INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.902(f)(2), MARITAL SETTLEMENT AGREEMENT FOR DISSOLUTION OF MARRIAGE WITH PROPERTY BUT NO DEPENDENT OR MINOR CHILD(REN) When should this form be used? This form should be used when a Petition for Dissolution of Marriage with Property but no Dependent or Minor Child(ren), O‘ Florida Supreme Court Approved Family Law Form 12.901(b)(2), has been filed and the parties have reached an agreement on some or all of the issues at hand. This form should be typed or printed in black ink. Both parties must sign the agreement and have their signatures witnessed by a notary public or deputy clerk. After completing this form, you should file the original with the clerk of the circuit court in the county where the petition was filed and keep a copy for your records. You should then refer to the instructions for your petition, answer, or answer and counterpetition concerning the procedures for setting a hearing or trial (final hearing). 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 the instructions for the petition and/or answer that were filed in this case. Special notes... This form does not act to transfer title to the property. Such transfer must be done by deed or supplemental final judgment. 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, O‘ 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. Instructions for Florida Supreme Court Approved Family Law Form 12.902(f)(2), Marital Settlement Agreement for Dissolution of Marriage with Property but No Dependent or Minor Child(ren) (9/00) 2000 © American LegalNet, Inc. IN THE CIRCUIT COURT OF THE IN AND FOR JUDICIAL CIRCUIT, COUNTY, FLORIDA Case No.: Division: , Petitioner, and , Respondent. MARITAL SETTLEMENT AGREEMENT FOR DISSOLUTION OF MARRIAGE WITH PROPERTY BUT NO DEPENDENT OR MINOR CHILD(REN) We, {Husband’s full legal name} and {Wife’s full legal name} being sworn, certify that the following statements are true: , , 1. We were married to each other on {date} . 2. Because of irreconcilable differences in our marriage (no chance of staying together), we have made this agreement to settle once and for all what we owe to each other and what we can expect to receive from each other. Each of us states that nothing has been held back, that we have honestly included everything we could think of in listing our assets (everything we own and that is owed to us) and our debts (everything we owe), and that we believe the other has been open and honest in writing this agreement. 3. We have both filed a Family Law Financial Affidavit, O” Florida Family Law Rules of Procedure Form 12.902(b) or (c). Because we have voluntarily made full and fair disclosure to each other of all our assets and debts, we waive any further disclosure under rule 12.285, Florida Family Law Rules of Procedure. 4. Each of us agrees to execute and exchange any papers that might be needed to complete this agreement, including deeds, title certificates, etc. SECTION I. MARITAL ASSETS AND LIABILITIES A. Division of Assets. We divide our assets (everything we own and that is owed to us) as follows: Any personal item(s) not listed below is the property of the party currently in possession of the item(s). Wife shall receive as her own and Husband shall have no further rights or responsibilities regarding these assets: 1. Current Fair Market Value ASSETS: DESCRIPTION OF ITEM(S) WIFE SHALL RECEIVE (To avoid confusion at a later date, describe each item as clearly as possible. You do not need to list account numbers. Where applicable, include whether the name on any title/deed/account 9 Cash (on hand) $ 9 Cash (in banks/credit unions) 9 Florida Supreme Court Approved Family Law Form 12.902(f)(2), Marital Settlement Agreement for Dissolution of Marriage with Property but No Dependent or Minor Child(ren) (9/00) 2000 © American LegalNet, Inc. ASSETS: DESCRIPTION OF ITEM(S) WIFE SHALL RECEIVE Current Fair Market Value (To avoid confusion at a later date, describe each item as clearly as possible. You do not need to list account numbers. Where