Instructions for Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to Petition and
Counterpetition for Dissolution of Marriage with D ependent or Minor Child(ren) (02 /18 )
INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROV ED FAMILY LAW
FORM 12.903(c)(1)
ANSWER TO PETITION AND COUNTERPETITION FOR DISSOLUTION OF
MARRIAGE WI TH 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 den y 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 for m
before a notary public or deputy clerk . 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. 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 a s the counterrespondent.
IMP ORTANT 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 file 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 s pouse’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 follows:
The other party is required to answer your counterpetition w ithin 20 days using an Answer to
Counterpetition , Florida Supreme Court Approved Family Law Form 12.903(d).
UNCONTESTED . Your dissolution is uncontested if you and your spouse agree on all issues raised in the
pe tition 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 staff , or judicial assistant to set a final 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.
Instructions for Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to Petition and
Counterpetition for Dissolution of Marriage with D ependent or Minor Child(ren) (02 /18 )
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 Fo rm 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 staff, 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 Sheriff 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 recei ving 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 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 -repr esented 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 Curr ent 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: Certificate of Service (Gene ral), 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 following:
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 Proced ure Form 12.902(e). (If
Instructions for Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to Petition and
Counterpetition for Dissolution of Marriage with D ependent or Minor Child(ren) (02 /18 )
you do not know your spouse’s income, you may file this worksheet after your spouse’s financial
affidavit 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 circui t 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 Suprem e 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.)
Certificate of Compliance with Mandatory Disclosure , Florida Family Law Rules of Procedure
Form 12.932. (This must be f iled 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
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 o f 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 re view 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 staff, 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 Re sponsibility
Sole Parental Responsibility
Supervised Time -Sharing
No contact
Parenting Plan
Instructions for Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to Petition and
Counterpetition for Dissolution of Marriage with D ependent or Minor Child(ren) (02 /18 )
Parenting Plan Recommendation
Time -Sharing Schedule
Child Support. Both parents are required to provide financial support for their minor or dependent
child (ren ); however, t he court may order one parent to pay child support to the other parent. Florida
has adopted guidelines for determining the amoun t 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 affidavits, you should be able to calculate the amount of child support
that should be paid using the Child Support Guideli nes 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 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 othe r 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 final 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 lu mp sum, or both.
Marital/Non marital Assets and Liabilities. Florida law requires an equitable distribution of marital assets
and marital liabilities . Equi table 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, y ou s hould file a
Parenting Plan , Florida Supreme Court Approved Family Law Form 12.9 95(a) , 12.9 95(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 instruction s 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 Suprem e Court Approved Family Law Form 12.902(f)(1). Both of you must
Instructions for Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to Petition and
Counterpetition for Dissolution of Marriage with D ependent or Minor Child(ren) (02 /18 )
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 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 o r Minor Child(ren)
(Uncontested) , Florida Supreme Court Approved Family Law Form 12.990(b)(1). You should c ontact the
clerk, family law intake staff, 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 c alled 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
for ms 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 12.903(c)(1), Answer to Petition and Counterpetition for
Dissolution of Marriage wit h 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/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 true:
ANSWER TO PETITION
1. I agree with the allegations raised in the following numbered paragraphs in the Petition and,
therefore, admit those allegations: {indicate section and paragraph number} _____________
.
2. I disagree with the allegations raised in the following numbered paragraphs in the Petition and,
therefore, deny those allegations: {indicate section and paragraph number} _____________ _
.
3. I currently am unable to admit or deny the following paragraphs due to lack of information:
{indicate section and paragraph number } _________________________________________
.
COUNTERPETITION FOR DISSOLUTION OF MARRIAGE WITH MINOR CHILD(REN)
1. JURISDICTIO N/RESIDENCE
_____ Counter -Petitioner _____ Counter -Respondent _____ Both has (have) lived in Florida for
at least 6 months before the filing of this Petition for 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 marriage: {month, day, year} _____________________ _______________________
Date of separation: {month, day, year} _____________________ (_____I ndicate if approximate)
Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to Petition and Counterpetition for
Dissolution of Marriage wit h Dependent or Minor Child(ren) (02 /18 )
Place of marriage: {county, state, country} _________________________________
4. DEPENDENT OR MINOR CHILD(REN)
[Indicate all that apply]
a. ___ __Respondent/ Counter -Petitioner is pregnant. Baby is due on: {date} ____
b. _____ Petitioner/ Counter -Respondent is pregnant. Baby is due on: {date} ______________
c. ___ __The minor (under 18) child(ren) common to both parties are:
Name Birth date
_________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
____________________ ______________________________________________________
__________________________________________________________________________
__________________________________________________________________________
d. ___ __The minor child(ren) born or conceived during the marriage who are not common to
both parties are:
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 are:
Name Birth date
______________________________________________________________________________
______________________________________________________________________________
5. A completed Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Affidavit Florida
Sup reme Court Ap proved 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 Affidavit, Florida Family Law Rules of Pr ocedure Form 12.902(b)
or (c) _____ is filed or _____ will be timely filed.
Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to Petition and Counterpetition for
Dissolution of Marriage wit h Dependent or Minor Child(ren) (02 /18 )
8. This counterpetition for dissolution of marriage should be granted because:
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 affidavits, 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 Supre me Court Approved Family Law Form
12.902(f)(1) ).
b. ___ __The Court should determine how the assets and liabilities of this 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
because: ______________________________ _____________________
___________________________________________________________________________
__________________________________________________________ _________________.
SECTION II. SPOUSAL SUPPORT (ALIMONY)
1. Respondent/ Counter -Petitioner forever gives up any right to spousal support (alimony) from the
other spouse .
Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to Petition and Counterpetition for
Dissolution of Marriage wit h Dependent or Minor Child(ren) (02 /18 )
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 a n 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):
3. _____ Other provisions relating to alimony including any tax treatment and consequences:
_______________________________________________________________________________
________________________________________________________________________ ______ .
4. Respondent/ Counter -Petitioner requests life insurance on the other spouse’s life, provided
by that spouse, to secure such support.
SECTION III. PARENTING PLAN ESTABLISHING PARENTAL RESPONSIBILITY AND TIME -SHARING
1. The minor child(re n) currently reside(s) with
_____ Respondent/ Counter -Petitioner
_____ Petitioner/ Counter -Respondent
_____ Other : {explain} ________ ________________________________________________
2. Parental Responsibility. It is in the child(ren) ’s best interests that parental responsibility be:
[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) because:
____________ ____________________________ ________________________________
___________________________________________________________________________
___________________________________________________________________________
_________________________________________________________ __________________ .
Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to Petition and Counterpetition for
Dissolution of Marriage wit h Dependent or Minor Child(ren) (02 /18 )
3. Parenting Plan and Time -Sharing. It is in the best interests of the child(ren) that the family be
ordered to comp ly with a Parenting Plan that _____ includes _____ does not include parental
time -sharing with the c hild(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 -Petit ioner states that it is in the best interests of the
child(ren) that:
[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 follows:
__________________________________________________________________
________________________________________________________________ __
_____________________________________ ______________________________
________________________________________________________________ ___
(_____ Indicate if a separate sheet is attached.)
c. ___ __The court should establish a Parenting Plan with the following provisions for :
{Insert the name of designation of the appropriate parent in the 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 follows:
___________________ ______________________________ __________ ______ _
_____________________________________________ _____________ ________
_____________________________________________ ______________ _______
_________________________________ _________________________ ________
Explain why this request is in the best interests of the child(ren):
___________________________________________________________________
___________________________ ________________________________________
___________________________________________________________________
___________________________________________________________________
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 t o:
a. ___ __ the date of separation {date} ___________
b. ___ __the date of the filing of this petition.
Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to Petition and Counterpetition for
Dissolution of Marriage wit h Dependent or Minor Child(ren) (02 /18 )
c. ___ __other {date} ________________________ {explain} ___________ ______________
________________________________________________________________________
2. Respondent/ Counter -Petitioner requests that the Court award child support to be paid beyond
the age of 18 years because:
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 graduation
before the age of 19.
3. Respondent/ Counter -Petit ioner requests that the Court award a child support amount that is
more than or less than Florida ’s child supp ort 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 by:
[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 paid:
[Choose only one ]
a. ___ __ by Respondent/ Counter -Petit ioner
b. ___ __ by Petitioner/ Counter -Respondent
c. ___ __ by both spouses equally (each spouse pay s 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} :
__________________________________________________________
6. Respondent/ Counter -Petitioner requests that life insurance to secure child support be provided
by:
a. ___ __Respondent/ Counter -Petitioner
b. ___ __ Petitioner/ Counter -Respondent
c. ___ __ Both.
Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to Petition and Counterpetition for
Dissolution of Marriage wit h Dependent or Minor Child(ren) (02 /18 )
SECTION V. OTHER
1. Respondent/ Counter -Petitioner requests to be known by the following former legal name,
which was {former full legal name} :
__________________________ _________________________ _.
2. Other relief {specify} : ____________________________________________________________
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 :
[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. ___ __ adopt ing or establish ing 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:
Name:
Address:
City, State, Zip:
Fax Number:
Designated E-mail Address(es):__________________
__________________________________________
Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to Petition and Counterpetition for
Dissolution of Marriage wit h Dependent or Minor Child(ren) (02 /18 )
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
fines and/or imprisonment.
_____________________________________________
Signature of Respondent/ Counter -Petitioner
Printed Name: _______________________________
Address:
City, State, Zip:
Telephone Number:
Fax Number:
Designated E-mail Address (es) : ____________ _____ __
_____________________________________________
STATE OF FLORIDA
COUNTY OF __________________________
Sworn to or affirmed and signed before me on by .
NOTARY PUBLIC or DEPUTY CLERK
{Print, type, or stamp commi ssioned 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 pr epared for the Respondent/ Counter -Petitioner
This form was completed with the assistance of:
{name of individual }___________________________________ ____________________________ _,
{name of business} ___________________________________ ______________________________ ,
{address } ________________________________ __________________ ,
{city} _____________ ,{state} _____ ,{zip code}__________, {tele phone number } _______________ ____ .
