Fill and Sign the Family Law Packet for Simplified Dissolution of Marriage Form

Instructions for Florida Family Law Rules of Procedure Form 12.902(f)(3), Marital Settlement Agreement for Simplified Dissolution of Marriage (10/17)INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM 12.902(f)(3) MARITAL SETTLEMENT AGREEMENT FOR SIMPLIFIED DISSOLUTION OF MARRIAGE (10/17) When should this form be used? This form should be used when a Petition for Simplified Dissolution of Marriage, Florida Family Law Rules of Procedure Form 12.901(a), has been filed and the parties have reached an agreement on 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 which was 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 Family Law Rules of Procedure Form 12.902(f)(3), Marital Settlement Agreement for Simplified Dissolution of Marriage (10/17) 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 SIMPLIFIED DISSOLUTION OF MARRIAGE 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.Each of us agrees to execute and exchange any documents that might be needed to complete this agreement, including deeds, title certificates, etc.SECTION I. MARITAL ASSETS AND LIABILITIESA.Division of Assets. We divide our assets (everything we own and that is owed to us) as follows: Any personal item(s) not listed below is the property of the party currently in possession of the item(s).1. Wife shall receive as her own and Husband shall have no further rights or responsibilities regarding these assets: Florida Family Law Rules of Procedure Form 12.902(f)(3), Marital Settlement Agreement for Simplified Dissolution of Marriage (10/17) ASSETS: DESCRIPTION OF ITEM(S) WIFE SHALL RECEIVE To avoid confusion at a later date, describe each item as clearly as possible. LIST ONLY THE LAST FOUR DIGITS OF 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/BondsNotes (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 Family Law Rules of Procedure Form 12.902(f)(3), Marital Settlement Agreement for Simplified Dissolution of Marriage (10/17) Jewelry Life insurance (cash surrender value) Sporting and entertainment (T.V., stereo, etc.) equipment Other assetsTotal Assets to Wife$ 2. Husband shall receive as his own and Wife shall have no further rights or responsibilities regarding these assets: ASSETS: DESCRIPTION OF ITEM(S) HUSBAND SHALL RECEIVE To avoid confusion at a later date, describe each item as clearly as possible. LIST ONLY THE LAST FOUR DIGITS OF 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 Family Law Rules of Procedure Form 12.902(f)(3), Marital Settlement Agreement for Simplified Dissolution of Marriage (10/17) 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 assetsTotal Assets to Husband$ Florida Family Law Rules of Procedure Form 12.902(f)(3), Marital Settlement Agreement for Simplified Dissolution of Marriage (10/17)B.Division of Liabilities/Debts. We divide our liabilities (everything we owe) as follows:1. Wife shall pay as her own the following and will not at any time ask Husband to pay these debts/bills: LIABILITIES: DESCRIPTION OF DEBT(S) TO BE PAID BY WIFE To avoid confusion at a later date, describe each item as clearly as possible. LIST ONLY THE LAST FOUR DIGITS OF 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)$$ (Other) Charge/credit card accounts Auto loan Auto loan Bank/credit union loans Money you owe (not evidenced by a note) Judgments OtherTotal Debts to Be Paid by Wife$$ Florida Family Law Rules of Procedure Form 12.902(f)(3), Marital Settlement Agreement for Simplified Dissolution of Marriage (10/17)2.Husband shall pay as his own the following and will not at any time ask Wife to pay these debts/bills: LIABILITIES: DESCRIPTION OF DEBT(S) TO BE PAID BY HUSBANDTo avoid confusion at a later date, describe each item as clearly as possible. LIST ONLY THE LAST FOUR DIGITS OF ACCOUNT NUMBERS. Where applicable, include whether the name on any mortgage, note, or account described below is wife’s, husband’s, or both. MonthlyPayment Current Amount Owed Mortgages on real estate: (Home)$$ (Other) Charge/credit card accounts Auto loan Auto loan Bank/credit union loans Money you owe (not evidenced by a note) Judgments OtherTotal Debts to Be Paid by Husband$$C. Contingent Assets and Liabilities (listed in Section III of our Family Law Financial Affidavits) will be divided as follows: . Florida Family Law Rules of Procedure Form 12.902(f)(3), Marital Settlement Agreement for Simplified Dissolution of Marriage (10/17)SECTION II. SPOUSAL SUPPORT (ALIMONY) Each of us forever gives up any right to spousal support (alimony) that we may have.SECTION III. OTHER______________________________________________________________________________ ______________________________________________________________________________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: E-mail Address(es):______________________________STATE OF FLORIDACOUNTY 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 identificationType 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 Husband who is the {choose only one } ____Petitioner _____Respondent.This form was completed with the assistance of:{name of individual} ________________________________________________________________,{name of business} __________________________________________________________________,{address} _________________________________________________, {city} ____________________________, {state} ______, {telephone number} ________________ . Florida Family Law Rules of Procedure Form 12.902(f)(3), Marital Settlement Agreement for Simplified Dissolution of Marriage (10/17)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 WifePrinted Name:__________________________________Address:______________________________________City, State, Zip:_________________________________Telephone number:_____________________________Fax Number ____________________________________________E-mail Address(es):_____________________________STATE OF FLORIDACOUNTY 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 identificationType 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 Wife who is the {choose only one} ____Petitioner _____ Respondent.This form was completed with the assistance of:{name of individual} _____________________________________________________________,{name of business} _______________________________________________________________, {address} ___________ __________________________________________________, {city} ___________ ____,{state} _, {telephone number} ___________________.