applicable, include whether the name on any title/deed/account 9 Stocks/Bonds 9 9 Notes (money owed to you in writing) 9 9 9 Money owed to you (not evidenced by a note) 9 9 9 Real estate: (Home) 9 (Other) 9 9 Business interests 9 9 Automobiles 9 9 9 Boats 9 Other vehicles 9 9 Retirement plans (Profit Sharing, Pension, IRA, 401(k)s, etc.) 9 9 9 Furniture & furnishings in home 9 9 Furniture & furnishings elsewhere 9 9 Collectibles 9 9 Jewelry 9 9 Life insurance (cash surrender value) 9 9 Sporting and entertainment (T.V., stereo, etc.) equipment 9 9 9 9 Other assets 9 9 Florida Supreme Court Approved Family Law Form 12.902(f)(2), Marital Settlement Agreement for Dissolution of Marriage with Property but No Dependent or Minor Child(ren) (9/00) 2000 © American LegalNet, Inc. Current Fair Market Value ASSETS: DESCRIPTION OF ITEM(S) WIFE SHALL RECEIVE (To avoid confusion at a later date, describe each item as clearly as possible. You do not need to list account numbers. Where applicable, include whether the name on any title/deed/account 9 9 9 9 Total Assets to Wife $ Husband shall receive as his own and Wife shall have no further rights or responsibilities 2. regarding these assets: Current Fair Market Value ASSETS: DESCRIPTION OF ITEM(S) HUSBAND SHALL RECEIVE (To avoid confusion at a later date, describe each item as clearly as possible. You do not need to list account numbers. Where applicable, include whether the name on any title/deed/account described below is wife’s, husband’s or both.) 9 Cash (on hand) $ 9 Cash (in banks/credit unions) 9 9 Stocks/Bonds 9 9 Notes (money owed to you in writing) 9 9 9 Money owed to you (not evidenced by a note) 9 9 9 Real estate: (Home) 9 (Other) 9 9 Business interests 9 9 Automobiles 9 9 9 Boats 9 Other vehicles 9 9 Retirement plans (Profit Sharing, Pension, IRA, 401(k)s, etc.) 9 9 9 Furniture & furnishings in home 9 9 Furniture & furnishings elsewhere 9 Florida Supreme Court Approved Family Law Form 12.902(f)(2), Marital Settlement Agreement for Dissolution of Marriage with Property but No Dependent or Minor Child(ren) (9/00) 2000 © American LegalNet, Inc. Current Fair Market Value ASSETS: DESCRIPTION OF ITEM(S) HUSBAND SHALL RECEIVE (To avoid confusion at a later date, describe each item as clearly as possible. You do not need to list account numbers. Where applicable, include whether the name on any title/deed/account described below is wife’s, husband’s or both.) 9 Collectibles 9 9 Jewelry 9 9 Life insurance (cash surrender value) 9 9 Sporting and entertainment (T.V., stereo, etc.) equipment 9 9 9 9 Other assets 9 9 9 9 Total Assets to Husband $ B. Division of Liabilities/Debts. We divide our liabilities (everything we owe) as follows: Wife shall pay as her own the following and will not at any time ask Husband to pay these debts/bills: 1. LIABILITIES: DESCRIPTION OF DEBT(S) TO BE PAID BY WIFE (To avoid confusion at a later date, describe each item as clearly as possible. You do not need to list account numbers. Where applicable, include whether the name on any mortgage, note, or account described below is wife’s, husband’s, or both.) 9 Mortgages on real estate: (Home) 9 (Other) Current Amount Owed Monthly Payment $ $ 9 9 Charge/credit card accounts 9 9 9 9 9 9 Auto loan 9 Auto loan 9 Bank/credit union loans 9 9 Florida Supreme Court Approved Family Law Form 12.902(f)(2), Marital Settlement Agreement for Dissolution of Marriage with Property but No Dependent or Minor Child(ren) (9/00) 2000 © American LegalNet, Inc. LIABILITIES: DESCRIPTION OF DEBT(S) TO BE PAID BY WIFE (To avoid confusion at a later date, describe each item as clearly as possible. You do not need to list account numbers. Where applicable, include whether the name on any mortgage, note, or account described below is wife’s, husband’s, or both.) Current Amount Owed Monthly Payment 9 9 Money you owe (not evidenced by a note) 9 9 Judgments 9 9 Other 9 9 9 9 Total Debts to Be Paid by Wife $ $ 2. Husband shall pay as his own the following and will not at any time ask Wife to pay these debts/bills: LIABILITIES: DESCRIPTION OF DEBT(S) TO BE PAID BY HUSBAND (To avoid confusion at a later date, describe each item as clearly as possible. You do not need to list account numbers. Where applicable, include whether the name on any mortgage, note or account described below is wife’s, husband’s, or both.) 9 Mortgages on real estate: (Home) 9 (Other) Current Amount Owed Monthly Payment $ $ 9 9 Charge/credit card accounts 9 9 9 9 9 9 Auto loan 9 Auto loan 9 Bank/credit union loans 9 9 9 9 Money you owe (not evidenced by a note) 9 9 Judgments 9 9 Other 9 Florida Supreme Court Approved Family Law Form 12.902(f)(2), Marital Settlement Agreement for Dissolution of Marriage with Property but No Dependent or Minor Child(ren) (9/00) 2000 © American LegalNet, Inc. LIABILITIES: DESCRIPTION OF DEBT(S) TO BE PAID BY HUSBAND (To avoid confusion at a later date, describe each item as clearly as possible. You do not need to list account numbers. Where applicable, include whether the name on any mortgage, note or account described below is wife’s, husband’s, or both.) Current Amount Owed Monthly Payment 9 9 9 Total Debts to Be Paid by Husband $ $ C. Contingent Assets and Liabilities (listed in Section III of our Family Law Financial Affidavits) will be divided as follows: SECTION II. SPOUSAL SUPPORT (ALIMONY) (If you have not agreed on this matter, write “n/a” on the lines provided.) [ / one only] 1. Each of us forever gives up any right to spousal support (alimony) that we may have. 2. ( ) HUSBAND ( ) WIFE agrees to pay spousal support (alimony) in the amount of $ every ( ) week ( ) other week ( ) month, beginning {date} and continuing until {date or event} Explain type of alimony (temporary, permanent, rehabilitative, and/or lump sum) and any other specifics: [ / if applies] ( ) Life insurance in the amount of $ will be provided by the obligor. to secure the above support, SECTION III. OTHER SECTION IV. We have not agreed on the following issues: I certify that I have been open and honest in entering into this settlement agreement. I am satisfied with this agreement and intend to be bound by it. Dated: Florida Supreme Court Approved Family Law Form 12.902(f)(2), Marital Settlement Agreement for Dissolution of Marriage with Property but No Dependent or Minor Child(ren) (9/00) 2000 © American LegalNet, Inc. Signature of Husband Printed Name: Address: City, State, Zip: Telephone Number: Fax Number: STATE OF FLORIDA COUNTY 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 clerk.] Personally known Produced identification Type of identification produced IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW: [ N fill in all blanks] I, {full legal name and trade name of nonlawyer} , , {city} , a nonlawyer, located at {street} {state} , {phone} , helped {Husband’s name} , petitioner or respondent, fill out this form. who is the [ / one only] I certify that I have been open and honest in entering into this settlement agreement. I am satisfied with this agreement and intend to be bound by it. Dated: Signature of Wife Printed Name: Address: City, State, Zip: Telephone Number: Fax Number: STATE OF FLORIDA COUNTY OF Sworn to or affirmed and signed before me on by . NOTARY PUBLIC or DEPUTY CLERK Florida Supreme Court Approved Family Law Form 12.902(f)(2), Marital Settlement Agreement for Dissolution of Marriage with Property but No Dependent or Minor Child(ren) (9/00) 2000 © American LegalNet, Inc. [Print, type, or stamp commissioned name of notary or clerk.] Personally known Produced identification Type of identification produced IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW: [ N fill in all blanks] I, {full legal name and trade name of nonlawyer} , , {city} , a nonlawyer, located at {street} {state} , {phone} , helped {Wife’s name} , petitioner or respondent, fill out this form. who is the [ / one only] Florida Supreme Court Approved Family Law Form 12.902(f)(2), Marital Settlement Agreement for Dissolution of Marriage with Property but No Dependent or Minor Child(ren) (9/00) 2000 © American LegalNet, Inc.