INFORMATION SHEET FOR DISSOLUTION OF MARRIAGE FORMS
Please provide the following information:

County you are filing in:__________________________

1.        Your Full Name (Petitioner):_____________________________ Phone #: (____) __________________
Address:_____________________________________________________________________________
Your Social Security Number:____________________________ Date of Birth:______________________
Have you lived in Florida continuously six months before filing? _________

2.       Spouses Full Name (Respondent): __________________________Phone #: (____)_________________
Spouse’s Address: _____________________________________________________________________
Spouse’s Social Security Number:__________________________ Date of Birth:_____________________

3.        Circle which set best applies to your situation:
A.        Both Parties Agree, live in the State of Florida, and will sign forms. If there are child(ren) or property         
agreements, the parties will enter into a Marital Settlement Agreement on which the agreements will appear.
B.        Both Parties Agree, live in the State of Florida, but spouse is not required to sign, PRIOR to filing. A process
server hired by the Sheriff’s Department will serve a summons to spouse in the state of Florida.
C.        Residence of spouse is not known and I have read the requirement questions.  I will sign an “Affidavit of
Diligent Search”. Dates you lived together in Florida, since date of marriage
                                                  
                             
FROM__________TO________NEVER______
D.        Spouse lives out of state and I know the residence. Proper notification is required by the Court. Dates you
lived together in Florida, since date of marriage                 
                             FROM__________TO________NEVER______

4.        Date of Marriage:_________________City:_________________State:__________________________
You lived together as husband and wife until:_______________________________________________

5.        Is the marriage irretrievably broken?___________

6.        Will there be alimony payments?_________ If so, the amount $_____________                                                
(  ) weekly  (  ) monthly  (  ) lump sum                Alimony will be paid until?___________________

7.        Does wife want her former name restored? (no additional charge)
If so, print full name: ___________________________________________________________________

8.        PROPERTY: Check ONE of the following,
_______ There is  no real or personal property of the marriage and there are no marital debts.
_______ There are no marital assets or debts to be divided by the Court.
_______ Marital assets and debts are to be distributed as stated on back.

9.        CHILDREN (List ALL  children born or adopted by the parties during the marriage )
If there are NO children go to the Acknowledgment  section on the second page.
     FULL LEGAL NAMES
___________________________DOB___________Born or adopted  SSN______________________

___________________________DOB___________Born or adopted  SSN______________________

___________________________DOB___________Born or adopted  SSN______________________

How many of the above children are minors?________ Is wife pregnant?__________
Are there children born to the wife, since separation, that the husband is not the biological father?_______







INFORMATION SHEET – PAGE 2

CHILDREN CONTINUED

Information regarding the children will be as per Parenting Plan.

Fill out Chart on page 3 stating the residence of the children for the past 5 years.

Child Support: Child support will be based on the Florida Guideline. Has an Order previously been issued regarding
Child Support: _________ Date: ______________ Case #: ____________________                                
County/State Where Ordered:_____________________________________

Which party will provide Health Insurance and Dental Insurance for the minor child(ren)?______________

Medical and Dental expenses not covered by insurance will be:             
(  ) divided equally between the parties         (  ) paid by the __________________ (husband/wife)

ACKNOWLEDGE:
I have paid my fee for forms only. The typing and the instructions were furnished free.  I understand that my money
cannot be refunded.  No one at Ida’s Legal Forms initiated this action.  I understand all the information as stated and
filled in on the information sheet. These forms are purchased and to be used strictly for obtaining my personal
Dissolution of Marriage and are not to be duplicated in any manner, whatsoever, unless authorized by Ida’s legal
Forms. Any other use is strictly prohibited by law.

DISCLOSURE:
Ida’s Legal Forms told me that he/she is not a lawyer and may not give legal advice or represent me in court.
Ida’s Legal Forms told me that he/she may only help me fill out a form approved by the Supreme Court of
Florida.         
Ida’s Legal Forms may only help me by asking me questions to fill in the form.  Ida’s Legal Forms may also tell me
how to file this form.
Ida’s Legal Forms told me that he/she is not an attorney and cannot tell me what my rights or remedies are or      how
to testify in Court.
_________I can read English.
_________I cannot read English but this notice was read to me by _________________________ in
____________________________ (language).

__________________________________          _______________________
Petitioner                                        Date

PAID:_______________ CASH______ CHECK______
 
Return with $160.17 ($149.00 for the forms and $11.17 sales tax) If Mailing, Check or  Money Order only
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$______________ Received from _______________________________________for one (1) set of Divorce Forms
Balance Due $_________________ UNDER NO CIRCUMSTANCES CAN MONEY BE REFUNDED
                                                                   Ida’s Legal Forms
                                                                      PO Box 4219
                                                                 Pensacola, FL 32507                                                                         
                                                                      (850) 434-7524
ONLINE
Child's Full Legal Name:_____________________________________________________________________
Place of Birth:______________________________________Date of Birth:_____________________________
Sex:__________________
Child's Full Legal Name:_____________________________________________________________________
Place of Birth:______________________________________Date of Birth:_____________________________
Sex:__________________
Dates
(From/To)
Address  (including city and state) where
child lived
Relationship to child
Circle all that apply
_________/present
  (  Mother  /  Father  )
________/__________
  (  Mother  /  Father  )
________/__________
  (  Mother  /  Father  )
________/__________
  (  Mother  /  Father  )
________/__________
  (  Mother  /  Father  )
________/__________
  (  Mother  /  Father  )
Dates
(From/To)
Address(including city and state) where
child lived
Relationship to child
Circle all that apply
_________/present
  (  Mother  /  Father  )
________/__________
  (  Mother  /  Father  )
________/__________
  (  Mother  /  Father  )
________/__________
  (  Mother  /  Father  )
________/__________
  (  Mother  /  Father  )
________/__________
  (  Mother  /  Father  )