicate here if additional pages are attached. 
 
4.         Arrearage/Retroactive Alimony. 
 
 
       
a.____There is no alimony arrearage at the time of this Final Judgment. 
 
OR 
 
 
b. _____The _____Husband _____ Wife shall pay to the other spouse  the alimony arrearage of:  
$                    ______ for retroactive alimony, as of {date}_______________________________; 
$                    ____ for previously ordered unpaid alimony, as of {date} ____________________.   
The total of $ _________ in alimony arrearage shall be repaid in the amount of $        _    ____ per 
month, payable (     ) in accordance with Obligor’s employer’s payroll cycle, and in any event at least 
once a month or (     ) other {explain} __________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
 
beginning {date}____________________________, until paid in full including statutory interest. 
 
5.          ____ Life Insurance (to secure payment of support). To secure the alimony obligations set forth 
 
in this judgment, Obligor shall maintain life insurance on his/her life naming Obligee as the sole 
 
irrevocable beneficiary, so long as reasonably available.  This insurance shall be in the amount of 
 
at least $_________ _____and shall remain in effect until the obligation for alimony terminates. 
 
 6.           _____Other provisions relating to alimony, including any tax treatment and consequences:  
a. The award of alimony (      ) does not (      ) does leave the Obligor with significantly less net 
income than the net income of the recipient/Obligee.  If the award does leave the Obligor 
with significantly less net income than that of the Obligee, the Court finds the following 
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(1), Final Judgment of Dissolution of Marriage with 
Dependent or Minor Child(ren) (05/14) 
38 
exceptional circumstances:___________________________________________________ 
       __________________________________________________________________________ 
      ___________________________________________________________________________. 
 
 
b. Other______________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________. 
 
 
SECTION V.  CHILD SUPPORT 
1. _____The Court finds that there is a need for child support and that the ____ Wife  ____ Husband 
(hereinafter Obligor) has the present ability to pay child support. The amounts in the Child Support 
Guidelines Worksheet, Florida Family Law Rules of Procedure Form 12.902(e), filed by the ____ Wife 
____ Husband are correct;  
                                      
OR  
 
______The Court makes the following findings:  
The Wife’s net monthly income is $                    ____, (Child Support Guidelines ____%).  
The Husband’s net monthly income is $                    ____ (Child Support Guidelines ____%).  
Monthly child care costs are $                    ____.  
Monthly health/dental insurance costs are $                    ___. 
 
2. Amount.                                   
Child support established at the rate of $_________ per month for the _____ children {total number of 
parties’ minor or dependent children} shall be paid commencing __________________________ {month, 
day, year} and terminating ____________________________ {month, day, year}.  Child support shall be 
paid in the amount of $_________ per ________________ {week, month, other} consistent with the 
Obligor’s current payroll cycle. 
 
Upon the termination of the obligation of child support for one of the parties’ children, child support in 
the amount of $__________ for the remaining_________children {total number of remaining children} 
shall be paid commencing _______________________________ {month, day, year} and 
terminating____________________________________ {month, day, year}. This child support shall be 
paid in the amount of $_________ per _____________ {week, month, other} consistent with the 
Obligor’s current payroll cycle. 
 
{Insert schedule for the child support obligation, including the amount, and commencement and 
termination dates, for the remaining minor or dependent children, which shall be payable as the 
obligation for each child ceases. Please indicate whether the schedule ____appears below or 
 ____ is attached as part of this form.}   
______________________________________________________________________________ 
______________________________________________________________________________ 
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(1), Final Judgment of Dissolution of Marriage with 
Dependent or Minor Child(ren) (05/14) 
39 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
 
The Obligor shall pay child support until all of the minor or dependent children: reach the age of 18; 
become emancipated, marry, join the armed services, die, or become self-supporting; or until further 
order of the court or agreement of the parties.  The child support obligation shall continue beyond the 
age of 18 and until high school graduation for any child who is dependent in fact, between the ages of 
18 and 19, and is still in high school, performing in good faith with a reasonable expectation of 
graduation before the age of 19. 
 
If the child support ordered deviates from the guidelines by more than 5%, the factual findings which 
support that deviation are: ______________________________________________________ 
__________________________________________________________________________________ 
_________________________________________________________________________________. 
 
 
3. Arrearage/Retroactive Child Support. 
 
a. ____There is no child support arrearage at the time of this Final Judgment. 
 
