IN RE: AMENDMENTS TO THE FLORIDA FAMILY LAW RULES OF PROCEDURE - FORMS

Fla. | 2025-06-26
No. SC2024-0003
2025 FL 5331 Florida Supreme Court (2025)

AI-generated. These summaries, headnotes, and key points are machine-generated and may contain errors or omissions. Always verify against the full opinion text below. Not legal advice.

Synopsis

The Florida Supreme Court adopted amendments to the Florida Family Law Rules of Procedure forms to modernize procedures for limited legal representation, simplified dissolution of marriage, financial disclosures, and discovery, including combining related forms, clarifying language to align with rule provisions, and enhancing clarity in child support worksheets and interrogatory instructions. The amendments took effect immediately upon release of the opinion.


Holding

The Florida Supreme Court adopted the Committee's revised proposal with minor modifications, including combining forms 12.900(b) and (c) into a single form titled 'Notice of and Consent to Limited Appearance,' amending form 12.900(e) to remove specific attorney identification, declining to implement certain changes regarding minor children in form 12.901(a), adding a 'Gross Income Calculation' table to form 12.902(e), and retaining prior language regarding sanctions in the instructions to forms 12.930(a) and (b).


Headnotes

[1] The Supreme Court of Florida has jurisdiction to amend the Florida Family Law Rules of Procedure Forms.

[2] The Supreme Court of Florida may combine or delete existing forms as part of its rule amendment process.

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Key Quotes

“The amendments shall take effect immediately upon the release of this opinion.”

Establishes the effective date of the adopted amendments to the family law forms.

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Facts & Procedural History

The Florida Bar's Family Law Rules Committee filed a report proposing amendments to 14 family law forms. The Committee published its proposal for comm…

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Opinion of the Court

PER CURIAM.

The Florida Bar's Family Law Rules Committee has filed a report proposing amendments to Florida Family Law Rules of Procedure Forms 12.900(a) (Disclosure from Nonlawyer), 12.900(b) (Notice of Limited Appearance), 12.900(c) (Consent to Limited Appearance by Attorney), 12.900(d) (Termination of Limited Appearance), 12.900(e) (Acknowledgment of Assistance by Attorney), 12.900(g) (Agreement Limiting Representation), 12.901(a) (Petition for Simplified Dissolution of Marriage), 12.902(c) (Family Law Financial Affidavit (Long Form)), 12.902(e) (Child Support Guidelines Worksheet), 12.930(a) (Notice of Service of Standard Family Law Interrogatories), 12.930(b) (Standard Family Law Interrogatories for Original or Enforcement Proceedings), 12.930(c) (Standard Family Law Interrogatories for Modification Proceedings), and 12.932 (Certificate of Compliance with Mandatory Disclosure).¹ The Board of Governors of The Florida Bar unanimously recommends adopting the proposed amendments.

The Committee published its proposal for comment and received one comment. After the proposed amendments were filed, we re-published the proposal for comment and one comment was received. The Committee responded and revised its proposal in response to the comment. Having reviewed the Committee's proposal, the comment, and the response, we adopt the Committee's revised proposal with minor modifications. We discuss the more significant amendments below.

First, although the Committee has not proposed it, we note the suggestion of The Florida Bar Family Law Section and combine forms 12.900(b) and 12.900(c) into a single form, titled “Notice of and Consent to Limited Appearance." We then delete form 12.900(c). As the Committee proposed, we amend paragraph 2 in

1. We have jurisdiction. See art. V, § 2(a), Fla. Const.; see also Fla. R. Gen. Prac. & Jud. Admin. 2.140(b)(1). - 2 - form 12.900(b), which designates the types of issues for which the attorney will be making a limited appearance, to use language that mirrors Florida Family Law Rule of Procedure 12.040(c)(1) (Attorneys; Scope of Representation) by referring to “proceeding(s) or matter(s)." Also, on the list of issues, we make “parental responsibility” and “time-sharing” separate types of issues and add “mediation” as a new type of issue.

Next, in form 12.900(e), we delete the reference to the specific attorney who assists the pro se litigant. Now, the form simply reads that the litigant “certifies that this document was prepared with the assistance of counsel."

Further, while we revise form 12.901(a) to improve clarity and readability, we decline to implement some of the Committee's proposed changes related to minor and dependent children, and instead keep the language in the instructions and form consistent with the language of Florida Family Law Rule of Procedure 12.105(a)(1) (Simplified Dissolution Procedure; Requirements for Use). - 3 - In form 12.902(e), we add the case caption at the beginning of the form worksheet and a separate table before the Child Support Guidelines Worksheet titled “Gross Income Calculation."

Additionally, in the instructions to forms 12.930(a) and 12.930(b), we decline to implement the Committee's suggested changes advising that a party may take action to compel a response. We instead retain the prior language indicating that a failure to respond may result in sanctions.

Accordingly, the Florida Family Law Rules of Procedure Forms are amended as reflected in the appendix to this opinion, with the forms fully engrossed and ready for use. The forms may be accessed and downloaded from the Florida State Courts' website at http://www.flcourts.org/resources-and-services/court-improvement/family-courts/family-law-forms.stml. The amendments shall take effect immediately upon the release of this opinion. We thank the Committee for its attention to this important task.

It is so ordered.

MUÑIZ, C.J., and CANADY, LABARGA, COURIEL, GROSSHANS, FRANCIS, and SASSO, JJ., concur. - 4 - THE FILING OF A MOTION FOR REHEARING SHALL NOT ALTER THE EFFECTIVE DATE OF THESE AMENDMENTS.

