IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,
IN AND FOR COUNTY, FLORIDA
Case No.:
Division:
,
Petitioner,
and
,
Respondent.
FINAL JUDGMENT OF PATERNITY
This cause came before the Court upon a Petition to Determine Paternity and for
Related Relief, under chapter 742, Florida Statutes. The Court having reviewed the
file and having heard the testimony, maees these findings of fact and reaches these
conclusions of law:
1. The Court has jurisdiction of the subject matter and the parties.
2. Paternity. {Choose only one } _____ By operation of law, _____ The Court
finds that
{full legal name} ,
is the natural and biological father of the minor child(ren), listed below:
The parties’ dependent or minor child(ren) is (are):
Name Birth date
SECTION I. PARENTAL RESPONSIBILITY AND PARENTING PLAN
ESTABLISHING TIME-SHARING WITH DEPENDENT OR MINOR CHILD(REN)
1. Jurisdiction. The Court has jurisdiction to determine parental responsibility
and to adopt or establish a Parenting Plan with time-sharing with regard to
the child(ren) listed in paragraph 2 above.
2. Parental Responsibility and Parenting Plan for the Minor Child(ren).
{Choose only one }
a. _____ Not adjudicated. Since no request for relief was made in this
action, parental responsibility of and time-sharing with the minor
Florida Supreme Court Approved Family Law Form 12.983(g), Final Judgment of Paternity
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child(ren) is governed by sections 742.031 and 744.301, Florida Statutes.
Florida Supreme Court Approved Family Law Form 12.983(g), Final Judgment of Paternity
(03/15)
b. _____ Parenting Plan . The parties shall comply with the Parenting Plan
which is attached hereto and incorporated herein as Exhibit _____.
SECTION II. CHILD SUPPORT
1. The Court finds that there is a need for child support and that the _____
Mother _____ Father (hereinafter Obligor) has the present ability to pay child
support. The amounts in the Child Support Guidelines Worksheet , Florida
Family Law Rules of Procedure Form 12.902(e), filed by the _____ Mother _____
Father are correct OR the Court maees the following findings:
The Mother’s net monthly income is $ , (Child Support
Guidelines ____ %).
The Father’s net monthly income is $ , (Child Support
Guidelines _ ___ %).
Monthly child care costs are $ .
Monthly health/dental insurance costs are $ .
2. Amount.
Child support established at the rate of $___________ per month for the
_______children {total number of parties’ minor or dependent children} shall
be paid commencing _________________ {month, day, year} and terminating
____________________________ {month, day, year}. Child support shall be paid
in the amount of $___________ per _____ ______ {week, month, other} which is
consistent with the Obligor’s current payroll cycle.
Upon the termination of the obligation of child support for one of the parties’
children, child support in the amount of $__________for the remaining
_____children {total number of remaining children} shall be paid commencing
__________________________ {month, day, year} and
terminating____________________________ {month, day, year}. This child support
shall be paid in the amount of $__________ per ___________ {week, month,
other} consistent with Obligor’s current payroll cycle.
{Insert schedule for the child support obligation, including the
amount, and commencement and termination dates, for the
remaining minor or dependent children, which shall be payable as
the obligation for each child ceases. Please indicate whether the
schedule ____appears below or ____ is attached as part of this form.}
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
The Obligor shall pay child support until all of the minor or dependent
Florida Supreme Court Approved Family Law Form 12.983(g), Final Judgment of Paternity
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children: reach the age of 18; become emancipated, marry, join the armed
services, die, or become self-supporting; or until further order of the court or
agreement of the parties. The child support obligation shall continue beyond
the age of 18 and until high school graduation for any child who is dependent
in fact, between the ages of 18 and 19, and is still in high school, performing
in good faith with a reasonable expectation of graduation before the age of
19.
If the child support ordered deviates from the guidelines by more than 5%,
the factual findings which support that deviation are:
3. Arrearage/Retroactive Child Support.
a. ____There is no retroactive child support or arrearage at the time of this
Final Judgment.
b. ____ The _____ Mother _____ Father _____ both has (have) incurred medical
expenses in the amount of $ on behalf of the minor child(ren),
including hospital and other expenses incidental to the birth of the minor
child(ren). Petitioner shall pay ___ %, Respondent shall pay __ %,
which shall be paid as follows: _____ added to arrearage in paragraph c
below _____ other {explain}
_________________________________________________________________________
__________________________________________________________________________
c. ____The _____Mother _____ Father shall pay to the other party the child
support arrearage of:
$________ for retroactive child support, as of
{date} ______________________________.
$ for previously ordered unpaid child support, as of {date}
_________________.
$ for previously incurred medical expenses.
The total of $ in child support arrearage shall be repaid at the
rate of $_____
per month, payable ( ) in accordance with Obligor’s employer’s payroll
cycle, and in any event at least once a month ( ) other {explain}
___________________________________
___________________________________________________________________________
,
beginning {date} ________________________, until paid in full including
Florida Supreme Court Approved Family Law Form 12.983(g), Final Judgment of Paternity
(03/15)
statutory interest.
