INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED
FAMILY LAW FORM 12.903(c)(1)
ANSWER TO PETITION AND COUNTERPETITION FOR
DISSOLUTION OF MARRIAGE WITH DEPENDENT OR MINOR
CHILD(REN)
(02/18)
When should this form be used?
This form should be used when you are responding to a petition for dissolution of
marriage with dependent or minor child(ren) and you are asking the court for
something not contained in the petition. The answer portion of this form is used to
admit or deny the allegations contained in the petition, and the counterpetition
portion of this form is used to ask for whatever you want the court to do for you.
This form should be typed or printed in black ink. After completing this form, you
should sign the form before a notary public or deputy clerk . You should fle the
original with the clerk of the circuit court in the county where the petition was
filed and keep a copy for your records. The person filing the petition in a
dissolution of marriage proceeding is also referred to as the petitioner and his or
her spouse as the respondent. The person filing a counterpetition is also
referred to as the counterpetitioner and his or her spouse as the
counterrespondent.
IMPORTANT INFORMATION REGARDING E-FILING
The Florida Rules of Judicial Administration now require that all petitions, pleadings,
and documents be filed electronically except in certain circumstances. Self-
represented litigants may fle petitions or other pleadings or documents
electronically; however, they are not required to do so. If you choose to file
your pleadings or other documents electronically, you must do so in accordance
with Florida Rule of Judicial Administration 2.525, and you must follow the
procedures of the judicial circuit in which you file. The rules and procedures
should be carefully read and followed.
What should I do next?
You have 20 days to answer after being served with your spouse’s petition. A copy
of this form must be mailed, e-mailed, or hand delivered to your spouse. After you
file an answer and counterpetition your case will then generally proceed as followsy
The other party is required to answer your counterpetition within 20 days using an
Answer to Counterpetition , Florida Supreme Court Approved Family Law Form
12.903(d).
Instructions for Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to
Petition and Counterpetition for Dissolution of Marriage with Dependent or Minor Child(ren)
(02/18)
UNCONTESTED . Your dissolution is uncontested if you and your spouse agree on
all issues raised in the petition and the counterpetition. If this is the case, and you
and the other party have complied with mandatory disclosure and filed all of the
required papers, either party may contact the clerk, family law intake staf , or
judicial assistant to set a fnal hearing . If you request the hearing, you must
notify the other party of the hearing by using a Notice of Hearing (General) ,
Florida Supreme Court Approved Family Law Form 12.923, or other appropriate
notice of hearing form.
CONTESTED . Your dissolution is contested if you and your spouse disagree on any
issue raised in the petition or counterpetition. If you are unable to settle the
disputed issues, either party may file a Notice for Trial , Florida Supreme Court
Approved Family Law Form 12.924, after you have complied with mandatory
disclosure and filed all of the required papers. Some circuits may require the
completion of mediation before a final hearing may be set. You should contact the
clerk, family law intake staf, or judicial assistant for instructions on how to set your
case for trial (final hearing).
Where can I look for more information?
Before proceeding, you should read General Information for
Self - Represented Litigants found at the beginning of these forms. The
words that are in bold underline in these instructions are defined there. For
further information, see chapter 61, Florida Statutes.
IMPORTANT INFORMATION REGARDING E-SERVICE
ELECTION
After the initial service of process of the petition or supplemental petition by the
Sherif or certified process server, the Florida Rules of Judicial Administration now
require that all documents required or permitted to be served on the other party
must be served by electronic mail (e-mail) except in certain circumstances. You
must strictly comply with the format requirements set forth in the Rules of
Judicial Administration. If you elect to participate in electronic service, which
means serving or receiving pleadings by electronic mail (e-mail), or through the
Florida Courts E-Filing Portal, you must review Florida Rule of Judicial
Administration 2.516. You may find this rule at www.flcourts.org through the link to
the Rules of Judicial Administration provided under either Family Law Formsy Getting
Started, or Rules of Court in the A-Z Topical Index.
SELF-REPRESENTED LITIGANTS MAY SERVE DOCUMENTS BY E-MAIL;
HOWEVER, THEY ARE NOT REQUIRED TO DO SO. If a self-represented litigant
elects to serve and receive documents by e-mail, the procedures must always be
Instructions for Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to
Petition and Counterpetition for Dissolution of Marriage with Dependent or Minor Child(ren)
(02/18)
followed once the initial election is made.
