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)
(02/18)
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 fled 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 fle the original with the clerk of the
circuit court in the county where the petition was fled 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 ( fnal hearing ).
IMPORTANT INFORMATION REGARDING E-FILING
The Florida Rules of Judicial Administration now require that all petitions, pleadings,
and documents be fled 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 fle
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 fle. The rules and procedures
should be carefully read and followed.
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 defned there. For
further information, see chapter 61, Florida Statutes, and the instructions for the
petition and/or answer that were fled in this case.
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) (02/18)
IMPORTANT INFORMATION REGARDING E-SERVICE
ELECTION
After the initial service of process of the petition or supplemental petition by the
Sherif or certifed 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 fnd this rule at www.flcourts.org through the link to
the Rules of Judicial Administration provided under either Family Law Forms: 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
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 for: 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...
This form does not act to transfer title to the property. Such transfer
must be done by deed or supplemental fnal judgment.
Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer
helps you fll 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 fll 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 12.902(f)(2), Marital
Settlement Agreement for Dissolution of Marriage with Property but No Dependent or Minor
Child(ren) (02/18)
IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,
IN AND FOR COUNTY, FLORIDA
Case No.:
Division:
In re: The Marriage of:
_________________ ,
Petitioner,
and
______________ ,
Respondent.
MARITAL SETTLEMENT AGREEMENT FOR DISSOLUTION
OF MARRIAGE WITH PROPERTY BUT NO
DEPENDENT OR MINOR CHILD(REN)
We, {Petitioner’s full legal name} _______________________________ ______, and
{Respondent’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 diferences 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 fled a Family Law Financial Afdavit, 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 certifcates, etc.
SECTION I. MARITAL ASSETS AND LIABILITIES
A. Division of Assets. We divide our assets (everything we own and that is owed
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)
(02/18)
to us) as follows: Any personal item(s) not listed below is the property of the
party currently in possession of the item(s).
1. Petitioner shall receive as his/her own and Respondent shall have no further
rights or responsibilities regarding these assets:
ASSETS: DESCRIPTION OF ITEM(S) PETITIONER 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 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 (Proft Sharing, Pension, IRA, 401(k)s, etc.)
Furniture & furnishings in home
Furniture & furnishings elsewhere
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)
(02/18)
ASSETS: DESCRIPTION OF ITEM(S) PETITIONER 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 Current
Fair
Market
Value
Collectibles
Jewelry
Life insurance (cash surrender value)
Sporting and entertainment (T.V., stereo, etc.) equipment
Other assets
Total Assets to Petitioner $
2. Respondent shall receive as his/her own and Petitioner shall have no further
rights or responsibilities regarding these assets.
ASSETS: DESCRIPTION OF ITEM(S) RESPONDENT 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 in one spouse’s name or
both spouses’ names. Current
Fair
Market
Value
Cash (on hand) $
Cash (in banks/credit unions)
Stocks/Bonds ___
Notes (money owed to you in writing)
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)
(02/18)
ASSETS: DESCRIPTION OF ITEM(S) RESPONDENT 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 in one spouse’s name or
both spouses’ names. Current
Fair
Market
Value
Money owed to you (not evidenced by a note)
Real estate: (Home)
(Other)
Business interests
Automobiles
Boats
Other vehicles
Retirement plans (Proft 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
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)
(02/18)
ASSETS: DESCRIPTION OF ITEM(S) RESPONDENT 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 in one spouse’s name or
both spouses’ names. Current
Fair
Market
Value
Other assets
Total Assets to Respondent $
B. Division of Liabilities/Debts. We divide our liabilities (everything we owe)
as follows:
1. Petitioner shall pay as his/her own the following and will not at any time ask
Respondent to pay these debts/bills:
LIABILITIES: DESCRIPTION OF DEBT(S) TO BE PAID BY
PETITIONER
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 in one
spouse’s name or in both spouses’ names. Monthly
Payment Current
Amount
Owed
Mortgages on real estate: (Home) $ $
(Other)
Charge/credit card accounts
Auto loan