OR 
b. ____The ____ Wife ____ Husband shall pay to the other spouse  the child support arrearage of:  
               $                    ___for retroactive child support, as of {date} __________________;  
               $                    ___ for previously ordered unpaid child support, as of {date}                          ______.  
      
The total of $                    ____ in child support arrearage shall be repaid in the amount of 
 
$                     per month, payable (      ) in accordance with Obligor’s employer’s payroll cycle, and 
 
in any event at  least a month or (     ) other {explain} ___________________________________ 
beginning {date}____________________________, until paid in full including statutory interest. 
 
4. Insurance. 
 
a. ____Health/Dental Insurance.  _____ Wife _____ Husband shall be required to 
maintain  
_____ health and/or _____ dental insurance for the parties’ minor child(ren), so long as reasonable in 
cost and accessible to the child(ren). The party providing insurance shall be required to convey 
insurance cards demonstrating said coverage to the other party; 
OR  
_____ health and/or _____ dental insurance is not reasonable in cost or accessible to the child(ren) at 
this time. 
 
b. _____Reasonable and necessary uninsured medical/dental/prescription drug costs for 
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(1), Final Judgment of Dissolution of Marriage with 
Dependent or Minor Child(ren) (05/14) 
40 
the minor child(ren) shall be assessed as follows: 
_____ Shared equally by husband and wife. 
_____ Prorated according to the child support guideline percentages. 
_____ Other {explain}:  
______________________________________________________________________________      
       As to these uninsured medical/dental/prescription drug expenses, the party who incurs the     
 
expense shall submit 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 (to secure payment of support).  To secure the child support obligations in this 
judgment, _____ Husband _____ Wife _____ Each party shall maintain life insurance, in an amount 
of at least $_________________, on _____ his life _____ her life, naming  _____ minor child(ren) as 
the beneficiary(ies) OR naming the _____ Wife _____  Husband or _____ other 
{name}____________________________ asTrustee for the minor child(ren), so long as reasonably 
available. The obligation to maintain the life insurance shall continue until the youngest child turns 
18, becomes emancipated, marries, joins the armed services, dies, or becomes self-supporting. 
 
6. _____IRS Income Tax Exemption(s).  The assignment of any tax exemption(s) for the child(ren) shall 
be as follows:  _____________________________________________________________________ 
__________________________________________________________________________________ 
_________________________________________________________________________________. 
Each party shall execute any and all IRS forms necessary to effectuate the provisions of this paragraph. 
 
7. Other provisions relating to child support:  ______________________________________________ 
__________________________________________________________________________________ 
_________________________________________________________________________________. 
 
SECTION VI.  METHOD OF PAYMENT 
Obligor shall pay court-ordered child support/alimony and arrears, if any, as follows: 
 
1. Place of Payment. 
 
a. ____Obligor shall pay court-ordered support directly to either the State Disbursement 
Unit, or the central depository, as required by statute, along with any fee required by 
statute. 
 
b. ____Both parties have requested and the Court finds that it is in the best interests of 
the child(ren) that support payments need not be directed through either the State 
Disbursement Unit or the central depository at this time; however, either party may 
subsequently apply, pursuant to section 61.13(1)(d)3, Florida Statutes, to require 
payment through either the State Disbursement Unit or the central depository. 
 
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(1), Final Judgment of Dissolution of Marriage with 
Dependent or Minor Child(ren) (05/14) 
41 
2. Income Deduction. 
 
a. ____Immediate.  Obligor shall pay through income deduction, pursuant to a separate Income 
Deduction Order which shall be effective immediately. Obligor is individually responsible for 
paying this support obligation until all of said support is deducted from Obligor’s income. Until 
support payments are deducted from Obligor’s paycheck, Obligor is responsible for making 
timely payments directly to the State Disbursement Unit or the Obligee, as previously set forth 
in this order. 
 
b. ____Deferred.  Income deduction is ordered this day, but it shall not be effective until a 
delinquency of $__________, or, if not specified, an amount equal to one month’s obligation 
occurs. Income deduction is not being implemented immediately based on the following 
findings: Income deduction is not in the best interests of the child(ren) because: {explain}  
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________, 
 
 
 
 
 
                 AND 
       There is proof of timely payment of a previously ordered obligation without an Income 
 
Deduction  Order in cases of modification,  
 
 
 
 
 
 
AND 
 
       _____ There is an agreement by the Obligor to advise the Title IV-D agency, the clerk of court, 
 
and the Obligee of any change in  Payor and/or health insurance  
 
 
OR  
 
       _____ there is a signed written agreement providing an alternative arrangement between the 
 
Obligor and the Obligee and, at  the option of the IV-D agency, by the IV-D agency in IV-D cases 
 
in which there is an assignment  of support rights to the state, reviewed and entered in the 
 
record by the court. 
 
