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IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT, IN AND FOR COUNTY, FLORIDA Case No.: Division: In Re: The Marriage of: Petitioner, and , Respondent. 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 fle and heard the testimony, makes these fndings of fact and reaches these conclusions of law: FINDINGS: 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 fling the Petition for Dissolution of Marriage. 3. The parties have no minor or dependent children in common, no children born to either spouse during the marriage remain minor or dependent, and neither spouse is pregnant. 4. The marriage between the parties is irretrievably broken. ORDERED AND ADJUDGED: SECTION I. DISSOLUTION AND RESTORATION A. The marriage between the parties is dissolved and the parties are restored to the status of being single. B. Former Name . {If applicable}_____ Petitioner’s _____ Respondent’s former 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)(02/18) name of {full legal name} _____________________________________________is restored. SECTION II. 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 fling petition for dissolution of marriage . 2._____ date of separation . 3. _____ date of fnal 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. 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 Petition er’s Non - marital Property Responde nt’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 Petition er Shall Receive Respond ent Shall Receive Cash (on hand or in banks/credit unions) $ $ $ 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)(02/18) 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 Petition er Shall Receive Respond ent Shall Receive Stocks/bonds ___________ _________ _________ Notes Business interests Real estate: (Home) Automobiles Boats Furniture & furnishings Jewelry Life insurance (cash surrender value) Retirement Plans (Proft sharing, Pension, IRA, 401(k)s, etc.) Other 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)(02/18) 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 Petition er Shall Receive Respond ent Shall Receive 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 DEBT(S) Please describe each item as clearly as possible. You do not need to list account numbers) Current Amount Owed Petitione r’s Non- marital Liability Responde nt’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 Petition er Shall Pay Respond ent Shall Pay Mortgages on real estate: (Home) $ $ $ (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)(02/18) LIABILITIES: DESCRIPTION OF DEBT(S) Please describe each item as clearly as possible. You do not need to list account numbers. Current Amount Owed Petition er Shall Pay Respond ent Shall Pay Charge/credit card accounts Auto loan Auto loan Bank/Credit Union loans Other Total Marital Liabilities $ $ $ D. Contingent assets and liabilities will be divided as follows:_______________________________ _________________________________________________________________________________ _ E. The distribution of assets and liabilities in this fnal judgment is equitable; if each party does not receive approximately one-half, the distribution is based on the following facts and reasoning: . 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)(02/18) F . Benefciary Designation (By completing this section, the benefciary 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 beneft 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 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 specifcity} _________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________. _____ 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 specifcity} __________________________________________________________________ _______________________________________________________________________________ _ _______________________________________________________________________________. SECTION III. EXCLUSIVE USE AND POSSESSION OF HOME {Indicate all that apply} A. _____ The _____ Petitioner _____ Respondent , as a condition of support, shall have exclusive use and possession of the dwelling located at the following address: __________________________________________________________________________ until {date or event} ____________________________________________________________ ______________________________________________________________________________ . B. _____The_____ Petitioner ______Respondent may make visits to the premises described in the paragraph above for the purpose of obtain ing any items 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)(02/18) aw arded 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. C. _____Upon the termination of the right of exclusive use and possession, the dwelling shall be sold and the net proceeds divided _ % to Petitioner and _ % to Respondent, with the following credits and/or setofs being allowed:_______________________________________ ______________________________________________________________________________ ______________________________________________________________________________ . D. _____Other: __________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ . SECTION IV. ALIMONY A. _____ The Court denies the request(s) for alimony OR B. _____ The Court fnds that _____Petitioner _____Respondent, (hereinafter Obligee), has an actual need for, and that _____ Petitioner_____ Respondent (hereinafter Obligor), has the present ability to pay, alimony as follows: {Indicate all that apply} 1. _____ Permanent Periodic. a. The Court fnds that no other form of alimony is fair and reasonable under the circumstances of the parties. b. 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:________________________________ _________________________________________________________________ _________________________________________________________________. 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)(02/18) c. 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 modifed by court order, the death of either party, or remarriage of Obligee, whichever occurs frst. The alimony may be modifed 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. 2._____ 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 frst. 3. ______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 modifed by court order, the death of either party or until {date/event} _______________________, whichever occurs frst. The rehabilitative plan presented demonstrated the following: ___________________________________________________________________________ ___________________________________________________________________________ . 4 ._____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 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)(02/18) death of either party, remarriage of Obligee, or until modifed by court order in accordance with section 61.08(7), Florida Statutes, whichever occurs frst. 5._____ Lump Sum . Obligor shall pay lump sum alimony to Obligee in the amount of $_____________, which shall be paid as follows:______________________________ ____________________________________________________________________. 6. _____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. C . Reasons for _____ Awarding _____ Denying Alimony. The Court has considered all of the following in awarding/denying alimony: 1. The standard of living established during the marriage; 2. The duration of the marriage; 3. The age and the physical and emotional condition of each party; 4. The fnancial resources of each party, including, the nonmarital and the marital assets and liabilities distrib uted to each; 5. The earning capacities, educational levels, vocational skills, and employability of the parties and, when applicable, the time necessary for either party to acquire sufcient education or training to enable such party to fnd appropriate employment; 6. 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; 7. 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; 8. All sources of income available to either party, including income available to either party through investments of any asset held by the party; and 9. Any other factor necessary to do equity and justice between the parties: {explain}________ ______ Please indicate here if additional pages are attached. D . Retroactive Alimony and/or Arrearages. 1.____ There is no alimony arrearage at the time of this Final Judgment. 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)(02/18) OR 2.____ The ____ Petitioner ____ Respondent shall pay to the other party the sum of: $ for retroactive alimony, as of {date} ; $ for previously ordered unpaid alimony, as of {date} _____ . The total of $ shall be paid 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. E._____ 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 benefciary, so long as reasonably available. This insurance shall be in the amount of at least $ ________ and shall remain in efect until the obligation for alimony terminates. F ._____Other provisions relating to alimony, including any tax treatment and consequences: 1. The award of alimony _____does not _____does leave the Obligor with signifcantly less net income than the net income of the recipient/Obligee. If yes, the court fnds the following exception circumstances:_________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________. 2. Other:______________________________________________________________________ ______________________________________________________________________________. SECTION V. METHOD OF PAYMENT Obligor shall pay court-ordered alimony, including any arrearages, as follows: A . Place of Payment. 1._____ 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. 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)(02/18) 2. _____ Both parties have requested and the court fnds that support payments need not be directed through either the State Disbursement Unit or the central depository at this time at this time; however, either party may subsequently apply, pursuant to section 61.13(1)(d)3, Florida Statutes, to require payments through either the State Disbursement Unit or the central depository. B . Income Deduction. 1. _____ Immediate. Obligor shall pay through income deduction, pursuant to a separate Income Deduction Order which shall be efective 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. 2. _____ Deferred. Income Deduction is ordered this day, but it shall not be efective until a delinquency of $ , or, if not specifed, an amount equal to one month’s obligation occurs. Income deduction is not being implemented immediately based on the following fndings: 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 modifcation, 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. C. 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. D . Other provisions relating to method of payment. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 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)(02/18) SECTION VI. ATTORNEY’S FEES, COSTS, AND SUIT MONEY A._____ Petitioner’s _____ Respondent’s request(s) for attorney’s fees, costs, and suit money is (are) denied because _______________________________________________________________ ______________________________________________________________________________ . OR B._____ The Court fnds there is a need for and an ability to pay attorney’s fees, costs, and suit money. _____ Petitioner _____ Respondent is hereby ordered to pay to the other spouse $____________in attorney’s fees, and $ in costs. The Court further fnds 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 VII. OTHER PROVISONS Other Provisions. ______________________________________________________________________________ . The Court reserves jurisdiction to modify and enforce this Final Judgment. DONE AND ORDERED in __________________________, Florida on ______________________. CIRCUIT JUDGE I certify that a copy of this Final Judgment of Dissolution was _____ mailed _____ 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)(02/18) faxed and mailed _____e-mailed _____ hand-delivered to the parties or entities listed below on {date} _________________________. by ___________________________________ {Clerk of court or designee} _____Petitioner (or his/her attorney) _____Respondent (or his/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)(02/18)

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