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)
(02/18)
LIABILITIES: DESCRIPTION OF DEBT(S) TO BE PAID BY
PETITIONER
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 in one
spouse’s name or in both spouses’ names. Monthly
Payment Current
Amount
Owed
Auto loan
Bank/credit union loans
Money you owe (not evidenced by a note)
Judgments
Other
Total Debts to Be Paid by Petitioner $ $
2. Respondent shall pay as his/her own the following and will not at any time ask
Petitioner to pay these debts/bills:
LIABILITIES: DESCRIPTION OF DEBT(S) TO BE PAID BY
RESPONDENT
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 one
spouse’s name, or in both spouses’ names. Monthly
Payment Current
Amount
Owed
Mortgages on real estate: (Home) $ $
(Other)
Charge/credit card accounts
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)
(02/18)
LIABILITIES: DESCRIPTION OF DEBT(S) TO BE PAID BY
RESPONDENT
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 one
spouse’s name, or in both spouses’ names. Monthly
Payment Current
Amount
Owed
Auto loan
Auto loan
Bank/credit union loans
Money you owe (not evidenced by a note)
Judgments
Other
Total Debts to Be Paid by Respondent $ $
B. Contingent Assets and Liabilities (listed in Section III of our Family Law
Financial Afdavits) will be divided as follows:
.
D. Benefciary Designation (Complete only if benefciary designations
continue after entry of Final Judgment of Dissolution of Marriage.)
_____The spouses 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 beneft of the
deceased party’s former spouse SHALL NOT BE VOID as of the date of entry of the
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)
(02/18)
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 efect:
_____1. The _____Petitioner _____Respondent shall acquire or maintain the following
assets for the beneft 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 fulflling such
requirement for the beneft 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 _____Petitioner_____ Respondent 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._____Petitioner _____ Respondent (hereinafter “Obligor”) agrees to pay
spousal support (alimony) in the amount of $ _______ every _____week
_____other week _____ month, or ____ other ___________________________
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 specifcs:
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)
(02/18)
1. _____Other provisions relating to alimony, including any tax treatment and
consequences:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
2. _____ Petitioner _____ Respondent 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)
(02/18)
I certify that I have been open and honest in entering into this settlement
agreement. I am satisfed with this agreement and intend to be bound by
it.
Dated: ________ ___________
______________ Signature of Petitioner
Printed Name:
Address:
City, State, Zip:
Telephone Number:
Fax Number:
Designated E-mail Address(es):
____________________
_____________________________________________
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 identifcation
Type of identifcation produced
IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN
THE BLANKS BELOW:
[fll in all blanks] This form was prepared for the Petitioner
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)
(02/18)
This form was completed with the assistance of:
_________________________________________,
{name of individual}
__________________________________ ______________________________ ,
{name of business}
__________________________________________________________________,
{address} ________________ _________________________________,
{city} _______________ , {state} ___ , {zip code}___________, {telephone number}
____________ .
I certify that I have been open and honest in entering into this settlement
agreement. I am satisfed with this agreement and intend to be bound by
it.
Dated:
Signature of Respondent
Printed
name:__________________________________
Address:_____________________________________
_
City, State,
Zip:_________________________________
Telephone
number:_____________________________
Fax
number ____________________________________________
Designated E-mail Address(es):
____________________
_____________________________________________
STATE OF FLORIDA
COUNTY OF _______
Sworn to or afrmed and signed before me on by .
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)
(02/18)
NOTARY PUBLIC or DEPUTY CLERK
[Print, type, or stamp commissioned name of
notary or clerk.]
_____ Personally known
_____ Produced identifcation
Type of identifcation produced
IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN
THE BLANKS BELOW:
[fll in all blanks] This form was prepared for the Respondent
This form was completed with the assistance of:
{name of individual} _____________________________________________________________,
{name of business} _______________________________________________________________,
{address} ___________ __________________________________________________ ,
{city} ___________ , {state} ____ , {zip code}__________, {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)
(02/18)