3. Bonus/one-time payments.  (     ) All (     ) _____% (     ) No income paid in the form of a bonus or 
other similar one-time payment, up to the amount of any arrearage or the remaining balance 
thereof owed pursuant to this order, shall be forwarded to Obligee pursuant to the payment 
method prescribed above. 
 
4. Other provisions relating to method of payment. _________________________________________ 
__________________________________________________________________________________ 
__________________________________________________________________________________ 
 
SECTION VII.  ATTORNEY’S FEES, COSTS, AND SUIT MONEY 
1. ____(      ) Husband’s (      ) Wife’s request(s) for attorney’s fees, costs, and suit money is (are) denied 
because _________________________________________________________________________ 
________________________________________________________________________________ 
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(1), Final Judgment of Dissolution of Marriage with 
Dependent or Minor Child(ren) (05/14) 
42 
________________________________________________________________________________. 
 
OR 
 
2. ____The Court finds there is a need for and an ability to pay attorney’s fees, costs, and suit money. 
 _____ Husband _____ Wife is hereby ordered to pay to the other spouse  $__________ in attorney’s 
fees, and $ ___________ in costs. The Court further finds that the attorney’s fees awarded are based on 
the reasonable rate of $ ________ per hour and ________ reasonable hours. Other provisions relating 
to attorney’s fees, costs, and suit money are as follows:  
__________________________________________________________________________________ 
__________________________________________________________________________________ 
__________________________________________________________________________________ 
_________________________________________________________________________________. 
 
SECTION VIII.  OTHER PROVISIONS 
1. Former Name. The wife’s former name of {full legal name} _________________________________ 
is restored. 
 
2. Other Provisions. ___________________________________________________________________ 
_________________________________________________________________________________ 
_________________________________________________________________________________. 
 
 
3. The Court reserves jurisdiction to modify and enforce this Final Judgment 
 
 
 DONE AND ORDERED at                                            ____, Florida, on ________________________. 
 
 
          
 
 
 
 
 
________________________________ 
 
CIRCUIT JUDGE 
 
 
A copy of this Final Order was{Choose one only} (     ) mailed (     ) faxed and mailed (     ) hand delivered 
to the parties listed below on {date} _________________________by {clerk of court or designee} 
_________________________________. 
 
____Husband  (or his  attorney) 
____Wife (or her attorney) 
____Central Depository 
____State Disbursement Unit 
____Other __________________________________ 
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(2), Final Judgment of Dissolution of Marriage with 
Property but No Dependent or Minor Child(ren) (05/14) 
43 
IN THE CIRCUIT COURT OF THE          JUDICIAL CIRCUIT, 
IN AND FOR                              COUNTY, FLORIDA 
 
 
                                                                                                                   Case No.:  
 
                                                                                                                   Division:  
 
In re the Marriage of: 
 
_________________                                 
                        Husband, 
 
and 
 
                              ___  
                         Wife. 
 
 
FINAL JUDGMENT OF DISSOLUTION OF MARRIAGE WITH 
PROPERTY BUT NO DEPENDENT OR MINOR CHILD(REN) 
 
This cause came before this Court for a trial on a Petition for Dissolution of Marriage. The Court, having 
reviewed the file and heard the testimony, makes these findings of fact and reaches these conclusions of 
law: 
1. The Court has jurisdiction over the subject matter and the parties. 
2. At least one party has been a resident of the State of Florida for more than 6 months 
immediately before filing the Petition for Dissolution of Marriage. 
3. The parties have no minor children in common, and the wife is not pregnant. 
4. The marriage between the parties is irretrievably broken. Therefore, the marriage between the 
parties is dissolved and the parties are restored to the status of being single. 
 
SECTION I.  MARITAL ASSETS AND LIABILITIES 
A. 
Date of Valuation of Property. The assets and liabilities listed below are divided as 
 
indicated.  The date of valuation of these assets and liabilities is, unless otherwise indicated: 
1.____ date of filing petition for dissolution of marriage   
 
. 
 
