Form 12 901 A PDF Details

Navigating the waters of a simplified dissolution of marriage in Florida is made more straightforward with the Florida Family Law Rules of Procedure Form 12.901(a). This specialized form is a beacon for couples who have mutually agreed that their marriage cannot be salvaged and are looking for a less complicated way to dissolve their union. Filing for a simplified dissolution requires that both parties have resided in Florida for at least six months prior to the filing and agree on all terms, including the division of assets and liabilities, without seeking alimony from one another. Additionally, this process is only available to couples without minor or dependent children together, and where the wife is not currently pregnant. The form serves not just as a petition but as a guide through the necessary steps to finalize the dissolution, from signing the petition in the presence of a deputy clerk to attending the final hearing together. Further steps include proving residency, paying filing fees—or applying for a waiver if financial hardship is present—completing a family court cover sheet, and obtaining a court date for the hearing. This form, while simplifying the process, also underscores the serious nature of the decision to dissolve a marriage by requiring both parties to acknowledge the finality of their actions. It’s a path chosen by those who have reached a mutual understanding and wish to part ways with respect and dignity, minimizing the emotional and financial strains often associated with divorce.

QuestionAnswer
Form NameForm 12 901 A
Form Length6 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 30 sec
Other names12 901 a, fl dissolution marriage, form simplified dissolution marriage, florida form 12 901 a

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INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM

12.901(a), PETITION FOR SIMPLIFIED DISSOLUTION OF MARRIAGE

(01/15)

When should this form be used?

This form should be used when a husband and wife are filing for a simplified dissolution of marriage. You and/or your spouse must have lived in Florida for at least 6 months before filing for a dissolution in Florida. You may file a simplified dissolution of marriage in Florida if all of the following are true:

∙You and your spouse agree that the marriage cannot be saved.

∙You and your spouse have no minor or dependent child(ren) together, the wife does not have any minor or dependent children born during the marriage, and the wife is not now pregnant.

∙You and your spouse have worked out how the two of you will divide the things that you both own (your assets) and who will pay what part of the money you both owe (your liabilities), and you are both satisfied with this division.

∙You are not seeking support (alimony) from your spouse, and vice versa.

∙You are willing to give up your right to trial and appeal.

∙ You a d your spouse are oth illi g to go i to the lerk’s offi e to sig the petitio

ot

necessarily together).

∙You and your spouse are both willing to go to the final hearing (at the same time).

If you do not meet the criteria above, you must file a regular petition for dissolution of marriage.

This petition should be typed or printed in black ink. Each of you must sign the petition in the

presence of a deputy clerk (in the

lerk’s offi

e , although you do ot ha e to go i to the

lerk’s

offi e at the sa e ti e. You ill

eed to pro

ide pi ture ide tifi atio

alid dri er’s li e

se or

official identification card) for the clerk to witness your signatures.

What should I do next?

1.After completing this form, you should file the original with the clerk of the circuit court in the county where you live and keep a copy for your records.

You may document your agreement by signing a Marital Settlement Agreement, Florida Family Law Rules of Procedure Form 12.902(f)(3) and filing it with the clerk of the circuit court or you may agree that all of your assets (what you own) and liabilities (what you owe) have been disposed of by oral agreement.

Instructions for Florida Family Law Rules of Procedure Form 12.901(a), Petition for Simplified Dissolution of Marriage (01/15)

2.You must prove to the court that the husband and/or wife has (have) lived in Florida for more than 6 months before filing the petition for dissolution of marriage. Residence can be proved by:

∙ a alid Florida dri er’s li e se, Florida ide tifi atio

ard, or oter registratio

ard

issued to one of you at least 6 months prior to filing for dissolution of marriage; or

∙the testimony of another person who knows that either you or your spouse has resided in Florida for more than 6 months and is available to testify in court; or

∙an affidavit. To prove residence by affidavit, use an Affidavit of Corroborating Witness, Florida Supreme Court Approved Family Law Form 12.902(i). This form must be signed by a person who knows that either you or your spouse has lived in Florida for more than 6 months before the date that you filed the petition for dissolution of marriage. This affidavit may be signed in the presence of the clerk of the court or in the presence of a notary public, who must affix his or her seal at the proper place on the affidavit.

3.You must pay the appropriate filing fees to the clerk of the circuit court. If you and your spouse cannot afford to pay the filing fees, you may fill out an Application for Determination of Civil Indigent Status, and file it with your petition for dissolution of marriage. You may obtain this form from the clerk and he or she will determine whether you are eligible to have filing fees waived.

4.Either you or the clerk of court will need to complete a Family Court Cover Sheet, Florida

Family Law Rules of Procedure Form 12.928. The lerk’s offi e a pro ide this for .

5.You must obtain a date and time for a court appearance from the clerk of court. On that date, you and your spouse must appear together before a judge. You should complete a Final Judgment of Simplified Dissolution of Marriage, Florida Family Law Rules of Procedure Form 12.990(a), and bring it with you to the hearing. At that time, if all of the papers are in order, the judge may grant a final judgment dissolving your marriage under simplified dissolution of marriage procedures by signing the final judgment which you have provided.

6.If you fail to complete this procedure, the court may dismiss the case to clear its records.

Where can I look for more information?

Before proceedi g, you should read Ge eral I for atio for “elf-Represe ted Litiga ts 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 Rule 12.105, Florida Family Law Rules of Procedure.

Instructions for Florida Family Law Rules of Procedure Form 12.901(a), Petition for Simplified Dissolution of Marriage (01/15)

Special notes...

