Instructions for Florida Family Law Rules of Procedure Form 12.901(a), Petition for Simplified Dissolution of Marriage (9/00) INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM 12.901(a), PETITION FOR SIMPLIFIED DISSOLUTION OF MARRIAGE When should this form be used? This form should be used when a husband and wife are filing for a simplified dissolution of marriage.
You and/or your spouse must have lived in Florida for at least 6 months before filing for a dissolution in
Florida. You may file a simplified dissolution of marriage in Florida if all of the following are true:
You and your spouse agree that the marriage cannot be saved. You and your spouse have no minor or dependent child(ren) together and the wife is not now
pregnant. You and your spouse have worked out how the two of you will divide the things that you both
own (your assets) and who will pay what part of the money you both owe (your liabilities), and
you are both satisfied with this division.
You are not seeking support (alimony) from your spouse, and vice versa. Neither you nor your spouse wish to have any financial information other than that provided in
the financial affidavits. You are willing to give up your right to trial and appeal. You and your spouse are both willing to go into the clerk’s office to sign the petition (not
necessarily together). You and your spouse are both willing to go to the final hearing (at the same time).If you do not meet the criteria above, you must file a regular petition for dissolution of marriage.This petition should be typed or printed in black ink. Each of you must sign the petition in the presence
of a deputy clerk (in the clerk’s office), although you do not have to go into the clerk’s office at the same
time. You will need to provide picture identification (valid driver’s license or official identification card)
for the clerk to witness your signatures. What should I do next? 1. After completing this form, you should file the original with the clerk of the circuit court in the
county where you live and keep a copy for your records. In addition to this petition, you must file the
forms listed below.
Financial Affidavit, Florida Family Law Rules of Procedure Form 12.902(b) or (c). (Each
of you must complete a separate financial affidavit.) Notice of Social Security Number, Florida Supreme Court Approved Family Law Form
12.902(j). (Each of you must complete a separate notice.) Marital Settlement Agreement, Florida Family Law Rules of Procedure Form 12.902(f)(3).
(You will complete one agreement together.)2. You must prove to the court that the husband and/or wife has (have) lived in Florida for more than 6
months before filing the petition for dissolution of marriage. Residence can be proved by: a valid Florida driver’s license, Florida identification card, or voter registration card issued to one
of you at least 6 months prior to filing for dissolution of marriage; or the testimony of another person who knows that either you or your spouse has resided in Florida
for more than 6 months and is available to testify in court; or an affidavit. To prove residence by affidavit, use an Affidavit of Corroborating Witness,
Florida Supreme Court Approved Family Law Form 12.902(i). This form must be signed by a
person who knows that either you or your spouse has lived in Florida for more than 6 months
Instructions for Florida Family Law Rules of Procedure Form 12.901(a), Petition for Simplified Dissolution of Marriage (9/00)before the date that you filed the petition for dissolution of marriage. This affidavit may be
signed in the presence of the clerk of the court or in the presence of a notary public, who must
affix his or her seal at the proper place on the affidavit.
3. You must pay the appropriate filing fees to the clerk of the circuit court. If you and your spouse
cannot afford to pay the filing fees, you may ask the court to waive the filing fees. If requesting a
waiver, you will need to fill out an Affidavit of Indigency , Florida Supreme Court Approved Family
Law Form 12.902(a), and file it with your petition for dissolution of marriage.
4. Either you or the clerk of court will need to complete a civil cover sheet found in Form 1.997 of the
Florida Rules of Civil Procedure. The clerk’s office can provide this form.5. You must obtain a date and time for a court appearance from the clerk of court. On that date, you
and your spouse must appear together before a judge. You should complete a Final Judgment of
Simplified Dissolution of Marriage, Florida Family Law Rules of Procedure Form 12.990(a), and
bring it with you to the hearing. At that time, if all of the papers are in order, the judge may grant a final
judgment dissolving your marriage under simplified dissolution of marriage procedures by signing the
final judgment which you have provided.6. If you fail to complete this procedure, the court may dismiss the case to clear its records. 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 Rule 12.105, Florida Family Law
Rules of Procedure.
Special notes... 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 12.901(a), Petition for Simplified Dissolution of Marriage (9 /00) IN THE CIRCUIT COURT OF THE
JUDICIAL CIRCUIT,
IN AND FOR COUNTY, FLORIDACase No.: ____________________Division: ____________________ , Husband,and , Wife. PETITION FOR SIMPLIFIED DISSOLUTION OF MARRIAGE We, {full legal name}, _____________________________________ Husband, and {full legal name}
___________________________, Wife, being sworn, certify that the following information is true:[fill in all blanks]1.We are both asking the Court for a dissolution of our marriage.2.Husband lives in {name} County, {state} , and
has lived there since {date} . Wife lives in {name} County,
{state} , and has lived there since {date} .3.We were married to each other on {date} in the city of {city}
___________ in state of {state} , or country of {country}
.
4. Our marriage is irretrievably broken.5. Together, we have no minor (under 18) or dependent children and the wife is not pregnant.6. We have made a marital settlement agreement dividing our assets (what we own) and our
liabilities (what we owe). We are satisfied with this agreement. Our marital settlement
agreement, Florida Family Law Rules of Procedure Form 12.902(f)(3), is attached. This
agreement was signed freely and voluntarily by each of us and we intend to be bound by it.7.We have each completed and signed financial affidavits, Florida Family Law Rules of Procedure
Forms 12.902(b) or (c), which are attached to this petition.
8. Completed Notice of Social Security Number forms, Florida Supreme Court Approved Family
Law Form12.902(j), are filed with this petition.9.[check one only] ( ) yes ( ) no Wife wants to be known by her former name, which
was {full legal name}___________________________________ .10.We each certify that we have not been threatened or pressured into signing this petition. We each
understand that the result of signing this petition may be a final judgment ending our marriage
and allowing no further relief.
Florida Family Law Rules of Procedure Form 12.901(a), Petition for Simplified Dissolution of Marriage (9 /00)11.We each understand that we both must come to the hearing to testify about the things we are
asking for in this petition.12. We understand that we each may have legal rights as a result of our marriage and that by signing
this petition we may be giving up those rights.13.We ask the Court to end our marriage and approve our marital settlement agreement.I understand that I am swearing or affirming under oath to the truthfulness of the claims made in
this petition and that the punishment for knowingly making a false statement includes fines and/or
imprisonment.Dated: _____________________________________ Signature of HUSBAND Printed Name: Address: City, State, Zip: Telephone Number: Fax Number: 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
deputy clerk.] Personally known Produced identificationType of identification produced I understand that I am swearing or affirming under oath to the truthfulness of the claims made in
this petition and that the punishment for knowingly making a false statement includes fines and/or
imprisonment.Dated: Signature of WIFE Printed Name: Address: City, State, Zip: Telephone Number: Fax Number: STATE OF FLORIDACOUNTY OF
Florida Family Law Rules of Procedure Form 12.901(a), Petition for Simplified Dissolution of Marriage (9 /00)Sworn to or affirmed and signed before me on by
.
NOTARY PUBLIC or DEPUTY CLERK [Print, type, or stamp commissioned name of notary or
deputy 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]I, {full legal name and trade name of nonlawyer}
,
a nonlawyer, located at {street} , {city}
,
{state} , {phone} , helped {name}
,
[ one only] ( ) Husband ( ) Wife or ( ) both, fill out this form.
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