Original Proceeding – Florida Family Law Rules of Procedure

Jeffrey Paul Battista, Chair, Family Law Rules Committee, Vero Beach, Florida, Hon. Howard Ogle McGillin, Jr., Past Chair, Family Law Rules Committee, St. Augustine, Florida, Joshua E. Doyle, Executive Director, The Florida Bar, Tallahassee, Florida, and Kelly Noel Smith, Bar Liaison, The Florida Bar, Tallahassee, Florida,

for Petitioner

Christopher William Rumbold, Chair, Family Law Section of The Florida Bar, Fort Lauderdale, Florida, Sarah E. Kay, Past Chair, Family Law Section of The Florida Bar, Tampa, Florida, Lindsay Agranoff Gunia, Co-Chair, Rules and Forms Committee, Family Law Section of The Florida Bar, Miami, Florida, Jaime Rodriguez Girgenti, Co-Chair, Rules and Forms Committee, Family Law Section of The Florida Bar, Clearwater, Florida, Temi N. Zeitenberg, Past Co-Chair, Rules and Forms Committee, Family Law Section of The Florida Bar, Boca Raton, Florida, and Marck K. Joseph, Jr., Past Co-Chair, Rules and Forms Committee, Family Law Section of The Florida Bar, Miami, Florida,

Responding with comments - 5 - APPENDIX INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM 12.900(a) DISCLOSURE FROM NONLAWYER (06/25)

This form must be used when anyone who is not a lawyer in good standing with The Florida Bar helps you complete any Florida Family Law Form. Attorneys who are licensed to practice in other states but not Florida, or who have been disbarred or suspended from the practice of law in Florida, are nonlawyers for the purposes of the Florida Family Law Forms and instructions.

The nonlawyer must complete this form and both of you are to sign it before the nonlawyer assists you in completing any Family Law Form.

In addition, on any other form with which a nonlawyer helps you, the nonlawyer shall complete the nonlawyer section located at the bottom of the form unless otherwise specified in the instructions to the form. This is to protect you and be sure that you are informed in advance of the nonlawyer's limitations.

A copy of this disclosure, signed by both the nonlawyer and the person on whose behalf the forms will be completed, must be given to the person to retain and the nonlawyer must keep a copy in the person's file. The nonlawyer must also keep copies for at least 6 years of all forms given to the person being assisted.

Special Notes ...

This disclosure form does NOT act as or constitute a waiver, disclaimer, or limitation of liability.

Instructions for Florida Family Law Rules of Procedure Form 12.900(a), Disclosure from Nonlawyer (06/25) - 6 - 1 of 1 IN THE CIRCUIT COURT OF THE ____________ JUDICIAL CIRCUIT, IN AND FOR ____________ COUNTY, FLORIDA

Petitioner,

and

Respondent.

DISCLOSURE FROM NONLAWYER

{Name}____________________ told me that he/she is a nonlawyer and may not give legal advice, cannot tell me what my rights or remedies are, cannot tell me how to testify in court, and cannot represent me in court.

Rule 10-2.1(b) of the Rules Regulating The Florida Bar defines a paralegal as a person who works under the supervision of a member of The Florida Bar and who performs specifically delegated substantive legal work for which a member of The Florida Bar is responsible. Only persons who meet the definition may call themselves paralegals. {Name}_____________, informed me that he/she is not a paralegal as defined by the rule and cannot call himself/herself a paralegal.

{Name}____________________ told me that he/she may only type the factual information provided by me in writing into the blanks on the form. Except for typing, {name}____________________ may not tell me what to put in the form and may not complete the form for me. However, if using a form approved by the Supreme Court of Florida, {name}____________________ may ask me factual questions to fill in the blanks on the form and may also tell me how to file the form.

{Choose one only} ____ I can read English. ____ I cannot read English, but this disclosure was read to me [fill in both blanks] by {name}____________________ in {language}____________________ which I understand.

Signature of Party ___________________________________ Signature of NONLAWYER Printed Name: ____________________ Name of Business: ____________________ Address: ____________________ ____________________ Telephone: ____________________

Florida Family Law Rules of Procedure Form 12.900(a), Disclosure from Nonlawyer (06/25) - 7 - 1 of 1 INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM 12.900(b) NOTICE OF AND CONSENT TO LIMITED APPEARANCE (06/25)

This form should be used to provide notice to the court and the other attorney or party when an attorney is making a limited appearance for which a client has consented under Florida Family Law Rule of Procedure 12.040(e).

This form should be typed or printed in black ink. After completing and signing this form, the attorney should file this document with the clerk of the circuit court in the county in which the action is pending and keep a copy for his or her records.

A copy of this form must be filed with the court and served on the other party or his or her attorney. The copy you are serving on the other party must be either mailed, e-mailed, or hand-delivered to the opposing party or his or her attorney on the same day indicated on the certificate of service. If it is mailed, it must be postmarked on the date indicated in the certificate of service. Service must be in accordance with Florida Rule of General Practice and Judicial Administration 2.516.

The Florida Rules of General Practice and Judicial Administration require that all petitions, pleadings, and documents be filed electronically except in certain circumstances. Self-represented litigants may file petitions or other pleadings or documents electronically; however, they are not required to do so. If you choose to file your pleadings or other documents electronically, you must do so in accordance with Florida Rule of General Practice and Judicial Administration 2.525, and you must follow the procedures of the judicial circuit in which you file. The rules and procedures should be carefully read and followed.

After the initial service of process of the petition or supplemental petition by the Sheriff or certified process server, the Florida Rules of General Practice and Judicial Administration require that all documents required or permitted to be served on the other party must be served by electronic mail (e-mail) except in certain circumstances. You must strictly comply with the format requirements set forth in the Florida Rules of General Practice and Judicial Administration. If you elect to participate in electronic service, which means serving or receiving pleadings by electronic mail (e-mail), or through the Florida Courts E-Filing Portal, you must review Florida Rule of General Practice and Judicial Administration 2.516. You may find this rule at www.flcourts.org through the link to the Rules of General Practice and Judicial Administration provided under either Family Law Forms: Getting Started, or Rules of Court in the A-Z Topical Index.

Instructions for Florida Family Law Rules of Procedure Form 12.900(b), Notice of and Consent to Limited Appearance (06/25) - 8 - 1 of 2 SELF-REPRESENTED LITIGANTS MAY SERVE DOCUMENTS BY E-MAIL; HOWEVER, THEY ARE NOT REQUIRED TO DO SO. If a self-represented litigant elects to serve and receive documents by email, the procedures must always be followed once the initial election is made.