2.____ date of separation  
 
 
 
. 
 
3. ____ date of final hearing  
 
 
 
. 
 
4. _____other: {specify date}____________________________________________. 
 
B. Division of Assets. 
1. The assets listed below are nonmarital assets. Each party shall keep, as his or her own, the 
assets found to be nonmarital, and the other party shall have no further rights or responsibilities 
regarding these assets. 
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(2), Final Judgment of Dissolution of Marriage with 
Property but No Dependent or Minor Child(ren) (05/14) 
44 
 
 
ASSETS: DESCRIPTION OF ITEM(S) 
Please describe each item as clearly as possible.  
You do not need to list account numbers. 
 
Current 
Fair 
Market 
Value 
 
Wife’s 
Non 
marital 
Property 
 
Husband’s 
Non 
marital 
Property 
 
 
 
$ 
 
$ 
 
$ 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total Nonmarital Assets 
$ 
 $ 
 $ 
 
 
2. The assets listed below are marital assets. Each party shall keep, as his or her own, the assets 
awarded in this section, and the other party shall have no further rights or responsibilities 
regarding these assets. Any personal item(s) not listed below are awarded to the party 
currently in possession or control of the item(s). 
 
 
ASSETS: DESCRIPTION OF ITEM(S) 
Please describe each item as clearly as possible.  
You do not need to list account numbers. 
 
Current 
Fair 
Market 
Value 
 
Wife 
Shall 
Receive 
 
Husband 
Shall 
Receive 
 
Cash (on hand or in banks/credit unions) 
 
$ 
 
$ 
 
$ 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Stocks/bonds 
 
 
 
 
 
 
 
 
 
Notes 
 
 
 
 
 
 
 
Business interests 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Real estate: (Home) 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Automobiles 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(2), Final Judgment of Dissolution of Marriage with 
Property but No Dependent or Minor Child(ren) (05/14) 
45 
 
Boats 
 
 
 
 
 
 
 
Furniture & furnishings 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Jewelry 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Life insurance (cash surrender value) 
 
 
 
 
 
 
 
Retirement Plans (Profit sharing, Pension, IRA, 401(k)s, etc.) 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Other assets 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
Total Marital Assets 
 
$ 
 
$ 
 
$ 
 
 
C. Division of Liabilities/Debts. 
1. The liabilities listed below are nonmarital liabilities and, therefore, are owed as indicated. Each 
party shall owe, as his or her own, the liabilities found to be nonmarital, and the other party 
shall have no responsibilities regarding these debts. 
 
 
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(2), Final Judgment of Dissolution of Marriage with 
Property but No Dependent or Minor Child(ren) (05/14) 
46 
 
LIABILITIES: DESCRIPTION OF DEBT(S) 
Please describe each item as clearly as possible. 
 You do not need to list account numbers. 
 
Current 
Amount 
Owed 
 
Wife’s 
Non- 
marital 
Liability 
Husband’s 
Non- 
marital 
Liability 
 
 
 
$ 
 
$ 
 
$ 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total Nonmarital Liabilities 
 
$ 
 
$ 
 
$ 
 
2. The liabilities listed below are marital liabilities and are divided as indicated. Each party shall 
hold the other party harmless and pay, as his or her own, the marital liabilities awarded below. 
  
LIABILITIES: DESCRIPTION OF DEBT(S) 
Please describe each item as clearly as possible. 
 You do not need to list account numbers. 
 
Current 
Amount 
Owed 
 
Wife 
Shall Pay 
 
Husband 
Shall Pay 
 
Mortgages on real estate: (Home) 
 
$ 
 
$ 
 
$ 
 
(Other) 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Charge/credit card accounts 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Auto loan 
 
 
 
 
 
 
 
Auto loan 
 
 
 
 
 
 
 
Bank/Credit Union loans 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Other 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(2), Final Judgment of Dissolution of Marriage with 
Property but No Dependent or Minor Child(ren) (05/14) 
47 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total Marital Liabilities 
 
$ 
 
$ 
 
$ 
 
D. Contingent assets and liabilities will be divided as follows:________________________________ 
__________________________________________________________________________________ 
 
 
 
 
 
E. The distribution of assets and liabilities in this final judgment is equitable; if each party does not 
receive approximately one-half, the distribution is based on the following facts and reasoning:  
 
 
 
 
 
 
 
 
 
F.  Beneficiary Designation (By completing this section, the beneficiary designations continue after 
   Entry of Final Judgment of Dissolution of Marriage.) 
 
