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IN THE CIRCUIT COURT OF THE IN AND FOR

JUDICIAL CIRCUIT, COUNTY, FLORIDA Case No.: Division:

, Petitioner, and , Respondent. TEMPORARY SUPPORT ORDER WITH NO DEPENDENT OR MINOR CHILD(REN) This cause came before this Court for a hearing on a Motion for Temporary Support with No Dependent or Minor Child(ren). The Court, having reviewed the file and heard the testimony, makes these findings of fact and ORDERS as follows: The Court has jurisdiction over the subject matter and the parties. SECTION I. MARITAL ASSETS AND LIABILITIES A. Injunction. 1. ( ) Petitioner ( ) Respondent is (are) prohibited and enjoined from disposing of any marital assets without the written permission of the other party or a court order. If checked here ( ), the person(s) prohibited and enjoined from disposing of any marital assets may continue to pay all ordinary and usual expenses. 2. The Court may enforce compliance with the terms of this injunction through civil and/or indirect criminal contempt proceedings, which may include arrest, incarceration, and/or the imposition of a fine. 3. 4. $ Violation of this injunction may constitute criminal contempt of court. Bond. This order is conditioned upon ( ) Petitioner ( with the clerk of this Court. ) Respondent posting bond in the sum of

B. Temporary Use of Assets. 1. The assets listed below are temporarily determined to be marital assets. Each party shall temporarily have the use of, as his/her own, the assets awarded in this section, and the other party shall temporarily have no further use of said assets. Any personal property not listed below shall be for the use of party currently in possession of that item(s), and he or she may not dispose of that item(s) without the written permission of the other party or a court order.
ASSETS: DESCRIPTION OF ITEM(S) Wife Shall Have Temporary Use Husband Shall Have Temporary Use

Automobiles

Furniture & furnishings in home

Florida Supreme Court Approved Family Law Form 12.947(d), Temporary Support Order With No Dependent or Minor Child(ren) (9/00)

ASSETS: DESCRIPTION OF ITEM(S)

Wife Shall Have Temporary Use

Husband Shall Have Temporary Use

Furniture & furnishings elsewhere

Jewelry Business interests Other Assets

C. Temporary Responsibility for Liabilities/Debts. The liabilities listed below are temporarily determined to be marital. Each party shall pay as his or 1. her own the marital liabilities indicated below and shall keep said payments current. The other party shall temporarily have no further responsibility for the payment of these debts.
LIABILITIES: DESCRIPTION OF DEBT(S) Current Amount Owed Wife Shall Pay Husband Shall Pay

Mortgages on real estate: (home)

$

$

$

Charge/credit card accounts

Auto loan Auto loan Bank/Credit Union loans

Money owed (not evidenced by a note) Other

Florida Supreme Court Approved Family Law Form 12.947(d), Temporary Support Order With No Dependent or Minor Child(ren) (9/00)

SECTION II. TEMPORARY EXCLUSIVE USE AND POSSESSION OF HOME [ / all that apply] 1. ( ) Petitioner ( ) Respondent shall have temporary exclusive use and possession of the dwelling located at: {address} until {date or event} . 2. ( ) Petitioner ( ) Respondent may make a visit to the premises described in the paragraph above for the purpose of obtaining his or her clothing and items of personal health and hygiene and to obtain any items awarded in this order. This visit shall occur after notice to the person granted temporary exclusive use and possession of the dwelling and at the earliest convenience of both parties. 3. Other:

SECTION III. TEMPORARY ALIMONY ( ) The Court denies the request(s) for temporary alimony. OR ( ) The Court finds that there is a need for, and that ( ) Petitioner ( ) Respondent, hereinafter Obligor, has/had the present ability to pay, temporary alimony as follows: [ / all that apply] a. Temporary Periodic. Obligor shall pay temporary 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 ( ) other {explain} , . This temporary periodic alimony shall continue until modified by court beginning {date} , order, the death of either party, or until, {date/event} whichever occurs first. b. Lump Sum. Obligor shall pay temporary lump sum alimony to Obligee in the amount of . This amount shall be paid as follows: $ 1. c. Rehabilitative. Obligor shall pay temporary 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 ( ) other {explain} beginning {date} . This temporary rehabilitative alimony shall continue until , modified by court order, the death of either party or until {date/event} whichever occurs first. The temporary rehabilitative plan presented demonstrated the following:

. d. Retroactive. Obligor shall pay retroactive alimony in the amount of $ for the period through {date} , which shall be paid pursuant to paragraph of {date} 3 below. 2. Reasons for Awarding/Denying Temporary Alimony Award. The reasons for awarding/denying

Florida Supreme Court Approved Family Law Form 12.947(d), Temporary Support Order With No Dependent or Minor Child(ren) (9/00)

temporary alimony are as follows: a. length of the marriage of the party receiving temporary alimony: b. age of party receiving temporary alimony: ; c. health of party receiving temporary alimony: ( ) excellent ( ) good ( other d. other factors

years; ) poor ( ) ;

9 Check here if additional pages are attached. 3. Retroactive Alimony. ( ) Petitioner ( ) Respondent shall pay to the other party the temporary , as of {date} . This amount shall be paid in the retroactive alimony of $ 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} , , until paid in full including statutory interest. beginning {date}

4. Insurance. [ / all that apply] a. Health Insurance. ( ) Petitioner ( ) Respondent shall temporarily be required to pay health insurance premiums for the other party not to exceed $ per month. Further, ( ) Petitioner ( ) Respondent shall pay any uninsured medical costs for the other party not exceed per year. As to these uninsured medical expenses, the party who is entitled to $ reimbursement of the uninsured medical expense shall submit request for reimbursement to the other party within 30 days, and the other party shall, within 30 days after receipt, submit the applicable reimbursement for that expense. b. Life Insurance (to secure payment of support). To secure the temporary alimony obligations set forth in this order, the Obligor shall temporarily maintain life insurance coverage on his/her life naming the Obligee as the sole irrevocable beneficiary, so long as reasonably available. This and shall remain in effect until temporary insurance shall be in the amount of at least $ this temporary obligation for alimony terminates. 5. Other provisions relating to temporary alimony:

SECTION IV. METHOD OF PAYMENT Obligor shall pay any temporary court-ordered alimony and arrears, if any, as follows: Central Governmental Depository. 1. [ / if applies] a. Obligor shall pay temporary court-ordered support directly to the Central Governmental County, along with any depository service charge. Depository in {name} b. Both parties have requested and the court finds that it is in the best interests that temporary support payments need not be directed through the Central Governmental Depository. However, either party may subsequently apply to the depository pursuant to section 61.13(1)(d)3, Florida Statutes, to require payments through the Central Governmental Depository. 2. Income Deduction. [ / if applies] 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
Florida Supreme Court Approved Family Law Form 12.947(d), Temporary Support Order With No Dependent or Minor Child(ren) (9/00)

this temporary 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 Central Governmental Depository 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: there are no minor child(ren) common to the parties, 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 central governmental depository of any change in payor and health insurance OR ( ) there is a signed written agreement providing an alternative arrangement between the Obligor and the Obligee. 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. Other provisions relating to method of temporary payment:

4.

SECTION V. TEMPORARY ATTORNEY FEES, COSTS, AND SUIT MONEY 1. ( ) Petitioner's ( ) Respondent's request(s) for temporary attorney fees, costs, and suit money is (are) denied because . 2. The Court finds there is a need for and an ability to pay temporary attorney fees, costs, and suit money. ( ) Petitioner ( ) Respondent is hereby ordered to pay to the other party $ in temporary attorney fees, and $ in costs. The Court further finds that the temporary per hour and attorney fees awarded are based on the reasonable rate of $ reasonable hours. Other provisions relating to temporary attorney fees, costs, and suit money are as follows:

SECTION VI. OTHER PROVISIONS Other Provisions:

ORDERED on {date}

, at {time}

.

CIRCUIT JUDGE COPIES TO:
Florida Supreme Court Approved Family Law Form 12.947(d), Temporary Support Order With No Dependent or Minor Child(ren) (9/00)

Petitioner (or his or her attorney) Respondent (or his or her attorney) Central Governmental Depository Other:

Florida Supreme Court Approved Family Law Form 12.947(d), Temporary Support Order With No Dependent or Minor Child(ren) (9/00)