To serve and receive documents by e-mail, you must designate your e-mail
addresses by using the Designation of Current Mailing and E-mail Address ,
Florida Supreme Court Approved Family Law Form 12.915, and you must provide
your e-mail address on each form on which your signature appears. Please
CAREFULLY read the rules and instructions fory Certifcate of Service (General),
Florida Supreme Court Approved Family Law Form 12.914; Designation of
Current Mailing and E-mail Address , Florida Supreme Court Approved Family
Law Form 12.915; and Florida Rule of Judicial Administration 2.516.
Special notes...
With this form, you must also file the followingy
Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA)
Affidavit , Florida Supreme Court Approved Family Law Form 12.902(d)
Child Support Guidelines Worksheet , Florida Family Law Rules of
Procedure Form 12.902(e). (If you do not know your spouse’s income, you
may file this worksheet after your spouse’s financial afdavit has been
served on you.)
Affidavit of Corroborating Witness , Florida Supreme Court Approved
Family Law Form 12.902(i) OR photocopy of current Florida driver’s license,
Florida identification card, or voter’s registration card (issue date of copied
document must be at least six months before date case is actually filed with
the clerk of the circuit court).
Marital Settlement Agreement for Dissolution of Marriage with
Dependent or Minor Child(ren) , Florida Supreme Court Approved Family
Law Form 12.902(f)(1), if you have reached an agreement on any or all of the
issues.
Parenting Plan , Florida Supreme Court Approved Family Law Form
12.9.995(a), Safety-Focused Parenting Plan , Form 12.995(b), or
Relocation/Long-Distance Parenting Plan , Form 12.995(c). If the parents
have reached an agreement, a signed and notarized Parenting Plan should be
attached. If the parents have not reached an agreement, a proposed
Parenting Plan may be filed.
Notice of Social Security Number , Florida Supreme Court Approved
Family Law Form 12.902(j).
Family Law Financial Affidavit , Florida Family Law Rules of Procedure
Form 12.902(b) or (c). (This must be filed within 45 days of service of the
petition on you, if not filed at the time you file this answer.)
Certifcate of Compliance with Mandatory Disclosure , Florida Family
Law Rules of Procedure Form 12.932. (This must be filed within 45 days of
service of the petition on you, if not filed at the time you file this answer,
unless you and the other party have agreed not to exchange these
Instructions for Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to
Petition and Counterpetition for Dissolution of Marriage with Dependent or Minor Child(ren)
(02/18)
documents.)
Parenting Plan and Time-Sharing. If you and your spouse are unable to agree
on parenting arrangements and a time-sharing schedule, a judge will decide for
you as part of establishing a Parenting Plan. The judge will decide the parenting
arrangements and time-sharing schedule based on the child(ren)’s best interests.
Regardless of whether there is an agreement, the court reserves jurisdiction to
modify issues relating to the minor child(ren).
The judge may request a parenting plan recommendation or appoint a
guardian ad litem in your case. This means that a neutral person will review your
situation and report to the judge concerning parenting issues. The purpose of such
intervention is to be sure that the best interests of the child(ren) is (are) being
served. For more information, you may consult section 61.13, Florida Statutes.
A parenting course must be completed prior to entry of the final judgment. You
should contact the clerk, family law intake staf, or judicial assistant about
requirements for parenting courses or mediation where you live.
Listed below are some terms with which you should become familiar before
completing your petition. If you do not fully understand any of the terms
below or their implications, you should speak with an attorney before
going any further.
Shared Parental Responsibility
Sole Parental Responsibility
Supervised Time-Sharing
No contact
Parenting Plan
Parenting Plan Recommendation
Time-Sharing Schedule
Child Support. Both parents are required to provide fnancial support for
their minor or dependent child(ren); however, the court may order one parent
to pay child support to the other parent. Florida has adopted guidelines for
determining the amount of child support to be paid. These guidelines are based on
the combined income of both parents and take into account the financial
contributions of both parents and the number of overnights the child(ren) spend
with each parent. You must file a Family Law Financial Affidavit , Florida Family
Law Rules of Procedure Form 12.902(b) or (c), and your spouse will be required to
do the same. From your financial afdavits, you should be able to calculate the
amount of child support that should be paid using the Child Support Guidelines
Worksheet , Florida Family Law Rules of Procedure Form 12.902(e). Because the
child support guidelines take several factors into consideration, change over time,
and vary from state to state, your child support obligation may be more or less than
Instructions for Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to
Petition and Counterpetition for Dissolution of Marriage with Dependent or Minor Child(ren)
(02/18)
that of other people in seemingly similar situations.