    The designation providing for the payment or transfer at death of an interest in the assets  described 
    below to or for the benefit of the deceased party’s former spouse is NOT VOID as of the date of  
    entry of the 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 _____ Husband _____Wife 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}____________________________________________________________________ 
_________________________________________________________________________________ 
_________________________________________________________________________________ 
 ________________________________________________________________________________. 
 
_____2.  The _____ Husband _____ Wife shall not unilaterally terminate or modify the ownership of the 
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(2), Final Judgment of Dissolution of Marriage with 
Property but No Dependent or Minor Child(ren) (05/14) 
48 
following assets, or their disposition upon his/her death. {Describe the assets with specificity} 
________________________________________________________________________________ 
________________________________________________________________________________ 
________________________________________________________________________________.  
 
 
 
 
SECTION II.  EXCLUSIVE USE AND POSSESSION OF HOME 
[Indicate all that apply] 
   1._____ The _____Husband  _____ Wife, as a condition of support, shall have exclusive  
    use and possession of the dwelling located at the following address: ________________________ 
________________________________________________________________ until {date or event} 
_________________________________________________________________________________. 
 
2. _____ The _____Husband  _____ Wife may make visits to the premises described in the paragraph 
above for the purpose of obtaining any items awarded in this Final Judgment. These visits shall occur 
after notice to the person granted exclusive use and possession of the dwelling and at the earliest 
convenience of both parties or as ordered in paragraph 4 below. 
 
3. _____Upon the termination of the right of exclusive use and possession, the dwelling shall be sold 
and the net proceeds divided        % to Husband and        % to Wife,with the following credits and/or 
setoffs 
being 
allowed:____________________________________________________ 
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
________________________________________________________________________. 
 
 
4._____Other__________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_______________________________________________________________________. 
 
SECTION III.  ALIMONY 
1. _____ The Court denies the request(s) for alimony  
 
 
OR 
2. _____ The Court finds that there is an actual need for, and that _____ Husband _____ Wife 
(hereinafter Obligor) has/had the present ability to pay, alimony as follows: 
[Indicate all that apply] 
 
a. _____ Permanent Periodic.  
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(2), Final Judgment of Dissolution of Marriage with 
Property but No Dependent or Minor Child(ren) (05/14) 
49 
 
    1.  The Court finds that no other form of alimony is fair and reasonable under the   
circumstances 
of the parties. 
 
       2.  As a marriage of: (Choose only one) 
 
 
 
_____Long Duration (17 years or greater) alimony is appropriate upon     
 
     
 
consideration of all relevant factors; 
 
 
 
 
 
_____Moderate Duration (greater than 7 years but less than 17) alimony is  
 
 
 
appropriate based upon clear and convincing evidence after consideration of all   
 
relevant factors; or 
 
       _____Short Duration (less than 7 years) alimony is appropriate based upon the   
 
    
 
following exceptional circumstances:__________________________________ 
 
      _________________________________________________________________ 
 
      _________________________________________________________________ 
 
      __________________________________________________________________. 
      
 
 
 
 
3.  Obligor shall pay permanent periodic alimony to Obligee in the amount of         
 
$                     per month, payable (     ) in accordance with Obligor’s employer’s   
payroll 
cycle, and in any event, at least once a month or (     ) other {explain}: 
   
 ___________________________________________________________________,       
   
beginning {date}  
 
__. This alimony shall continue until modified by court   
      
 
order, the death of either party, or remarriage of Obligee, whichever occurs first. The  
 
 
alimony 
 may be modified or terminated based upon either a substantial change   
 
in circumstances or the existence of a supportive relationship in accordance  
 
 
 
with section 61.14, Florida Statutes. 
   
b.____Bridge-the-Gap.  Obligor shall pay bridge-the-gap alimony to Obligee in the amount of 
$________ per month, payable (  ) in accordance with Obligor’s employer’s payroll cycle, and in any 
event, at least once a month or (  ) other {explain}_______________________ 
beginning {date}__________________and continuing until {date}______________________  
{a period not to exceed two years}, the death of either party, or remarriage of the Obligee,  
whichever occurs first.  
 
