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IN THE CIRCUIT COURT OF THE IN AND FOR

JUDICIAL CIRCUIT, 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, makes these findings of fact and reaches these conclusions of law: 1. The Court has jurisdiction of the subject matter and the parties. 2. Paternity. [ one only] [ ] 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

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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). [one only] a. ___Not adjudicated. Since no request for relief was made in this action, parental responsibility of the minor child(ren) is governed by sections 742.031 and 744.301, Florida Statutes. b. ___Parenting Plan. The parties shall comply with the Parenting Plan which is attached
Florida Supreme Court Approved Family Law Form 12.983(g), Final Judgment of Paternity (03/09)

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 makes 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. Obligor shall be obligated to pay child support 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} , and continuing until either: ( ) the youngest of the minor child(ren) reaches the age of 18, become(s) emancipated, marries, dies, or otherwise becomes self-supporting ; OR ( ) one of the minor children reaches the age of 18, become(s) emancipated, marries, dies, or otherwise becomes self-supporting and either party files a supplemental petition to modify child support and the court enters such an order; OR ( ) until:{date/event} , {explain} . 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. [if applies] a. ___There is no retroactive child support or arrearage at the time of this Final Judgment. b. ___( ) 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
Florida Supreme Court Approved Family Law Form 12.983(g), Final Judgment of Paternity (03/09)

event at least once a month [ ] other {explain} beginning {date} , _________, until paid in full including statutory interest.

4. Insurance. [all that apply] a. ___ Health/Dental Insurance. [ ] Mother [ ] Father shall be required to maintain: [ ] health and/or [ ] dental insurance coverage for the parties' minor child(ren), so long as reasonably available. The party providing coverage shall be required to convey insurance cards demonstrating said coverage to the other party; OR [ ] health [ ] dental insurance is not reasonably available 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, dies, or otherwise becomes selfsupporting. 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. 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:

Florida Supreme Court Approved Family Law Form 12.983(g), Final Judgment of Paternity (03/09)

1. Central Governmental Depository. [if applies] a. ___Obligor shall pay court-ordered support directly to the Central Governmental Depository in {name} County, along with any depository service charge. 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 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 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 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: 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 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. 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): (1) (2)
Florida Supreme Court Approved Family Law Form 12.983(g), Final Judgment of Paternity (03/09)

(3) __________________________ (4) __________________________ (5)____________________________ (6)___________________________ shall be changed to: (1) (2) (3) (4) (5) (6) by which the minor child(ren) shall hereafter be known. SECTION V. ATTORNEY FEES, COSTS, AND SUIT MONEY 1. [ ] Petitioner's [ ] Respondent's request(s) for attorney fees, costs, and suit money is (are) denied because . 2. ___The Court finds there is a need for and an ability to pay attorney fees, costs, and suit money. [ ] Petitioner [ ] Respondent is hereby ordered to pay to the other party $ in attorney fees, and $ in costs. The Court further finds that the attorney fees awarded are based on the reasonable rate of $ per hour and reasonable hours. Other provisions relating to attorney 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.

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2. The Court reserves jurisdiction to modify and enforce this Final Judgment.

Florida Supreme Court Approved Family Law Form 12.983(g), Final Judgment of Paternity (03/09)

ORDERED on

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CIRCUIT JUDGE COPIES TO: Petitioner (or his or her attorney) Respondent (or his or her attorney) Central Governmental Depository Other: _______________________________________

Florida Supreme Court Approved Family Law Form 12.983(g), Final Judgment of Paternity (03/09)

I CERTIFY the foregoing is a true copy of the original as it appears on file in the office of the Clerk of the Circuit Court of County, Florida, and that I have furnished copies of this order as indicated above. CLERK OF THE CIRCUIT COURT (SEAL) By: Deputy Clerk

Florida Supreme Court Approved Family Law Form 12.983(g), Final Judgment of Paternity (03/09)