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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 DISSOLUTION OF MARRIAGE WITH PROPERTY BUT NO DEPENDENT OR MINOR CHILD(REN) This cause came before this Court for a trial on a Petition for Dissolution of Marriage. The Court, having reviewed the file and heard the testimony, makes these findings of fact and reaches these conclusions of law: 1. 2. 3. 4. The Court has jurisdiction over the subject matter and the parties. At least one party has been a resident of the State of Florida for more than 6 months immediately before filing the Petition for Dissolution of Marriage. The parties have no minor children in common, and the wife is not pregnant. The marriage between the parties is irretrievably broken. Therefore, the marriage between the parties is dissolved and the parties are restored to the status of being single.

SECTION I. MARITAL ASSETS AND LIABILITIES A. Date of Valuation of Property. The assets and liabilities listed below are divided as indicated. The date of valuation of these assets and liabilities is, unless otherwise indicated: a. date of filing petition for dissolution of marriage . b. date of separation . c. date of divorce trial . B. 1. Division of Assets. The assets listed below are nonmarital assets. Each party shall keep, as his or her own, the assets found to be nonmarital, and the other party shall have no further rights or responsibilities regarding these assets.
ASSETS: DESCRIPTION OF ITEM(S) (Describe each item as clearly as possible. You do not need to list account numbers.) Current Fair Market Value Husband's Wife's Nonmarita Nonmarita l l Property Property

$

$

$

Florida Supreme Court Approved Family Law Form 12.990(c)(2), Final Judgment of Dissolution of Marriage with Property but No Dependent or Minor Child(ren) (9/00)

ASSETS: DESCRIPTION OF ITEM(S) (Describe each item as clearly as possible. You do not need to list account numbers.)

Current Fair Market Value

Wife's Husband's Nonmarita Nonmarita l l Property Property

$ $ $ Total Nonmarital Assets 2. The assets listed below are marital assets. Each party shall keep, as his or her own, the assets awarded in this section, and the other party shall have no further rights or responsibilities regarding these assets. Any personal item(s) not listed below are awarded to the party currently in possession or control of the item(s).
ASSETS: DESCRIPTION OF ITEM(S) (Describe each item as clearly as possible. You do not need to list account numbers. ) Current Fair Market Value Husband Shall Receive

Wife Shall Receive

Cash (on hand or in banks/credit unions)

$

$

$

Stocks/bonds Notes

Business interests
Real estate: (Home) Automobiles

Boats Furniture & furnishings

Jewelry Life insurance (cash surrender value) Retirement Plans (Profit sharing, Pension, IRA, 401(k)s, etc.) Other assets

Florida Supreme Court Approved Family Law Form 12.990(c)(2), Final Judgment of Dissolution of Marriage with Property but No Dependent or Minor Child(ren) (9/00)

ASSETS: DESCRIPTION OF ITEM(S) (Describe each item as clearly as possible. You do not need to list account numbers. )

Current Fair Market Value

Wife Shall Receive

Husband Shall Receive

Total Marital Assets Division of Liabilities/Debts. C. 1.

$

$

$

The liabilities listed below are nonmarital liabilities and, therefore, are owed as indicated. Each party shall owe, as his or her own, the liabilities found to be nonmarital, and the other party shall have no responsibilities regarding these debts.
Wife's Nonmarita l Liability Husband's Nonmarit al Liability

LIABILITIES: DESCRIPTION OF DEBT(S) (Describe each item as clearly as possible. You do not need to list account numbers.)

Current Amount Owed

$

$

$

Total Nonmarital Liabilities 2.

$

$

$

The liabilities listed below are marital liabilities and are divided as indicated. Each party shall hold the other party harmless and pay, as his or her own, the marital liabilities awarded below.
LIABILITIES: DESCRIPTION OF DEBT(S) (Describe each item as clearly as possible. You do not need to list account numbers.) Current Amount Owed

Wife Shall Pay

Husband Shall Pay

Mortgages on real estate: (Home) (Other)

$

$

$

Charge/credit card accounts

Auto loan Auto loan
Florida Supreme Court Approved Family Law Form 12.990(c)(2), Final Judgment of Dissolution of Marriage with Property but No Dependent or Minor Child(ren) (9/00)

LIABILITIES: DESCRIPTION OF DEBT(S) (Describe each item as clearly as possible. You do not need to list account numbers.)

Current Amount Owed

Wife Shall Pay

Husband Shall Pay

Bank/Credit Union loans

Other

Total Marital Liabilities Contingent assets and liabilities will be divided as follows: D.