                 c.______Rehabilitative.  Obligor shall pay rehabilitative alimony to Obligee in the amount       of $      ___ per mo
     any event, at least once a month or (   ) other {explain} ______________________________ 
beginning {date} ___________. This rehabilitative alimony shall continue until modified by  
court order, the death of either party ,or until {date/event} _________________________ 
__________________________________________________________________________, 
whichever occurs first. The rehabilitative plan presented demonstrated the following:  
 
___________________________________________________________________________ 
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(2), Final Judgment of Dissolution of Marriage with 
Property but No Dependent or Minor Child(ren) (05/14) 
50 
___________________________________________________________________________. 
      
                     d._____Durational. Obligor shall pay durational alimony to Obligee in the amount of  
     $______per month (  ) payable in accordance with Obligor’s employer’s payroll cycle, and  
     in any event, at least once a month or (   ) {explain}_______________________________ 
     beginning {date}____________ and terminating on {date}______________________, the 
     death of either party, remarriage of Obligee;,or until modified by court order in accordance 
     with section 61.08(7), Florida Statutes, whichever occurs first. 
      
 
    e._____Lump Sum.  Obligor shall pay lump sum alimony to Obligee in the amount of 
      $_____________,which shall be paid as follows:______________________________ 
      ____________________________________________________________________. 
 
f.____Retroactive. Obligor shall pay retroactive alimony in the amount of $ 
 
for the period of {date}_________________, through {date} ____________________,  
which shall be paid pursuant to paragraph 4 below. 
 
3. Reasons for (     ) Awarding (     ) Denying Alimony.  The Court has considered all of the following 
in awarding/denying alimony: 
a. The standard of living established during the marriage; 
b. The duration of the marriage; 
c. The age and the physical and emotional condition of each party; 
d. The financial resources of each party, including, the nonmarital and the marital assets and 
liabilities distributed to each; 
e. The earning capacities, educational levels, vocational skills, and employability of the parties 
and, when applicable, the time necessary for either party to acquire sufficient education or 
training to enable such party to find appropriate employment; 
f. The contribution of each party to the marriage, including, but not limited to, services 
rendered in homemaking, child care, education, and career building of the other party;  
g. The tax treatment and consequences to both parties of any alimony award, including the 
designation of all or a portion of the payment as a nontaxable, nondeductible payment; 
h. All sources of income available to either party, including income available to either party  
through investments of any asset held by the party; and 
i. 
Any other factor necessary to do equity and justice between the parties: {explain}________   
 
 
 
 
 
 
 
 
 
 
______ Please indicate here if additional pages are attached. 
 
4. Arrearage/Retroactive Alimony. 
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(2), Final Judgment of Dissolution of Marriage with 
Property but No Dependent or Minor Child(ren) (05/14) 
51 
 
a. ____ There is no alimony arrearage at the time of this Final Judgment. 
 
OR 
 
 
b.  _____ The ____ _Husband _____ Wife shall pay to the other party the alimony arrearage of:  
 
$                    _ for retroactive alimony, as of {date}  
 
 
.  
 
$                    _ for previously ordered unpaid alimony, as of {date}                          .  
 
The total of $                     in alimony arrearage shall be repaid in the amount of $                     per 
 
month, payable (     ) in accordance with Obligor’s employer’s payroll cycle, and in any event at 
 
least once a month (     ) other {explain}______________________________________________ 
 
_____________________________________________________________________________ 
 
beginning {date}  
 
______, until paid in full including statutory interest. 
 
5. ______Life Insurance (to secure payment of support). To secure the alimony obligations set 
forth in this judgment, Obligor shall maintain life insurance coverage on his/her life naming 
Obligee as the sole irrevocable beneficiary, so long as reasonably available. This insurance shall 
be in the amount of at least $ 
________ and shall remain in effect until the obligation for 
alimony terminates. 
 
6. ______Other provisions relating to alimony, including any tax treatment and consequences:  
 
    
a. The award of alimony (   ) does not (   ) does leave the Obligor with significantly less net  
 
income than the net income of the recipient/Obligee.  If yes, the court finds the following 
 
exceptional circumstances:________________________________________________________ 
   _______________________________________________________________________________ 
   ______________________________________________________________________________   
    
b. Other:_______________________________________________________________________ 
   ______________________________________________________________________________. 
 