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, 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 Family Law Rules of Procedure Form 12.901(a), Petition for Simplified Dissolution of Marriage (01/15)

IN THE CIRCUIT COURT OF THE

 

 

 

 

JUDICIAL CIRCUIT,

IN AND FOR

 

 

COUNTY, FLORIDA

 

 

 

Case No.:

 

 

 

 

Division:

 

,

 

 

 

 

 

Husband,

 

 

 

 

 

and

 

 

 

 

 

 

,

 

 

 

 

 

 

Wife.

 

 

 

 

 

PETITION FOR SIMPLIFIED DISSOLUTION OF MARRIAGE

 

We, {full legal name}

 

 

 

 

 

 

 

 

 

 

 

, Husband,

and {full legal name}

 

 

 

 

 

 

 

 

 

 

 

 

 

 

, Wife,

being sworn, certify that the following information is true:

 

 

 

 

[fill in all blanks]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

We are both asking the Court for a dissolution of our marriage.

 

 

 

 

2.

Husband lives in {name}

 

 

 

 

County, {state}

 

, and has lived

 

there since {date}

 

 

 

 

. Wife lives in {name}

 

 

 

 

 

 

County, {state}

 

 

 

 

, and has lived there since {date}

 

 

.

 

3.

We were married to each other on {date}

 

in the city of {city} _________________

 

in state of {state}

 

 

, or country of {country} _________________________________.

4.Our marriage is irretrievably broken.

5.We do not have any minor or dependent children together, the wife does not have any minor or dependent children born during the marriage, and the wife is not pregnant.

6.We have divided our assets (what we own) and our liabilities (what we owe) by agreement. We are satisfied with this agreement.

{Check ONE only}

( ) Our marital settlement agreement, Florida Family Law Rules of Procedure Form 12.902(f)(3), is attached. This agreement was signed freely and voluntarily by each of us and we intend to be bound by it.

( ) Our marital settlement agreement is not in writing. We prefer to keep our financial agreements private.

Florida Family Law Rules of Procedure Form 12.901(a), Petition for Simplified Dissolution of Marriage (01/15)

7. {Check ONE only} ( ) yes ( ) no Wife wants to be known by her former name, which was {full legal name}____________________________________________________________.

8.We each certify that we have not been threatened or pressured into signing this petition. We each understand that the result of signing this petition may be a final judgment ending our marriage and allowing no further relief.

9.We each understand that we both must come to the hearing to testify about the things we are asking for in this petition.

10.We understand that we each may have legal rights as a result of our marriage and that by signing this petition we may be giving up those rights.

11.We ask the Court to end our marriage and approve our marital settlement agreement.

I understand that I am swearing or affirming under oath to the truthfulness of the claims made in this petition and that the punishment for knowingly making a false statement includes fines and/or imprisonment.

Dated:

Signature of HUSBAND

Printed Name:

Address:

City, State, Zip:

Telephone Number:

Fax Number:

E-mail Address(es):__________________________

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

Florida Family Law Rules of Procedure Form 12.901(a), Petition for Simplified Dissolution of Marriage (01/15)

I understand that I am swearing or affirming under oath to the truthfulness of the claims made in this petition and that the punishment for knowingly making a false statement includes fines and/or imprisonment.

Dated:

Signature of WIFE

Printed Name:

Address:

City, State, Zip:

Telephone Number:

Fax Number:

E-mail Address(es):__________________________

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 BLANKS BELOW: [fill in all blanks]

This form was prepared for: [choose only one] ( ) Husband ( ) Wife This form was completed with the assistance of:

{name of individual} ________________________________________________________

{name of business} _________________________________________________________

{address} _________________________________________________________________

{city} _________________________, {state}______, {telephone number}______________.

Florida Family Law Rules of Procedure Form 12.901(a), Petition for Simplified Dissolution of Marriage (01/15)

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In an effort to complete this form, ensure you enter the necessary information in each field:

1. It's vital to complete the florida form 12 901 a properly, so be mindful while filling out the areas that contain all these fields:

The right way to complete dissolution of marriage 12 901 b stage 1

2. The subsequent step is usually to complete these particular fields: and full legal name being sworn, Husband lives in name, County state, and has lived, there since date, County state, Wife lives in name, and has lived there since date, We were married to each other on, in the city of city, in state of state, or country of country, Our marriage is irretrievably, We do not have any minor or, and minor or dependent children born.

and full legal name being sworn, Husband lives in name, and or country of country in dissolution of marriage 12 901 b

3. Completing and we intend to be bound by it, Our marital settlement agreement, agreements private, and Florida Family Law Rules of is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Step no. 3 in filling in dissolution of marriage 12 901 b

4. This specific paragraph comes next with the following form blanks to focus on: Check one only yes no Wife, full legal name, We each certify that we have not, We each understand that the result, our marriage and allowing no, We each understand that we both, are asking for in this petition, We understand that we each may, signing this petition we may be, We ask the Court to end our, I understand that I am swearing or, claims made in this petition and, and Signature of HUSBAND Printed Name.

We understand that we each may, We each certify that we have not, and claims made in this petition and inside dissolution of marriage 12 901 b

5. Lastly, this last subsection is what you should finish prior to closing the form. The blanks you're looking at include the next: claims made in this petition and, Signature of HUSBAND Printed Name, STATE OF FLORIDA COUNTY OF Sworn, NOTARY PUBLIC or DEPUTY CLERK, and Personally known Produced.

Learn how to fill out dissolution of marriage 12 901 b portion 5

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