Alimony. Alimony may be awarded to a spouse if the judge finds that one spouse
has an actual need for it and that the other spouse has the ability to pay. If you
want alimony, you must request it in writing in your counterpetition. If
you do not request alimony in writing before the fnal hearing, it is waived
(you may not request it later). You may request permanent alimony , bridge-
the-gap alimony, durational alimony, and/or rehabilitative alimony . If
alimony is awarded, the judge may order periodic payments, payments in lump
sum, or both.
Marital/Nonmarital Assets and Liabilities. Florida law requires an equitable
distribution of marital assets and marital liabilities . Equitable does not
necessarily mean equal. Many factors, including child support, time-sharing and
alimony awards, may lead the court to make an unequal (but still equitable)
distribution of assets and liabilities. Nonmarital assets and nonmarital
liabilities are those assets and liabilities which the parties agree or the court
determines belong to, or are the responsibility of, only one of the parties. If the
parties agree or the court finds an asset or liability to be nonmarital, the judge will
not consider it when distributing marital assets and liabilities.
Parenting Plan. In all cases involving minor or dependent child(ren), a Parenting
Plan shall be approved or established by the court. If you and your spouse have
reached an agreement, you should file a Parenting Plan , Florida Supreme Court
Approved Family Law Form 12.995(a), 12.995(b), or 12.995(c), which addresses the
time-sharing schedule for the child(ren). If you have not reached an agreement, a
proposed Parenting Plan may be filed. If you and your spouse cannot agree, a
Parenting Plan will be established by the court.
Temporary Relief. If you need temporary relief regarding temporary use of assets,
temporary responsibility for liabilities, parental responsibility and time-sharing with
child(ren), temporary child support, or temporary alimony, you may file a Motion
for Temporary Support and Time-Sharing with Dependent or Minor
Child(ren) , Florida Supreme Court Approved Family Law Form 12.947(a). For more
information, see the instructions for that form.
Marital Settlement Agreement. If you and your spouse are able to reach an
agreement on any or all of the issues, you should file a Marital Settlement
Agreement for Dissolution of Marriage with Dependent or Minor Child(ren) ,
Florida Supreme Court Approved Family Law Form 12.902(f)(1). Both of you must
sign this agreement before a notary public or deputy clerk . Any issues on which
you are unable to agree will be considered contested and settled by the judge at
the final hearing.
Final Judgment Form. These family law forms contain a Final Judgment of
Instructions for Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to
Petition and Counterpetition for Dissolution of Marriage with Dependent or Minor Child(ren)
(02/18)
Dissolution of Marriage with Dependent or Minor Child(ren) , Florida Supreme
Court Approved Family Law Form 12.990(c)(1), which the judge may use if your
case is contested. If you and your spouse reach an agreement on all of the issues,
the judge may use a Final Judgment of Dissolution of Marriage with
Dependent or Minor Child(ren) (Uncontested) , Florida Supreme Court
Approved Family Law Form 12.990(b)(1). You should contact the clerk, family law
intake staf, or judicial assistant to see if you need to bring a final judgment with
you to the hearing. If so, you should type or print the heading, including the circuit,
county, case number, division, and the parties’ names, and leave the rest blank for
the judge to complete at your hearing or trial.
Nonlawyer. Remember, a person who is NOT an attorney is called a nonlawyer. If
a nonlawyer helps you fill out these forms, that person must give you a copy of a
Disclosure from Nonlawyer, Florida Family Law Rules of Procedure Form
12.900(a), before he or she helps you. A nonlawyer helping you fill out these forms
also must put his or her name, address, and telephone number on the bottom of
the last page of every form he or she helps you complete.
Instructions for Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to
Petition and Counterpetition for Dissolution of Marriage with Dependent or Minor Child(ren)
(02/18)
IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,
IN AND FOR COUNTY, FLORIDA
Case No.y
Divisiony
In rey the Marriage ofy
,
Petitioner/Counter-Respondent ,
and
,
Respondent/Counter-Petitioner.
