Fillable Printable Marital Settlement Agreement for Simplified Dissolution of Marriage - Florida

Marital Settlement Agreement for Simplified Dissolution of Marriage - Florida

Instructions for Florida Family Law Rules of Procedure Form 12.902(f)(3), Marital Settlement Agreement for Simplified Dissolution

of Marriage (9/00)

INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM 12.902(f)(3),

MARITAL SETTLEMENT AGREEMENT FOR SIMPLIFIED DISSOLUTION OF MARRIAGE

When should this form be used?

This form should be used when a Petition for Simplified Dissolution of Marriage, O‘ Florida Family

Law Rules of Procedure Form 12.901(a), has been filed

and the parties have reached an agreement on 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. For further information, see chapter 61, Florida Statutes, and the

instructions for the petition which was 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.

Florida Family Law Rules of Procedure Form 12.902(f)(3), Marital Settlement Agreement for Simplified Dissolution of Marriage

(9/00)

IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,

IN AND FOR

COUNTY, FLORIDA

Case No.:

Division:

Petitioner,

and

Respondent.

MARITAL SETTLEMENT AGREEMENT FOR SIMPLIFIED

DISSOLUTION OF MARRIAGE

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}

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 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).

1. Wife shall receive as her own and Husband shall have no further rights or responsibilities regarding

these assets:

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

described below is wife’s, husband’s, or both.)

Current Fair

Market Value

9 Cash (on hand) $

9 Cash (in banks/credit unions)

Stocks/Bonds

Notes (money owed to you in writing)

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

described below is wife’s, husband’s, or both.)

Current Fair

Market Value

Florida Family Law Rules of Procedure Form 12.902(f)(3), Marital Settlement Agreement for Simplified Dissolution of Marriage

(9/00)

Money owed to you (not evidenced by a note)

Real estate: (Home)

9 (Other)

Business interests

Automobiles

Boats

9 Other vehicles

9 Retirement plans (Profit Sharing, Pension, IRA, 401(k)s, etc.)

Furniture & furnishings in home

9 Furniture & furnishings elsewhere

Collectibles

Jewelry

Life insurance (cash surrender value)

9 Sporting and entertainment (T.V., stereo, etc.) equipment

Other assets

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

described below is wife’s, husband’s, or both.)

Current Fair

Market Value

Florida Family Law Rules of Procedure Form 12.902(f)(3), Marital Settlement Agreement for Simplified Dissolution of Marriage

(9/00)

Total Assets to Wife $

2. Husband shall receive as his own and Wife shall have no further rights or responsibilities regarding

these assets:

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

Current Fair

Market Value

9 Cash (on hand) $

9 Cash (in banks/credit unions)

9 Stocks/Bonds

Notes (money owed to you in writing)

Money owed to you (not evidenced by a note)

Real estate: (Home)

9 (Other)

Business interests

Automobiles

Boats

9 Other vehicles

9 Retirement plans (Profit Sharing, Pension, IRA, 401(k)s, etc.)

Furniture & furnishings in home

9 Furniture & furnishings elsewhere

9 Collectibles

Jewelry

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

Current Fair

Market Value

Florida Family Law Rules of Procedure Form 12.902(f)(3), Marital Settlement Agreement for Simplified Dissolution of Marriage

(9/00)

Life insurance (cash surrender value)

Sporting and entertainment (T.V., stereo, etc.) equipment

Other assets

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:

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.)

Monthly

Payment

Current

Amount

Owed

9 Mortgages on real estate: (Home) $ $

(Other)

Charge/credit card accounts

Auto loan

9 Auto loan

9 Bank/credit union loans

Money you owe (not evidenced by a note)

Judgments

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.)

Monthly

Payment

Current

Amount

Owed

Florida Family Law Rules of Procedure Form 12.902(f)(3), Marital Settlement Agreement for Simplified Dissolution of Marriage

(9/00)

Other

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.)

Monthly

Payment

Current

Amount

Owed

9 Mortgages on real estate: (Home) $ $

(Other)

Charge/credit card accounts

Auto loan

9 Auto loan

9 Bank/credit union loans

Money you owe (not evidenced by a note)

Judgments

Other

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.)

Monthly

Payment

Current

Amount

Owed

Florida Family Law Rules of Procedure Form 12.902(f)(3), Marital Settlement Agreement for Simplified Dissolution of Marriage

(9/00)

Total Debts to Be Paid by Husband $ $

C. Contingent Assets and Liabilities (listed in Section III of our Financial Affidavits) will be

divided as follows:

SECTION II. SPOUSAL SUPPORT (ALIMONY). Each of us forever gives up any right to

spousal support (alimony) that we may have.

SECTION III. OTHER

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 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

deputy clerk.]

Personally known

Produced identification

Type of identification produced

IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE

Florida Family Law Rules of Procedure Form 12.902(f)(3), Marital Settlement Agreement for Simplified Dissolution of Marriage

(9/00)

BLANKS BELOW: [ N fill in all blanks]

I, {full legal name and trade name of nonlawyer}

a nonlawyer, located at {street}

, {city} ,

{state} , {phone} , helped {Husband’s name} ,

who is the [ / one only]

petitioner or respondent, fill out this form.

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

[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}

a nonlawyer, located at {street} , {city} ,

{state}

, {phone} , helped {Wife’s name} ,

who is the [ / one only]

petitioner or respondent, fill out this form.