IN THE CIRCUIT COURT OF THE IN AND FOR JUDICIAL CIRCUIT, COUNTY, FLORIDA Case No.: Division: , Petitioner, and , Respondent. ORDER DISESTABLISHING PATERNITY AND/OR TERMINATING CHILD SUPPORT OBLIGATION This cause came before the court on {date} name} on {full legal 's petition to {Indicate all that apply} __ Disestablish paternity to {child(ren)'s names and birth date(s)} __ Terminate a child support obligation for {child(ren)'s names and birth date(s)} The court having been fully advised in the premises FINDS all of the following: 1. Newly discovered evidence relating to the paternity of the child(ren) has come to the petitioner's knowledge since the initial _____ paternity determination ____ establishment of a child support obligation. 2. Scientific tests that are generally acceptable within the scientific community to show a probability of paternity showing that the petitioner cannot be the father of the children were properly conducted. 3. The petitioner {Choose only one} __ is current on all child support payments for the child(ren). __ has substantially complied with his child support obligation for the applicable child(ren) and any delinquency in his child support obligation arose from his inability for just cause to pay the delinquent child support when it became due. 4. The petitioner has not adopted the child. Florida Supreme Court Approved Family Law Form 12.951(b), Order Disestablishing Paternity and/or Terminating Child Support Obligation (03/15) American LegalNet, Inc. www.FormsWorkFlow.com 5. The child(ren) was/were not conceived by artificial insemination while the petitioner and the child(ren)'s mother were married. 6. The petitioner did not act to prevent the biological father of the child(ren) from asserting his paternal rights with respect to the child(ren). 7. The child(ren) was/were younger than 18 years of age when the petition was filed. 8. Since learning that he is not the biological father of the child(ren), the petitioner has not a. married the mother of the child(ren) while known as the reputed father in accordance with section 742.091, Florida Statutes, and voluntarily assumed the parental obligation and duty to pay child support; b. acknowledged paternity in a sworn statement; c. consented to be named as the child(ren)'s biological father on the child(ren)'s birth certificate(s); d. voluntarily promised in writing to support the child(ren) and was required to support the child(ren) based on that promise; e. received written notice from any state agency or any court directing him to submit to scientific testing which he disregarded; or f. signed a voluntary acknowledgment of paternity as provided by section 742.10(4), Florida Statutes. It is therefore ORDERED AND ADJUDGED: {Indicate all that apply} __ Petitioner's, {name} of child(ren)} __ Petitioner's, {name} obligation to {name(s) of child(ren)} terminated. paternity of {name(s) ____is disestablished. child support is DONE AND ORDERED ON in _________________________, Florida CIRCUIT JUDGE Florida Supreme Court Approved Family Law Form 12.951(b), Order Disestablishing Paternity and/or Terminating Child Support Obligation (03/15) American LegalNet, Inc. www.FormsWorkFlow.com I certify that a copy of the Order Disestablishing Paternity and/or Terminating Child Support Obligation was ( ) mailed ( ) faxed and mailed ( ) e-mailed ( ) hand-delivered to the parties and any entities listed below on {date} ____________________________. _____________________________________ Clerk of court, designee, or Judicial Assistant Petitioner Respondent Department of Revenue Department of Health, Office of Vital Statistics Court depositor/State Disbursement Unit Other Florida Supreme Court Approved Family Law Form 12.951(b), Order Disestablishing Paternity and/or Terminating Child Support Obligation (03/15) American LegalNet, Inc. www.FormsWorkFlow.com