ANSWER TO PETITION AND COUNTERPETITION FOR
DISSOLUTION
OF MARRIAGE WITH DEPENDENT OR MINOR
CHILD(REN)
I, {full legal name} _____ __ ,
Respondent/Counter-Petitioner being sworn, certify that the following information is
truey
ANSWER TO PETITION
1. I agree with the allegations raised in the following numbered paragraphs in
the Petition and, therefore, admit those allegationsy {indicate section and
paragraph number} _____________
.
2. I disagree with the allegations raised in the following numbered paragraphs
in the Petition and, therefore, deny those allegationsy {indicate section and
paragraph number} ______________
.
3. I currently am unable to admit or deny the following paragraphs due to lack
of informationy {indicate section and paragraph number }
_________________________________________
.
COUNTERPETITION FOR DISSOLUTION OF MARRIAGE WITH MINOR
CHILD(REN)
1. JURISDICTION/RESIDENCE
_____ Counter-Petitioner _____ Counter-Respondent _____Both has (have)
lived in Florida for at least 6 months before the filing of this Petition for
Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to Petition and
Counterpetition for Dissolution of Marriage with Dependent or Minor Child(ren)(02/18)
Dissolution of Marriage.
2. Respondent/Counter-Petitioner _____ is or _____ is not a member of the
military service.
Petitioner/Counter-Respondent _____ is or _____ is not a member of the
military service.
3. MARRIAGE HISTORY
Date of marriagey {month, day, year}
____________________________________________
Date of separationy {month, day, year} _____________________ (_____Indicate if
approximate)
Place of marriagey {county, state, country} _________________________________
4. DEPENDENT OR MINOR CHILD(REN)
[Indicate all that apply]
a. _____Respondent/Counter-Petitioner is pregnant. Baby is due ony {date}
____
b. _____Petitioner/Counter-Respondent is pregnant. Baby is due ony
{date}______________
c. _____The minor (under 18) child(ren) common to both parties arey
Name Birth date
_________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
d. _____The minor child(ren) born or conceived during the marriage who are
not common to both parties arey
Name Birth date
___________________________________________________________________________
____________________________________________________________________________
The birth parent(s) of the above minor child(ren) is (are) {name and
address}
e. _____ The child(ren) common to both parties who are 18 or older but who
are dependent upon the parties due to a mental or physical disability arey
Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to Petition and
Counterpetition for Dissolution of Marriage with Dependent or Minor Child(ren)(02/18)
Name Birth date
______________________________________________________________________________
______________________________________________________________________________
5. A completed Uniform Child Custody Jurisdiction and Enforcement Act
(UCCJEA) Afdavit Florida Supreme Court Approved Family Law Form
12.902(d), is filed with this counterpetition. (You must complete and attach
this form in a dissolution of marriage with minor child(ren).
6. A completed Notice of Social Security Number, Florida Supreme Court
Approved Family Law Form 12.902(j), is filed with this counterpetition.
7. A completed Family Law Financial Afdavit, Florida Family Law Rules of
Procedure Form 12.902(b) or (c) _____ is filed or _____ will be timely filed.
8. This counterpetition for dissolution of marriage should be granted becausey
a. _____The marriage is irretrievably broken.
OR
b. _____One of the parties has been adjudged mentally incapacitated for a
period of 3 years prior to the filing of this counterpetition. A copy of the
Judgment of Incapacity is attached.
SECTION I. MARITAL ASSETS AND LIABILITIES
1. ____There are no marital assets or liabilities.
OR
2. _____There are marital assets or liabilities. All marital and nonmarital assets
and liabilities are (or will be) listed in the financial afdavits, Florida Family
Law Rules of Procedure Form 12.902(b) or (c), to be filed in this case.
[Indicate all that apply]
a. _____All marital assets and liabilities have been divided by a written
agreement between the parties, which is attached to be incorporated into
the final judgment of dissolution of marriage. (The parties may use
Marital Settlement Agreement for Dissolution of Marriage with Dependent
or Minor Child(ren), Florida Supreme Court Approved Family Law Form
12.902(f)(1)).
b. _____The Court should determine how the assets and liabilities of this
Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to Petition and
Counterpetition for Dissolution of Marriage with Dependent or Minor Child(ren)(02/18)
marriage are to be distributed, under section 61.075, Florida Statutes.
c. Respondent/Counter-Petitioner should be awarded an interest in the other
spouse’s property becausey
___________________________________________________
___________________________________________________________________________
___________________________________________________________________________
.