4. Insurance.
{Indicate all that apply}
a. _____ Health/Dental Insurance. ____ Mother _____ Father shall be
required to maintain:
_____ health and/or _____ dental insurance for the parties’ minor
child(ren), so long as it is reasonable in cost and accessible to the
child(ren). The party providing insurance shall be required to convey
insurance cards demonstrating said coverage to the other party;
OR
_____ health _____ dental insurance is not reasonable in cost or
accessible to the child(ren) at this time.
b. _____ Reasonable and necessary uninsured
medical/dental/prescription drug costs for the minor child(ren) shall
be assessed as follows:
_____ Shared equally by both parents.
_____ Prorated according to the child support guideline percentages.
_____ Other {explain} :
_______________________________________________________
__________________________________________________________________________
As to these uninsured medical/dental/prescription drug expenses, the
party who incurs the expense shall submit request for reimbursement to
the other party within 30 days, and the other party, within 30 days of
receipt, shall submit the applicable reimbursement for that expense,
according to the schedule of reimbursement set out in this paragraph.
5. _____Life Insurance (to secure payment of support). To secure the child
support obligations in this judgment, _____ Mother _____ Father _____ each
party shall maintain life insurance coverage, in an amount of at least $
_ , on _____ his life _____ her life _____ his/her life naming the _____ minor
child(ren) as the beneficiary(ies) OR naming the _____ Mother _____Father
_____other {name} _________________________________________ as Trustee for
the minor child(ren), so long as reasonably available. The obligation to
maintain the life insurance coverage shall continue until the youngest child
turns 18, becomes emancipated, marries, joins the armed services, dies, or
otherwise becomes self-supporting.
6. _____IRS Income Tax Exemption(s). The assignment of any tax
exemption(s) for the child(ren) shall be as follows:
______________________________________________________________________________
.
Further, each party shall execute any and all IRS forms necessary to
effectuate the provisions of this paragraph.
Florida Supreme Court Approved Family Law Form 12.983(g), Final Judgment of Paternity
(03/15)
7. Other provisions relating to child support:
___________________________________________
SECTION III. METHOD OF PAYMENT
Obligor shall pay court-ordered child support/alimony and arrears, if any, as follows:
1. Place of Payment
a. ____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.
OR
b. ____Both parties have requested and the court finds that it is in the best
interests of the child(ren) that support payments need not be directed
through either the State Disbursement Unit or the central depository 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.
2. Income Deduction.
a. ____ Immediate. Obligor shall pay through income deduction, pursuant to
a separate Income Deduction Order which shall be effective 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 paychece, Obligor is responsible
for maeing timely payments directly to the State Disbursement Unit or the
Obligee, as previously set forth in this order.
b. ____ Deferred. Income deduction is ordered this day, but it shall not be
effective until a delinquency of $ , or, if not specified, an amount
equal to one month’s obligation occurs. Income deduction is not being
implemented immediately based on the following findings: Income
deduction is not in the best interests of the child(ren) because: {explain}
,
AND
there is proof of timely payment of a previously ordered obligation without
an income deduction order in cases of modification,
AND
_____ there is an agreement by the Obligor to advise the Title IV-D agency,
the clere of court, and the Obligee of any change in Payor and/or health
insurance
Florida Supreme Court Approved Family Law Form 12.983(g), Final Judgment of Paternity
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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 .
3. 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.
4. Other provisions relating to method of payment.
________________________________
.
SECTION IV. CHILD(REN)’S NAME(S)
a. _____There shall be no change to the child(ren)’s name(s).
b. _____It is in the child(ren)’s best interests that
the child(ren)’s present name(s): shall be changed to
the following:
(1) _______________________________ (1) ______________________________
(2) ________________________________ (2) _______________________________
(3) ________________________________ (3) _______________________________
(4) ________________________________ (4) _______________________________
(5) ________________________________ (5) _______________________________
(6) ________________________________ (6) _______________________________
by which they shall hereafter be enown
c. The name change is in the best interest(s) of the child(ren)
because:__________________
________________________________________________________________________
_________________________________________________________________________.
SECTION V. ATTORNEY’S FEES, COSTS, AND SUIT MONEY
1. _____ Petitioner’s _____ Respondent’s request(s) for attorney’s fees, costs, and
suit money is (are) denied because
.
2. ____The Court finds there is a need for and an ability to pay attorney’s fees,
Florida Supreme Court Approved Family Law Form 12.983(g), Final Judgment of Paternity
(03/15)
costs, and suit money. _____ Petitioner _____ Respondent is hereby ordered to
pay to the other party $ __ in attorney’s fees, and $ ____ in
costs. The Court further finds 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:___________________________________________________________________
______________________
.
3. The costs of the scientific paternity testing shall be assessed:
_____ against Petitioner
_____ against Respondent
_____ Other {explain} .
SECTION VI. OTHER PROVISIONS
1. Other Provisions.
The Court reserves jurisdiction to modify and enforce this Final Judgment.
DONE AND ORDERED at _____________________, Florida, on
.
CIRCUIT JUDGE
I CERTIFY that a copy of this {name of
document}__________________________________________ was ( ) mailed ( ) faxed
and mailed ( ) e-mailed ( ) hand-delivered to the parties or entities listed below
on {date} ____________________________.
Florida Supreme Court Approved Family Law Form 12.983(g), Final Judgment of Paternity
(03/15)
(SEAL)
By:
{Clerk of court or designee}
Petitioner (or his or her attorney)
Respondent (or his or her attorney)
Central depository
State Disbursement Unit
_ Other: _______________________________________
Florida Supreme Court Approved Family Law Form 12.983(g), Final Judgment of Paternity
(03/15)