$

$

$

E.

The distribution of assets and liabilities in this final judgment is equitable; if each party does not receive approximately one-half, the distribution is based on the following facts and reasoning:

SECTION II. EXCLUSIVE USE AND POSSESSION OF HOME [ / all that apply] 1. ( ) Petitioner ( ) Respondent, as a condition of support, shall have exclusive use and possession until of the dwelling located at: {date or event} . 2. ( ) Petitioner ( ) Respondent may make visits to the premises described in the paragraph above for the purpose of obtaining any items awarded in this Final Judgment. These visits shall occur after notice to the person granted exclusive use and possession of the dwelling and at the earliest convenience of both parties or as ordered in paragraph 4 below. 3. Upon the termination of the right of exclusive use and possession, the dwelling shall be sold and the net proceeds divided % to Petitioner and % to Respondent, with the following credits and/or setoffs being allowed:

4. Other:

Florida Supreme Court Approved Family Law Form 12.990(c)(2), Final Judgment of Dissolution of Marriage with Property but No Dependent or Minor Child(ren) (9/00)

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

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 ( ) other {explain} beginning {date} . This rehabilitative alimony shall continue until modified by court order, the death of either party or until {date/event} , whichever occurs first. The rehabilitative plan presented demonstrated the following:

d. Retroactive. Obligor shall pay retroactive alimony in the amount of $ for the period of {date} , through {date} , which shall be paid pursuant to paragraph 3 below. 2. 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 financial resources of each party, the nonmarital and the marital assets and liabilities distributed to each; e. 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; and f. All sources of income available to either party. Additionally, the Court has considered the following factors in reaching its decision:

9 Check here if additional pages are attached. Arrearage/Retroactive Alimony. 3. [ / one only]
Florida Supreme Court Approved Family Law Form 12.990(c)(2), Final Judgment of Dissolution of Marriage with Property but No Dependent or Minor Child(ren) (9/00)

a. There is no alimony arrearage at the time of this Final Judgment. b. The ( ) Petitioner ( ) Respondent shall pay to the other party 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.

Insurance. 4. [ / all that apply] a. Health Insurance. ( ) Petitioner ( ) Respondent shall be required to pay health insurance per month. Further, ( ) Petitioner ( ) premiums for the other party not to exceed $ Respondent shall pay any reasonable and necessary uninsured medical costs for the other party not per year. As to these uninsured medical expenses, the party who is to exceed $ 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 alimony obligations set forth in this judgment, Obligor shall maintain life insurance coverage on his/her life naming Obligee as the sole irrevocable beneficiary, so long as reasonably available. This insurance shall be in the amount of at least $ and shall remain in effect until the obligation for alimony terminates. 5. Other provisions relating to alimony:

. SECTION IV. METHOD OF PAYMENT Obligor shall pay court-ordered alimony and arrears, if any, as follows: Central Governmental Depository. 1. [ / 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 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. Income Deduction. 2. [ / 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
Florida Supreme Court Approved Family Law Form 12.990(c)(2), Final Judgment of Dissolution of Marriage with Property but No Dependent or Minor Child(ren) (9/00)

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 , or, if not specified, an amount equal to one month's obligation occurs. Income of $ deduction is not being implemented immediately based on the following findings: There are no minor or dependent 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. % ( ) No income paid in the form of a Bonus/one-time payments. ( ) All ( ) 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 payment.

4.

SECTION V. ATTORNEY FEES, COSTS, AND SUIT MONEY 1. ( ) Petitioner's ( denied because ) Respondent's request(s) for attorney fees, costs, and suit money is (are) .

2. The Court finds there is a need for and an ability to pay attorney fees, costs, and suit money. ( ) in attorney fees, Petitioner ( ) Respondent is hereby ordered to pay to the other party $ in costs. The Court further finds that the attorney fees awarded are based on the and $ reasonable hours. Other provisions relating per hour and reasonable rate of $ to attorney fees, costs, and suit money are as follows:

SECTION VI. OTHER PROVISIONS 1. Former Name. The wife's former name of {full name} is restored. 2. Other Provisions.

3.

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

Florida Supreme Court Approved Family Law Form 12.990(c)(2), Final Judgment of Dissolution of Marriage with Property but No Dependent or Minor Child(ren) (9/00)

ORDERED on

.

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 12.990(c)(2), Final Judgment of Dissolution of Marriage with Property but No Dependent or Minor Child(ren) (9/00)