Fill and Sign the Support Dissolution Marriage 497303151 Form

IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT, IN AND FOR COUNTY, FLORIDA Case No.: Division: , Husband, and , Wife. FINAL JUDGMENT FOR SUPPORT UNCONNECTED WITH DISSOLUTION OF MARRIAGE WITH DEPENDENT OR MINOR CHILD(REN) This cause came before this Court on a Petition for Support Unconnected with Dissolution of Marriage under section 61.09, Florida Statutes. The Court, having reviewed the fle and heard the testimony, makes these fndings of fact and reaches these conclusions of law: 1. The Court has jurisdiction over the subject matter and the parties. 2. The following child(ren) are common to the parties: Name Birth date SECTION I. ALIMONY 1. _____The Court denies the request(s) for alimony. OR 2. _____The Court fnds that there is a need for alimony and that _____Husband _____Wife has/had the ability to support his/her spouse and has failed to do so. ____Husband ____Wife(hereinafter Obligor) has the present ability to pay alimony as follows: {Indicate all that apply} a. _____ Permanent Periodic. 1. The court fnds that no other form of alimony is fair and Florida Supreme Court Approved Family Law Form 12.994(a), Final Judgment for Support Unconnected with Dissolution of Marriage with Dependent or Minor Child(ren) (03/15) reasonable under the circumstances of the parties. 2. 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:_________________________________ _______________________________________________________________ _______________________________________________________________. 3. 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. b ._____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 (2) years} , death of either party or remarriage of Obligee. c. _____ 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: ________ _______________________________________________________________________________ Florida Supreme Court Approved Family Law Form 12.994(a), Final Judgment for Support Unconnected with Dissolution of Marriage with Dependent or Minor Child(ren) (03/15) _______________________________________________________________________________ _______________________________________________________________________________. d. __ ___ 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 _____ other: {explain} ______________________________ _ beginning {date} _______________________ and terminating on {date} _________________________, the 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. e._____ Lump Sum. Obligor shall pay lump sum alimony to Obligee in the amount of $_________ which shall be paid as follows:______________________________________________________. f. _____ 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. 3. Reasons for _____ Awarding _____ Denying Alimony. The Court has considered all of the following in awarding/denying alimony: a. The standard of living established during the marriage; b. The duration of the marriage; c. The age and the physical and emotional condition of each party; d. The fnancial resources of each party, including the nonmarital and the marital assets and liabilities distributed to each; e. 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; f. 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; g. The responsibilities each party will have with regard to any minor children they have in common; h. 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; i. All sources of income available to either party, including income available to either party through investments of any asset held by that party; and j. Any other factor necessary to do equity and justice between the parties: {Explain} Florida Supreme Court Approved Family Law Form 12.994(a), Final Judgment for Support Unconnected with Dissolution of Marriage with Dependent or Minor Child(ren) (03/15) ______ Please indicate here if additional pages are attached. 4. Arrearage/Retroactive Alimony. a. _____There is no alimony arrearage at the time of this Final Judgment. OR b. _____ Respondent shall pay to Petitioner the alimony arrearage of: $ for retroactive alimony, as of {date} . $ for previously ordered unpaid alimony, as of {date} . The total of $ in alimony arrearage shall be repaid 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 _____ other {explain} __________________________ beginning {date} __________ , until paid in full including statutory interest. 5. _____ Life Insurance (to secure payment of support). To secure the alimony obligations set forth in this judgment, Obligor shall maintain life insurance 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. 6. _____ Other provisions relating to alimony including any tax treatment and consequences: a. 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 exceptional circumstances:_________________________________________ _______________________________________________________________________ ________________________________________________________________________. b. Other:_________________________________________________________________ _ ________________________________________________________________________ Florida Supreme Court Approved Family Law Form 12.994(a), Final Judgment for Support Unconnected with Dissolution of Marriage with Dependent or Minor Child(ren) (03/15) ________________________________________________________________________ _______________________________________________________________________. SECTION II. CHILD SUPPORT 1. The Court fnds 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), fled by the _____ Mother _____Father are correct OR the Court makes the following fndings: 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 the 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.} ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Florida Supreme Court Approved Family Law Form 12.994(a), Final Judgment for Support Unconnected with Dissolution of Marriage with Dependent or Minor Child(ren) (03/15) . The Obligor shall pay child support until all of the minor or dependent 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 fndings which support that deviation are: . 3. Arrearage/Retroactive Child Support. a. _____ There is no child support arrearage at the time of this Final Judgment. OR b. _____ The _____ Mother _____ Father shall pay to the other party the child support for previously ordered unpaid child support, as of {date} ____________________________. The total of $ __________ of child support arrearage shall be repaid 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 _____ other {explain} __________________ beginning {date} _________ , until paid in full including 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 insurance to the other party. OR _____ Health _____ Dental insurance is either not reasonable in cost or accessible to the children 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. Florida Supreme Court Approved Family Law Form 12.994(a), Final Judgment for Support Unconnected with Dissolution of Marriage with Dependent or Minor Child(ren) (03/15) _____ 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 a 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, in an amount of at least $ , on _____ his life _____ her life _____ his/her life naming the _____ minor child(ren) as the benefciary(ies) OR naming _____ Mother _____ Father _____ other {name} ___________________________________as Trustee for the minor child(ren). 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 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 efectuate the provisions of this paragraph. 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. b. _____ Both parties have requested and the court fnds 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 61.08 or 61.13, Florida Statutes, to require payments through either the State Disbursement Unit or the central depository. Florida Supreme Court Approved Family Law Form 12.994(a), Final Judgment for Support Unconnected with Dissolution of Marriage with Dependent or Minor Child(ren) (03/15) 2. Income Deduction. a. _____ 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. b. _____ 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: 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 modifcation, AND _____ there is an agreement by the Obligor to advise the Title IV-D agency, clerk of court, and 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. 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 the Obligee pursuant to the payment method prescribed above. 4. Other provisions relating to method of payment. _____________________________________ SECTION IV. ATTORNEY’S FEES, COSTS, AND SUIT MONEY 1. _____ Husband’s _____ Wife’s request(s) for attorney’s fees, costs, and suit money is (are) denied because: ________________________________________________________________ . Florida Supreme Court Approved Family Law Form 12.994(a), Final Judgment for Support Unconnected with Dissolution of Marriage with Dependent or Minor Child(ren) (03/15) 2. _____ The Court fnds there is a need for and an ability to pay attorney’s fees, costs, and suit money. _____Husband _____ Wife is hereby ordered to pay to the other party $ _____ 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 V. OTHER PROVISIONS 1. Other Provisions: _______________________________________________________________ . 2. 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 the { name of document(s)} _________________________________________ was ( ) mailed ( ) faxed and mailed ( ) e-mailed ( ) hand-delivered to the parties and any entities listed below on {date} _______________________. by ______________________________________ {clerk of court or designee} _____Husband (or his attorney) Florida Supreme Court Approved Family Law Form 12.994(a), Final Judgment for Support Unconnected with Dissolution of Marriage with Dependent or Minor Child(ren) (03/15) _____Wife (or her attorney) _____Central Depository _____State Disbursement Unit _____Other: Florida Supreme Court Approved Family Law Form 12.994(a), Final Judgment for Support Unconnected with Dissolution of Marriage with Dependent or Minor Child(ren) (03/15)