SECTION II. SPOUSAL SUPPORT (ALIMONY)
1 . Respondent/Counter-Petitioner forever gives up any right to spousal
support (alimony) from the other spouse.
OR
2 . Respondent/Counter-Petitioner requests that the Court order the other
spouse to pay the following spousal support (alimony) and claims that he or she
has an actual need for the support that he or she is requesting and that the
other spouse has the ability to pay that support . Spousal support
(alimony) is requested in the amount of $______________ every _____ week _____
other week _____ month, or ______ other _________ beginning {date} _____________
and continuing until {date or event}
____________________________________________________ .
Explain why the Court should order Petitioner/Counter-Respondent to pay,
and any specific request(s) for type of alimony (temporary, permanent,
bridge-the-gap, durational, rehabilitative, and/or lump sum)y
3. _____Other provisions relating to alimony including any tax treatment and
consequencesy
____________________________________________________________________________
___
____________________________________________________________________________
__.
4. Respondent/Counter-Petitioner requests life insurance on the other
spouse’s life, provided by that spouse, to secure such support.
Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to Petition and
Counterpetition for Dissolution of Marriage with Dependent or Minor Child(ren)(02/18)
SECTION III. PARENTING PLAN ESTABLISHING PARENTAL RESPONSIBILITY
AND TIME-SHARING
1. The minor child(ren) currently reside(s) with
_____ Respondent/Counter-Petitioner
_____Petitioner/Counter-Respondent
_____ Othery {explain}
________________________________________________________
2. Parental Responsibility. It is in the child(ren)’s best interests that parental
responsibility bey
[ Choose only one ]
a. _____shared by both parents.
b. _____awarded solely to _____ Respondent/Counter-Petitioner _____
Petitioner/Counter-Respondent. Shared parental responsibility would be
detrimental to the child(ren) becausey
________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
.
3. Parenting Plan and Time-Sharing. It is in the best interests of the
child(ren) that the family be ordered to comply with a Parenting Plan that
_____ includes _____does not include parental time-sharing with the child(ren).
For the purposes of a Parenting Plan, the Respondent/Counter-Petitioner will
be referred to as {name or designation } ________________ and the
Petitioner/Counter-Respondent will be referred to as {name or designation}
____________________. The Counter-Petitioner states that it is in the best
interests of the child(ren) thaty
[ Choose only one]
a. _____The attached proposed Parenting Plan should be adopted by the
court. The parties _____have _____ have not agreed to the Parenting Plan.
b. _____Each child will have time-sharing with both parents as followsy
__________________________________________________________________
__________________________________________________________________
___________________________________________________________________
___________________________________________________________________
(_____ Indicate if a separate sheet is attached.)
c. _____The court should establish a Parenting Plan with the following
provisions fory
{Insert the name of designation of the appropriate parent in the
Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to Petition and
Counterpetition for Dissolution of Marriage with Dependent or Minor Child(ren)(02/18)
space provided.}
_____ No time-sharing for Parent____________________________.
_____ Limited time-sharing with Parent _______________________.
_____ Supervised time-sharing for Parent______________________.
_____ Supervised or third-party exchange of the child(ren).
_____ Time-sharing as followsy
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Explain why this request is in the best interests of the child(ren)y
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
SECTION IV. CHILD SUPPORT
[Indicate all that apply]
1. Respondent/Counter-Petitioner requests that the Court award child support as
determined by Florida ’ s child support guidelines, section 61.30, Florida
Statutes. A completed Child Support Guidelines Worksheet, Florida Family
Law Rules of Procedure Form 12.902(e), is, or will be filed. Such support
should be ordered retroactive toy
a. _____ the date of separation {date} ___________
b. _____the date of the filing of this petition.
c. _____other {date} ________________________ {explain}
_________________________
________________________________________________________________________
2. Respondent/Counter-Petitioner requests that the Court award child support to
be paid beyond the age of 18 years becausey
a. _____the following child(ren) {name(s)}
__________________________________________
___________________________________________________________________________
is (are) dependent because of a mental or physical incapacity which
began before the age of 18. {explain}
________________________________________________________________
b. _____the following child(ren) {name(s)}
__________________________________________ is (are) dependent in fact; is
(are) in high school, and are between the ages of 18 and 19; said
child(ren) is (are) performing in good faith with reasonable expectation of
Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to Petition and
Counterpetition for Dissolution of Marriage with Dependent or Minor Child(ren)(02/18)
graduation before the age of 19.
3. Respondent/Counter-Petitioner requests that the Court award a child support
amount that is more than or less than Florida’s child support guidelines and
understands that a Motion to Deviate from Child Support Guidelines, Florida
Supreme Court Approved Family Law Form 12.943, must be filed before the
Court will consider this request.
4. Respondent/Counter-Petitioner requests that medical/dental insurance for
the minor child(ren) be provided byy
[ Choose only one ]
a. _____Respondent/Counter-Petitioner
b. _____Petitioner/Counter-Respondent
5. Respondent/Counter-Petitioner requests that uninsured medical/dental
expenses for the child(ren) be paidy
[ Choose only one ]
a. _____ by Respondent/Counter-Petitioner
b. _____ by Petitioner/Counter-Respondent
c. _____ by both spouses equally (each spouse pays one-half.)
d. _____ according to the percentages in the Child Support Guidelines
Worksheet, Florida Family Law Rules of Procedure Form
12.902(e).
e. _____ Other {explain}y
__________________________________________________________
6. Respondent/Counter-Petitioner requests that life insurance to secure child
support be provided byy
a. _____Respondent/Counter-Petitioner
b. _____ Petitioner/Counter-Respondent
c. _____ Both.
SECTION V. OTHER
1. Respondent/Counter-Petitioner requests to be known by the following former
legal name, which was {former full legal name} y
____________________________________________________.
2. Other relief {specify} y
____________________________________________________________
Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to Petition and
Counterpetition for Dissolution of Marriage with Dependent or Minor Child(ren)(02/18)
SECTION VI. REQUEST
(This section summarizes what you are asking the Court to include in the final
judgment of dissolution of marriage.)
I request that the Court enter an order dissolving the marriage and y
[Indicate all that apply]
1. _____ distributing marital assets and liabilities as requested in Section I of
this petition;
2. _____ awarding spousal support (alimony) as requested in Section II of this
petition;
3. _____ adopting or establishing a Parenting Plan containing provisions for
parental responsibility and time-sharing for the dependent or minor child(ren)
common to both parties, as requested in Section III of this petition;
4. _____ establishing child support for the dependent or minor child(ren)
common to both parties, as requested in Section IV of this petition;
5. _____ restoring Counter-Petitioner’s former name as requested in Section V
of this petition;
6. _____ awarding other relief as requested in Section V of this petition; and any
other terms the Court deems necessary.
I certify that a copy of this document was _____ mailed _____ faxed and mailed _____
e-mailed
_____ hand-delivered to the person(s) listed below on {date}
___________________________ .
Petitioner/Counter-Respondent or his/her attorney:
Namey
Addressy
City, State, Zipy
Fax Numbery
Designated E-mail Address(es)y__________________
__________________________________________
I understand that I am swearing or affirming under oath to the
truthfulness of the claims made in this answer and counterpetition and
that the punishment for knowingly making a false statement includes
fnes and/or imprisonment.
_____________________________________________
Signature of Respondent/Counter-Petitioner
Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to Petition and
Counterpetition for Dissolution of Marriage with Dependent or Minor Child(ren)(02/18)
Printed Namey
_______________________________
Addressy
City, State, Zipy
Telephone Numbery
Fax Numbery
Designated E-mail Address(es)y
___________________
_____________________________________________
STATE OF FLORIDA
COUNTY OF __________________________
Sworn to or afrmed 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 Respondent/Counter-Petitioner
This form was completed with the assistance ofy
{name of
individual}________________________________________________________________ ,
{name of business}
_________________________________________________________________,
{address} __________________________________________________ ,
{city} _____________, {state} _____, {zip code}__________, {telephone number}
___________________.
Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to Petition and
Counterpetition for Dissolution of Marriage with Dependent or Minor Child(ren)(02/18)