To serve and receive documents by e-mail, you must designate your e-mail addresses by using the Designation of Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form 12.915, and you must provide your e-mail address on each form on which your signature appears. Please CAREFULLY read the rules and instructions for: Certificate of Service (General), Florida Supreme Court Approved Family Law Form 12.914; Designation of Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form 12.915; and Florida Rule of General Practice and Judicial Administration 2.516.

See Florida Family Law Rule of Procedure 12.040.

Instructions for Florida Family Law Rules of Procedure Form 12.900(b), Notice of and Consent to Limited Appearance (06/25) - 9 - 2 of 2 IN THE CIRCUIT COURT OF THE ____________ JUDICIAL CIRCUIT, IN AND FOR ____________ COUNTY, FLORIDA

Petitioner,

and

Respondent.

NOTICE OF AND CONSENT TO LIMITED APPEARANCE

1. ____ The hearing set for {date}____________________ at {time}____________________ on the issue(s) of {specify}____________________________________________________________.

2. ____ To represent [check one only] ( ) Petitioner ( ) Respondent on the following issues throughout the proceeding(s) or matter(s): a. ____ Parental responsibility. b. ____ Time-sharing. c. ____ Equitable distribution of marital assets and marital liabilities. d. ____ Alimony. e. ____ Child support. f. ____ Mediation. g. ____ Other {specify}: ____________________________________________________________

The clerk of the above-styled court is requested to enter this notice of record.

3. The party noted above consents to this limited representation by counsel.

4. Copies of all future court papers should be served on the undersigned attorney at the address listed and on the [choose one only] ( ) Petitioner ( ) Respondent at {name, address, e-mail address(es), and telephone number}____________________________________________________________ ____________________________________________________________________________________.

Florida Family Law Rules of Procedure Form 12.900(b), Notice of and Consent to Limited Appearance (06/25) - 10 - 1 of 2 I certify that a copy of this notice of limited appearance was: [check all used) ( ) e-mailed ( ) mailed ( ) hand delivered to the person(s) listed below on {date}____________________.

Other party or his/her attorney: Name: ____________________ Address: ____________________ City, State, Zip: ____________________ Telephone Number: ____________________ E-mail Address(es): ____________________

Signature of Attorney Printed Name: ____________________ Address: ____________________ City, State, Zip: ____________________ Telephone Number: ____________________ E-mail Address(es): ____________________ Florida Bar Number: ____________________

Signature of Party Printed Name: ____________________ Address: ____________________ City, State, Zip: ____________________ Telephone Number: ____________________ E-mail Address(es): ____________________

Florida Family Law Rules of Procedure Form 12.900(b), Notice of and Consent to Limited Appearance (06/25) - 11 - 2 of 2 INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM 12.900(d) TERMINATION OF LIMITED APPEARANCE (06/25)

This form should be used by an attorney who is terminating a limited appearance for a client under Florida Family Law Rule of Procedure 12.040(e).

This form should be typed or printed in black ink. After completing this form, the attorney should sign this document and then file this document with the clerk of the circuit court in the county in which the action is pending. The attorney should keep a copy for his or her records.

A copy of this form must be filed with the court and served on the other party or his or her attorney. The copy you are serving on the other party must be either mailed, e-mailed, or hand-delivered to the opposing party or his or her attorney on the same day indicated on the certificate of service. If it is mailed, it must be postmarked on the date indicated in the certificate of service. Service must be in accordance with Florida Rule of General Practice and Judicial Administration 2.516.

See Florida Family Law Rule of Procedure 12.040.

Petitioner,

and

Respondent.

TERMINATION OF LIMITED APPEARANCE

Client Party: Name: ____________________ Address: ____________________ City, State, Zip: ____________________ Telephone Number: ____________________ E-mail Address(es): ____________________

Signature of Attorney Printed Name: ____________________ Address: ____________________ City, State, Zip: ____________________

Florida Family Law Rules of Procedure Form 12.900(d), Termination of Limited Appearance (06/25) - 14 - 1 of 2 Telephone Number: ____________________ E-mail Address(es): ____________________ Florida Bar Number: ____________________

A copy of this form must be filed with the court and served on the other party or his or her attorney. The copy you are serving to the other party must be either mailed, e-mailed, or hand-delivered to the opposing party or his or her attorney on the same day indicated on the certificate of service. If it is mailed, it must be postmarked on the date indicated in the certificate of service. Service must be in accordance with Florida Rule of General Practice and Judicial Administration 2.516.

Instructions for Florida Family Law Rules of Procedure Form 12.900(e), Acknowledgment of Assistance by Attorney (06/25) - 16 - 1 of 2 SELF-REPRESENTED LITIGANTS MAY SERVE DOCUMENTS BY E-MAIL; HOWEVER, THEY ARE NOT REQUIRED TO DO SO. If a self-represented litigant elects to serve and receive documents by email, the procedures must always be followed once the initial election is made.

To serve and receive documents by e-mail, you must designate your e-mail addresses by using the Designation of Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form 12.915, and you must provide your e-mail address on each form on which your signature appears. Please CAREFULLY read the rules and instructions for: Certificate of Service (General), Florida Supreme Court Approved Family Law Form 12.914; Designation of Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form 12.915; and Florida Rule of General Practice and Judicial Administration 2.516.

Where can I get more information?

See the instructions to Florida Family Law Rules of Procedure Forms 12.900(b) and (d) and Rule 12.040. Before proceeding, you should read General Information for Self-Represented Litigants found at the beginning of these forms. For more information, see rule 12.080, Florida Family Law Rules of Procedure.

Instructions for Florida Family Law Rules of Procedure Form 12.900(e), Acknowledgment of Assistance by Attorney (06/25) - 17 - 2 of 2 IN THE CIRCUIT COURT OF THE ____________ JUDICIAL CIRCUIT, IN AND FOR ____________ COUNTY, FLORIDA

Petitioner,

and

Respondent.

ACKNOWLEDGMENT OF ASSISTANCE BY ATTORNEY

{Name}, ____________________ [check one only) ( ) Petitioner ( ) Respondent, certifies that this document was prepared with the assistance of counsel.

CERTIFICATE OF SERVICE

I certify that a copy of this Acknowledgement of Assistance By Attorney was [check all used): ( ) e-mailed ( ) mailed ( ) hand delivered to the person(s) listed below on {date}____________________.

Other party or his/her attorney: Name: ____________________ Address: ____________________ City, State, Zip: ____________________ Telephone Number: ____________________ E-mail Address(es): ____________________

Florida Family Law Rules of Procedure Form 12.900(e), Acknowledgment of Assistance by Attorney (06/25) - 18 - 1 of 1 INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM 12.900(g) AGREEMENT LIMITING REPRESENTATION (06/25)

This form should be used as a "rider” or supplemental agreement, in addition to an Attorney-Client fee agreement, between the attorney and client when the attorney is making a limited appearance under Rules Regulating The Florida Bar 4-1.2(c), 4-4.2(b), and 4-4.3(b) and Florida Family Law Rule of Procedure 12.040(e). A limited appearance means the attorney is not handling the whole case for the client, but is only being retained to do a specific part of the case. This form is not to be filed with the clerk of the court.

Instructions for Florida Family Law Rules of Procedure Form 12.900(g), Agreement Limiting Representation (06/25) - 19 - 1 of 1 AGREEMENT LIMITING REPRESENTATION

(This agreement is supplemental to the Attorney-Client fee agreement and is limited to addressing the consequences of Limited Legal Representation by an attorney in Florida)

TO THE CLIENT: THIS IS A LEGALLY BINDING CONTRACT. PLEASE READ IT CAREFULLY AND MAKE CERTAIN THAT YOU UNDERSTAND ALL OF THE TERMS AND CONDITIONS. YOU MAY TAKE THIS CONTRACT НОМЕ WITH YOU, REVIEW IT WITH ANOTHER ATTORNEY IF YOU WISH, AND ASK ANY QUESTIONS YOU MAY HAVE BEFORE SIGNING.

EMPLOYMENT OF AN ATTORNEY FOR LIMITED REPRESENTATION REQUIRES THAT THE ATTORNEY AND CLIENT CAREFULLY AND THOROUGHLY REVIEW THE DUTIES AND RESPONSIBILITIES EACH WILL ASSUME. ANY LIMITED REPRESENTATION AGREEMENT SHOULD DESCRIBE, IN DETAIL, THE ATTORNEY'S DUTIES IN THE CLIENT'S INDIVIDUAL CASE.

1. SERVICES/LIMITED SCOPE OF REPRESENTATION: Client, {name}____________________, employs Attorney, {name}____________________, to provide representation only in the limited proceeding(s) or matter(s) described as follows: ____________________________________________________________________________________ ____________________________________________________________________________________.

2. COMPLIANCE WITH CHAPTER 4 OF THE RULES REGULATING THE FLORIDA BAR: Although legal assistance is limited, an attorney-client relationship exists, and the client is entitled to the standards of professional responsibility established by Chapter 4 of the Rules Regulating the Florida Bar, including confidentiality, competence, and diligence.

3. COMPLIANCE WITH FLORIDA FAMILY LAW RULE OF PROCEDURE 12.040: An Attorney hired to provide limited representation in court must comply with Florida Family Law Rule of Procedure 12.040, as follows: a. The attorney will file with the court a Notice of Limited Appearance, Florida Family Law Rules of Procedure Form 12.900(b), signed by the client, specifically limiting the attorney's appearance to the particular proceeding or matter in which the attorney appears. b. If the attorney seeks to withdraw from representation before the conclusion of a limited appearance, the attorney must: (1) File a motion with the court setting forth the reasons and serve that motion on the client and interested persons, and (2) Obtain approval of the court. c. At the conclusion of the proceeding or matter, the attorney's role terminates without the necessity of leave of court, on the attorney filing Termination of Limited Appearance, Florida Family Law Rules of Procedure Form 12.900(d). The notice shall include the names and last known addresses of the person(s) represented by the withdrawing attorney. d. THE CLIENT IS ADVISED THAT ANY OBJECTION TO THE ATTORNEY'S "TERMINATION OF LIMITED APPEARANCE” MUST BE MADE IN WRITING BY THE CLIENT BY PROVIDING THE COURT, THE ATTORNEY, AND EACH OTHER INTERESTED PERSON (OR THEIR ATTORNEY) A COPY AND FILING THE ORIGINAL WITH THE CLERK OF COURT e. Representation regarding any other matter or proceeding requires a separate Notice of Limited

Florida Family Law Rules of Procedure Form 12.900(g), Agreement Limiting Representation (06/25) - 20 - 1 of 2 Appearance and must comply with Florida Family Law Rule of Procedure 12.040.

4. ADDITIONAL SERVICES/REPRESENTATION: The attorney and client may later determine that the attorney should provide additional limited services or assume full representation. The attorney may decline to provide additional services. a. If the attorney agrees to provide additional services, those additional services should be specifically listed in an amendment to this agreement, signed and dated by both the attorney and the client. b. If the attorney and client agree that the attorney shall serve as the client's attorney of record on all matters related to handling the client's case, the client and the attorney should indicate that agreement in an amendment to this agreement, signed and dated by both the attorney and the client. c. In either case, additional compliance with the notice requirement of Rule 12.040 will be required by the attorney. d. THE ATTORNEY AND THE CLIENT SHOULD NOT RELY ON VERBAL DISCUSSIONS OR VERBAL AGREEMENTS WHEN CHANGING THE TERMS OF THE ATTORNEY'S RESPONSIBILITY FOR REPRESENTATION.

5. ATTORNEYS' FEES AND COURT COSTS: The attorney and the client have made a separate agreement in writing as to payment of attorneys' fees and all costs associated with the case and the attorney's representation.

BY SIGNING THIS AGREEMENT YOU ACKNOWLEDGE THAT YOU HAVE CAREFULLY READ AND FULLY UNDERSTAND ALL OF THE FOREGOING TERMS, AND YOU INTEND TO BE LEGALLY BOUND BY THEM.

Attorney ___________________________________ Name: ____________________ Address: ____________________ City, State, Zip: ____________________ Telephone Number: ____________________ E-mail Address(es): ____________________ Florida Bar Number: ____________________ Date: ____________________

Client ___________________________________ Name: ____________________ Address: ____________________ City, State, Zip: ____________________ Telephone Number: ____________________ E-mail Address(es): ____________________ Date: ____________________

I HAVE BEEN PROVIDED A FULLY EXECUTED COPY OF THIS AGREEMENT LIMITING REPRESENTATION.

Client ___________________________________

Florida Family Law Rules of Procedure Form 12.900(g), Agreement Limiting Representation (06/25) - 21 - 2 of 2 INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM 12.901(a) JOINT PETITION FOR SIMPLIFIED DISSOLUTION OF MARRIAGE (06/25)

This form should be used when a married couple is filing for a simplified dissolution of marriage. You 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 both agree with this division. * You and your spouse are not seeking support (alimony) from the other. * You and your spouse are willing to give up your right to trial and appeal. * You and your spouse have both signed the petition. * You and your spouse are both willing to attend the final hearing (at the same time).

If you do not meet all of 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.

1. After completing this form, you should file it 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.

2. You must prove to the court that either party has lived in Florida for more than 6 months before filing the petition for simplified dissolution of marriage. Residence can be proven by Instructions for Florida Family Law Rules of Procedure Form 12.901(a), Joint Petition for Simplified Dissolution of Marriage (06/25) - 22 - 1 of 3 * a valid Florida driver's license, Florida identification card, or voter registration card issued to one of you at least 6 months prior to filing for dissolution of marriage; * 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 simplified 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 the clerk will determine whether you are eligible to have filing fees waived.

4. You will need to complete a Family Court Cover Sheet, Florida Family Law Rules of Procedure Form 12.928. The clerk's office can provide this form to you.

5. Depending on your jurisdiction, you may either obtain a date and time for a final hearing with the court from the clerk of court, or a date and time will be provided to you by the court. On that date, you and your spouse must attend the simplified dissolution of marriage final hearing. Depending on your jurisdiction, you will either 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, or the court will prepare it at the hearing. At that time, if all of the papers are in order, the court may grant a final judgment dissolving your marriage under the simplified dissolution of marriage procedures by signing the final judgment.

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

Before proceeding, you should read “General Information for Self-Represented Litigants" found at the beginning of these forms. The words that are in “bold and underlined” 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), Joint Petition for Simplified Dissolution of Marriage (06/25) - 23 - 2 of 3 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 helping you. A nonlawyer helping you fill out these forms also must put their name, address, and telephone number on the bottom of the last page of every form they help you complete.

Instructions for Florida Family Law Rules of Procedure Form 12.901(a), Joint Petition for Simplified Dissolution of Marriage (06/25) - 24 - 3 of 3 IN THE CIRCUIT COURT OF THE ____________ JUDICIAL CIRCUIT, IN AND FOR ____________ COUNTY, FLORIDA

In re the Marriage of:

Petitioner,

and

Respondent.

JOINT PETITION FOR SIMPLIFIED DISSOLUTION OF MARRIAGE

We, {full legal name}____________________________________________________________, Petitioner, and {full legal name}____________________________________________________________, Respondent, 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. Petitioner lives in {name}____________________ County, {state}____________________, and has lived there since {date}____________________. Respondent 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.

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. {Check only one}

Florida Family Law Rules of Procedure Form 12.901(a), Joint Petition for Simplified Dissolution of Marriage (06/25) - 25 - 1 of 3 ( ) Our Financial Affidavits are being filed with this Joint Petition for Simplified Dissolution of Marriage pursuant to Rule 12.285. ( ) We have executed the Florida Family Law Form 12.902(k), Notice of Joint Verified Waiver of Filing Financial Affidavits, pursuant to Rule 12.285.

7. {Check all that apply}( ) Petitioner wants to be known by the Petitioner's former name, which was {full legal name}____________________________________________________________. ( ) Respondent wants to be known by the Respondent's 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 if filed therein.

Under penalties of perjury, I declare that I have read this document and the facts stated in it are true.

Signature of Petitioner Printed Name: ____________________ Address: ____________________ City, State, Zip: ____________________ Telephone Number: ____________________ E-mail Address(es): ____________________

Under penalties of perjury, I declare that I have read this document and the facts stated in it are true.

Signature of Respondent ___________________________________

Florida Family Law Rules of Procedure Form 12.901(a), Joint Petition for Simplified Dissolution of Marriage (06/25) - 26 - 2 of 3 Printed Name: ____________________ Address: ____________________ City, State, Zip: ____________________ Telephone Number: ____________________ E-mail Address(es): ____________________

IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, THE NONLAWYER MUST FILL IN THE BLANKS BELOW: [fill in all blanks] This form was prepared for: [choose one or both) ( ) Petitioner ( ) Respondent 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), Joint Petition for Simplified Dissolution of Marriage (06/25) - 27 - 3 of 3 INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM 12.902(c) FAMILY LAW FINANCIAL AFFIDAVIT (LONG FORM) (06/25)

This form should be used when you are involved in a family law case which requires a financial affidavit and your individual gross income is $50,000 OR MORE per year unless:

(1) You are filing a simplified dissolution of marriage under rule 12.105 and both parties have waived the filing of financial affidavits; (2) you have no minor children, no support issues, and have filed a written settlement agreement disposing of all financial issues; or (3) the court lacks jurisdiction to determine any financial issues.

This form should be typed or printed in black ink. After completing this form, you should sign the form. You should then file this document with the clerk of the circuit court in the county where the petition was filed and keep a copy for your records.

A copy of this form must be served on the other party, or the part's attorney if the party is represented, in your case within 45 days of being served with the petition, if it is not served on him or her with your initial papers. Service must be in accordance with Florida Rule of General Practice and Judicial Administration 2.516.

A copy of this form must be filed with the court and served on the other party or his or her attorney. The copy you are serving to the other party must be either mailed, e-mailed, or hand-delivered to the opposing party or his or her attorney on the same day indicated on the certificate of service. If it is mailed, it must be postmarked on the date indicated in the certificate of service. Service must be in accordance with Florida Rule of General Practice and Judicial Administration 2.516.

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 Florida Family Law Rule of Procedure 12.285.

The Florida Rules of General Practice and Judicial Administration require that all petitions, pleadings, and documents be filed electronically except in certain circumstances. Self-represented litigants may file petitions or other pleadings or documents electronically; however, they are not required to do so. If you choose to file your pleadings or other documents electronically, you must do so in accordance with Florida Rule of General Practice and Judicial Administration 2.525, and you must follow the procedures of the judicial circuit in which you file. The rules and procedures should be carefully read and followed.

Instructions for Florida Family Law Rules of Procedure Form 12.902(c), Family Law Financial Affidavit (Long Form) (06/25) - 28 - 1 of 3

SELF-REPRESENTED LITIGANTS MAY SERVE DOCUMENTS BY E-MAIL; HOWEVER, THEY ARE NOT REQUIRED TO DO SO. If a self-represented litigant elects to serve and receive documents by email, the procedures must always be followed once the initial election is made.

To serve and receive documents by e-mail, you must designate your e-mail addresses by using the Designation of Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form 12.915, and you must provide your e-mail address on each form on which your signature appears. Please CAREFULLY read the rules and instructions for: Certificate of Service (General), Florida Supreme Court Approved Family Law Form 12.914; Designation of Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form 12.915; and Florida Rule of General Practice and Judicial Administration 2.516.

Special notes . . .

If you want to keep your address confidential because you have been found by a judge to be the victim of sexual battery, aggravated child abuse, aggravated stalking, harassment, aggravated battery, or domestic violence do not enter the address and telephone information at the bottom of this form. Instead, file Request for Confidential Filing of Address, Florida Supreme Court Approved Family Law Form 12.980(h).

The affidavit must be completed using monthly income and expense amounts. If you are paid or your bills are due on a schedule which is not monthly, you must convert those to monthly amounts. Hints are provided below for making these conversions.

Instructions for Florida Family Law Rules of Procedure Form 12.902(c), Family Law Financial Affidavit (Long Form) (06/25) - 29 - 2 of 3 Hourly - If you are paid by the hour, you may convert your income to monthly as follows: Hourly amount X Hours worked per week = Weekly amount Weekly amount X 52 Weeks per year = Yearly amount Yearly amount ÷ 12 Months per year = Monthly Amount Daily - If you are paid by the day, you may convert your income to monthly as follows: Daily amount X Days worked per week = Weekly amount Weekly amount X 52 Weeks per year = Yearly amount Yearly amount ÷ 12 Months per year = Monthly Amount Weekly - If you are paid by the week, you may convert your income to monthly as follows: Weekly amount X 52 Weeks per year = Yearly amount Yearly amount ÷ 12 Months per year = Monthly Amount Bi-weekly - If you are paid every two weeks, you may convert your income to monthly as follows: Bi-weekly amount X 26 = Yearly amount Yearly amount ÷ 12 Months per year = Monthly Amount Semi-monthly - If you are paid twice per month, you may convert your income to monthly as follows: Semi-monthly amount x 2 = Monthly Amount

Expenses may be converted in the same manner. 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.

Petitioner,

and

Respondent.

FAMILY LAW FINANCIAL AFFIDAVIT (LONG FORM) ($50,000 or more Individual Gross Annual Income)

I, {full legal name}____________________________________________________________, being sworn, certify that the following information is true:

SECTION I. INCOME

LAST YEAR'S GROSS INCOME: Your Income Other Party's Income (if known) YEAR ____________________ $____________________ $____________________

PRESENT MONTHLY GROSS INCOME: All amounts must be MONTHLY. See the instructions with this form to figure out money amounts for anything that is NOT paid monthly. Attach more paper, if needed. Items included under "other” should be listed separately with separate dollar amounts.

1. $____________________ Gross salary or wages 2. ____________________ Bonuses, commissions, allowances, overtime, tips, and similar payments 3. ____________________ Business income from sources such as self-employment, partnerships, close corporations, and/or independent contracts (Gross receipts minus ordinary and necessary expenses required to produce income.) (Attach sheet itemizing such income and expenses.) 4. ____________________ Disability benefits/SSI for you 5. ____________________ Workers' compensation 6. ____________________ Reemployment assistance 7. ____________________ Pension, retirement, or annuity payments 8. ____________________ Social Security benefits 9. ____________________ Alimony actually received (Add 9a and 9b) 9a. ____________________ From this case: ____________________ 9b. ____________________ From other case(s): ____________________ 10. ____________________ Interest and dividends 11. ____________________ Rental income (gross receipts minus ordinary and necessary expenses required to produce income) (Attach sheet itemizing such income and expenses for each property.) 12. ____________________ Income from royalties, trusts, or estates 13. ____________________ Reimbursed expenses and in-kind payments to the extent that they reduce personal living expenses (Attach sheet itemizing such income and expenses.) 14. ____________________ Gains derived from dealing in property (not including nonrecurring gains) 15. ____________________ Any other income of a recurring nature (identify source): ____________________ ____________________________________________________________________________________ 16. ____________________ 17. $____________________ TOTAL PRESENT MONTHLY GROSS INCOME (Add lines 1 through 16).

Florida Family Law Rules of Procedure Form 12.902(c), Family Law Financial Affidavit (Long Form) (06/25) - 32 - 2 of 15 PRESENT MONTHLY DEDUCTIONS: All amounts must be MONTHLY. See the instructions with this form to figure out money amounts for anything that is NOT paid monthly. 18. $____________________ Federal, state, and local income tax (corrected for filing status and allowable dependents and income tax liabilities) 18a. Filing Status ____________________ 18b. Number of dependents claimed ____________________ 19. ____________________ FICA or self-employment taxes 20. ____________________ Medicare payments 21. ____________________ Mandatory union dues 22. ____________________ Mandatory retirement payments 23. ____________________ Health insurance payments for you only (including medical, dental, and vision), excluding portion paid for any third party or minor children of this relationship 24. ____________________ Court-ordered child support actually paid for children from another relationship 25. ____________________ Court-ordered alimony actually paid (Add 25a and 25b) 25a. ____________________ From this case: ____________________ 25b. ____________________ From other case(s): ____________________ 26. $____________________ TOTAL DEDUCTIONS ALLOWABLE UNDER SECTION 61.30, FLORIDA STATUTES (Add lines 18 through 25). 27. $____________________ PRESENT NET MONTHLY INCOME (Subtract line 26 from line 17).

SECTION II. AVERAGE MONTHLY EXPENSES Expenses. If your expenses as listed below do not reflect what you actually pay currently, you should write "estimate" next to each amount that is estimated.

PRIMARY HOUSEHOLD: List the number of additional households for which you incur expenses: ____________________ (If more than one household, please identify the household for which the listed expenses are incurred and attach a separate sheet listing expenses for each additional household. 1. $____________________ Mortgage or rent payments 2. ____________________ Property taxes (if not included in mortgage) 3. ____________________ Insurance on residence (if not included in mortgage) 4. ____________________ Condominium maintenance fees and homeowner's association fees 5. ____________________ Electricity 6. ____________________ Water, garbage, and sewer 7. ____________________ Telephone 8. ____________________ Fuel oil or natural gas 9. ____________________ Repairs and maintenance 10. ____________________ Lawn care 11. ____________________ Pool maintenance 12. ____________________ Pest control 13. ____________________ Misc. household 14. ____________________ Food and home supplies 15. ____________________ Meals outside home 16. ____________________ Cable t.v./internet

Florida Family Law Rules of Procedure Form 12.902(c), Family Law Financial Affidavit (Long Form) (06/25) - 33 - 3 of 15 17. ____________________ Subscription streaming services 18. ____________________ Alarm service contract 19. ____________________ Service contracts on appliances 20. ____________________ Housekeeping service 21. ____________________ Communication technology/remote working subscriptions Other: 22. ____________________ 23. ____________________ 24. ____________________ 25. ____________________ 26. ____________________ 27. $____________________ SUBTOTAL (add lines 1 through 26).

AUTOMOBILES: List the number of automobiles for which you incur expenses: ____________________ 28. $____________________ Gasoline and oil 29. ____________________ Electric car charging (outside of the home) 30. ____________________ Repairs 31. ____________________ Auto tags 32. ____________________ Insurance 33. ____________________ Payments (lease or financing) 34. ____________________ Rental 35. ____________________ Alternative transportation (bus, rail, carpool, taxi, ridesharing, etc.) 36. ____________________ Tolls and parking 37. ____________________ Automobile subscriptions and roadside services 38. ____________________ Other: ____________________ 39. $____________________ SUBTOTAL (add lines 28 through 35)

MONTHLY EXPENSES FOR MINOR OR DEPENDENT CHILDREN COMMON TO BOTH PARTIES: List the number of minor or dependent children as defined in Section 743.07 (2), Florida Statutes common to both parties: ____________________ 40. $____________________ Childcare 41. ____________________ School tuition 42. ____________________ School supplies, books, and fees 43. ____________________ Extracurricular activities 44. ____________________ School uniforms 45. ____________________ Lunch money 46. ____________________ Private lessons or tutoring 47. ____________________ Allowances 48. ____________________ Clothing 49. ____________________ Entertainment (movies, parties, video games etc.) 50. ____________________ Health insurance (including dental and vision) 51. ____________________ Medical, dental, prescriptions (nonreimbursed only) 52. ____________________ Psychiatric/psychological/counselor 53. ____________________ Orthodontic 54. ____________________ Grooming 55. ____________________ Nonprescription medications, supplements, and vitamins

Florida Family Law Rules of Procedure Form 12.902(c), Family Law Financial Affidavit (Long Form) (06/25) - 34 - 4 of 15 56. ____________________ Cosmetics, toiletries, and sundries 57. ____________________ Gifts from child(ren) to others (other children, relatives, teachers, etc.) 58. ____________________ Camp or summer activities 59. ____________________ Clubs (Boy/Girl Scouts, etc.) 60. ____________________ Cost required to exercise time-sharing (supervised visitation, travel and lodging expenses, etc.) 61. ____________________ Religious training 62. ____________________ Remote learning 63. ____________________ Subscription service (if not listed on line 17 above) 64. ____________________ Other ____________________ 65. $____________________ SUBTOTAL (add lines 40 through 64)

MONTHLY EXPENSES FOR MINOR OR DEPENDENT CHILD(REN) FROM ANOTHER RELATIONSHIP List the number of minor or dependent children as defined in Florida Statutes Section 743.07 (2) from another relationship: ____________________ (other than court-ordered child support) 66. $____________________ 67. ____________________ 68. ____________________ 69. ____________________ 70. $____________________ SUBTOTAL (add lines 66 through 69)

MONTHLY INSURANCE: 71. $____________________ Health insurance (if not listed on lines 23 of deductions or 50 of expenses) 72. ____________________ Life insurance 73. ____________________ Dental insurance (if not listed on lines 23 of deductions or 50 of expenses) 74. ____________________ Vision insurance (if not listed on lines 23 of deductions or 50 of expenses) 75. ____________________ Long term care insurance 76. ____________________ Disability insurance Other: 77. ____________________ 78. ____________________ 79. $____________________ SUBTOTAL (add lines 71 through 78)

OTHER MONTHLY EXPENSES NOT LISTED ABOVE: 80. $____________________ Dry cleaning and laundry 81. ____________________ Clothing 82. ____________________ Medical, dental, and prescription (unreimbursed only) 83. ____________________ Psychiatric, psychological, or counselor (unreimbursed only) 84. ____________________ Non-prescription medications, cosmetics, toiletries, and sundries 85. ____________________ Grooming 86. ____________________ Gifts 87. ____________________ Pet care 88. ____________________ Club dues and membership 89. ____________________ Sports and hobbies 90. ____________________ Entertainment

Florida Family Law Rules of Procedure Form 12.902(c), Family Law Financial Affidavit (Long Form) (06/25) - 35 - 5 of 15 91. ____________________ Periodicals/books/other subscription service 92. ____________________ Charitable donations 93. ____________________ Gambling and lottery 94. ____________________ Tobacco, alcohol, and vaping 95. ____________________ Attorney fees and court costs 95a. ____________________ Related to this case 95b. ____________________ Other 96. ____________________ Professional training fees (unreimbursed only) 97. ____________________ Vacations 98. ____________________ Religious organizations 99. ____________________ Bank charges/credit card fees 100. ____________________ Education expenses (unreimbursed only) 101. ____________________ Other: (include any regular and recurring expenses not otherwise mentioned in the items listed above)____________________________________________________________________________________ 102. ____________________ 103. ____________________ 104. ____________________ 105. $____________________ SUBTOTAL (add lines 80 through 104)

MONTHLY PAYMENTS TO CREDITORS: List only when payments are currently made by you on outstanding balances and not listed elsewhere on this affidavit. For student loans listed below, list each student loan together with its date of origination. List only last 4 digits of account numbers. MONTHLY PAYMENT AND NAME OF CREDITOR(s): 106. $____________________ 107. ____________________ 108. ____________________ 109. ____________________ 110. ____________________ 111. ____________________ 112. ____________________ 113. ____________________ 114. ____________________ 115. ____________________ 116. ____________________ 117. ____________________ 118. ____________________ 119. $____________________ SUBTOTAL (add lines 106 through 118) 120. $____________________ TOTAL MONTHLY EXPENSES: (add lines 27, 39, 65, 70, 79, 105, and 119 of Section II, Expenses)

SUMMARY 121. $____________________ TOTAL PRESENT MONTHLY NET INCOME (from line 27 of SECTION I. INCOME) 122. $____________________ TOTAL MONTHLY EXPENSES (from line 120 above) 123. $____________________ SURPLUS (If line 121 is more than line 122, subtract line 122 from line 121. This is the amount of your surplus. Enter that amount here.) 124. ($____________________) (DEFICIT) (If line 122 is more than line 121, subtract line 121 from line 122. This is the amount of your deficit. Enter that amount here.)

Florida Family Law Rules of Procedure Form 12.902(c), Family Law Financial Affidavit (Long Form) (06/25) - 36 - 6 of 15 SECTION III. ASSETS AND LIABILITIES A. ASSETS If you have an equitable distribution schedule or balance sheet that includes the information below, you may attach the document instead of filling out Section III.

INSTRUCTIONS: STEP 1: Describe the Asset. In column A, list a description of each separate item owned by you (or your spouse, if this is an original action for dissolution). Include items held in a revocable trust. List only the last 4 digits of account numbers. Blank spaces are provided if you need to list more than one of a certain type of asset. If you need to list more assets than blank spaces provided, please attach a separate sheet listing additional assets.

STEP 2: Select Assets. (Initial Dissolution Matter ONLY) If this is an original action for dissolution, check the box to the left of the description in column A next to any asset that you are requesting the judge award to you. Disregard this step in all other domestic relations matters and proceed to step 4.

STEP 3: State the Value of Marital Assets and Non-Marital Assets (Initial Dissolution Matter ONLY) If this is an original action for dissolution, in column B, place the current fair market value of all marital assets. If you believe that the asset described in column A is your non-marital asset, write what you believe its fair market value to be in column C under “Petitioner" if you are the Petitioner, or under "Respondent" if you are the Respondent. If the asset has a marital and non-marital component, write what you believe the fair market value of the marital portion is in column B and what you believe the fair market value of the non-marital portion is in the appropriate column in column C. The total of column B and column C must equal the asset value on the appropriate valuation date. Disregard this step in all other domestic relation matters and proceed to step 4.

STEP 4: State the Value of Non-marital Assets. (OTHER THAN Initial Dissolution Matters ONLY) If this is a matter OTHER THAN an original dissolution, write what you believe the fair market value to be in column C under Petitioner if you are the Petitioner, or under Respondent if you are the Respondent. DO NOT USE COLUMN B in any domestic relations matter that is NOT an original dissolution; use only column C. See the “General Information for Self-Represented Litigants" found at the beginning of these forms and section 61.075(1), Florida Statutes, for definitions of "marital" and "nonmarital" assets and liabilities.

| A | B | C | |---|---|---| | ASSETS: DESCRIPTION OF ITEM(S) | Marital Assets Current Fair Market Value | Nonmarital Assets - Current Fair Market Value | | LIST ONLY LAST FOUR DIGITS OF ACCOUNT NUMBERS. Check the box on the left in column A next to any asset(s) which you are requesting be awarded to you. | | | | Requesting to be Awarded | Title Owner | $ | Petitioner | Respondent | | | Cash (on hand) | | | | | | Cash (in banks and credit unions, including checking, savings and money market accounts, certificates of deposit, and in safe deposit boxes) | | | |

Florida Family Law Rules of Procedure Form 12.902(c), Family Law Financial Affidavit (Long Form) (06/25) - 37 - 7 of 15 | | Cash (in digital wallets, including but not limited to Venmo, Apple Wallet, and PayPal) | | | | |---|---|---|---|---| | | Virtual currency and cryptocurrency (attach a schedule that shows number of units held of virtual currency or cryptocurrency and unit value at time of preparation of this form) | | | | | | Non-Fungible Tokens (NFT) and the like | | | | | | Stocks/Bonds, investment/brokerage accounts | | | | | | Notes (money owed to you in writing) | | | | | | Money owed to you (not evidenced by a note) | | | | | | Real estate: (Home) | | | | | | Real estate (Other) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 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