 
SECTION IV.  METHOD OF PAYMENT 
Obligor shall pay court-ordered alimony and arrears, if any, as follows: 
 
1. Place of Payment. 
 
a. ____ Obligor shall pay court-ordered support directly to either the State Disbursement Unit 
or the central depository, as required by statute, along with any fee required by statute. 
 
b. ____ Both parties have requested and the court finds that support payments need not be 
directed through either the State Disbursement Unit or the central depository at this time; 
however, either party may subsequently apply, pursuant to section 61.13(1)(d)3, Florida 
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(2), Final Judgment of Dissolution of Marriage with 
Property but No Dependent or Minor Child(ren) (05/14) 
52 
Statutes, to require payments through either the State Disbursement Unit or the central 
depository.  
 
2. Income Deduction. 
 
 
a. _____Immediate. Obligor shall pay through income deduction, pursuant to a separate 
Income Deduction Order which shall be effective immediately. Obligor is individually 
responsible for paying this support obligation until all of said support is deducted from 
Obligor’s income. Until support payments are deducted from Obligor’s paycheck, Obligor is 
responsible for making timely payments directly to the State Disbursement Unit or the 
Obligee, as previously set forth in this order.  
 
b. _____ Deferred. Income Deduction is ordered this day, but it shall not be effective until a 
delinquency of $ 
        
, or, if not specified, an amount equal to one month’s obligation 
occurs. Income deduction is not being implemented immediately based on the following 
findings:  
   
   There are no minor or dependent child(ren) common to the parties, 
 
AND 
There is proof of timely payment of a previously ordered obligation without an Income Deduction Order 
in cases of modification, 
 
AND 
_____ There is an agreement by the Obligor to advise the Title IV-D agency, the clerk of court, and the 
Obligee of any change in Payor and/or health insurance  
OR  
_____ there is a signed written agreement providing an alternative arrangement between the Obligor 
and the Obligee and, at the option of the IV-D agency, by the IV-D agency in IV-D cases in which there is 
an assignment of support rights to the state, reviewed and entered in the record by the court. 
 
3. Bonus/one-time payments.  (     ) All (   )  
 
% (     ) No income paid in the form of a 
bonus or other similar one-time payment, up to the amount of any arrearage or the remaining 
balance thereof owed pursuant to this order, shall be forwarded to Obligee pursuant to the 
payment method prescribed above. 
 
4. Other provisions relating to method of payment. _____________________________________ 
 
 
 
 
 
SECTION V.  ATTORNEY’S FEES, COSTS, AND SUIT MONEY 
1. ____(     ) Husband’s (     ) Wife’s request(s) for attorney’s fees, costs, and suit money is 
(are) denied because _____________________________________________________ 
 
. 
 
 
Florida Supreme Court Approved Family Law Form 12.990(c)(2), Final Judgment of Dissolution of Marriage with 
Property but No Dependent or Minor Child(ren) (05/14) 
53 
 
 
OR 
2. ____ The Court finds there is a need for and an ability to pay attorney’s fees, costs, and 
suit money. (     ) Husband (     ) Wife is hereby ordered to pay to the other spouse 
$____________ in attorney’s fees, and $ 
 
___ in costs. The Court further 
finds that the attorney’s fees awarded are based on the reasonable rate of $                     
per hour and  
 
 reasonable hours. Other provisions relating to attorney’s fees, 
costs, 
and 
suit 
money 
are 
as 
follows:_________________________________________________________________ 
 
. 
 
SECTION VI.  OTHER PROVISIONS 
1. Former 
Name. 
The 
wife’s 
former 
name 
of 
{full 
legal 
name} 
______________________________ 
is restored. 
2. Other Provisions.  
 
 
 
 
 
 
. 
 
3. The Court reserves jurisdiction to modify and enforce this Final Judgment 
 
 
 
DONE AND ORDERED on ___________ in __________________________, Florida. 
 
 
 
 
 
CIRCUIT JUDGE 
 
A copy of this Final Order was [Choose one only] (   ) mailed (   ) faxed and mailed (  ) hand- delivered to 
the 
parties 
listed 
below 
on 
{date} 
_______________________ 
by 
{clerk 
of 
court 
or 
designee}_____________________________________. 
 
____Husband (or his attorney) 
____Wife (or her attorney) 
____Central depository 
____State Disbursement Unit 
 
____Other: