Florida Supreme Court Approved Family Law Form 12903

Answer to Petition and Counterpetition for Dissolution of Marriage with No Dependent or Minor Child(ren) or Property

IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,

IN AND FOR COUNTY, FLORIDA

In re: The Marriage of:

Petitioner/Counter-Respondent,

and

Respondent/Counter-Petitioner

ANSWER TO PETITION AND COUNTERPETITION FOR DISSOLUTION OF MARRIAGE WITH NO DEPENDENT OR MINOR CHILD(REN) OR PROPERTY

I, , Respondent/Counter-Petitioner, being sworn, certify that the following information is true:

ANSWER TO PETITION

1. I agree with Petitioner as to the allegations raised in the following numbered paragraphs in the Petition and, therefore, admit those allegations:

2. I disagree with Petitioner as to the allegations raised in the following numbered paragraphs in the Petition and, therefore, deny those allegations:

3. I currently am unable to admit or deny the following paragraphs due to lack of information:

COUNTERPETITION FOR DISSOLUTION OF MARRIAGE WITH NO DEPENDENT OR MINOR CHILD(REN) OR PROPERTY

1. JURISDICTION/RESIDENCE

Respondent/Counter-Petitioner 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:

Place of marriage:

Date of separation: Indicate if approximate

4. THERE ARE NO MINOR (under 18) OR DEPENDENT CHILD(REN) COMMON TO BOTH PARTIES AND NEITHER SPOUSE IS PREGNANT.

5. A completed Notice of Social Security Number, Florida Supreme Court Approved Family Law Form 12.902(j), is filed with this counterpetition.

6. 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 before the filing of this counterpetition. A copy of the Judgment of Incapacity is attached.

7. THERE ARE NO MARITAL ASSETS OR LIABILITIES.

8. RESPONDENT/COUNTER-PETITIONER FOREVER GIVES UP ANY RIGHTS TO SPOUSAL SUPPORT (ALIMONY) FROM PETITIONER/COUNTER-RESPONDENT.

9. Respondent/Counter-Petitioner wants to be known by the former legal name, which was

10. Other relief (specify):

REQUEST

This section summarizes what you are asking the Court to include in the final judgment of dissolution of marriage.

Respondent/Counter-Petitioner requests that the Court enter an order dissolving the marriage and:

1. restoring Respondent/Counter-Petitioner’s former name as specified in paragraph 9 of this petition;

2. awarding other relief as specified in paragraph 10 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

Petitioner/Counter-Respondent or his/her attorney:

Name:

Address:

City, State, Zip:

Fax Number:

Designated E-mail Address(es):

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.

STATE OF FLORIDA

COUNTY OF

Sworn to or affirmed and signed before me on by

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 of:

Name of individual:

Name of business:

Address:

City: State: Zip code: Telephone number: