Special Interrogatories For Dissolution Of Marriage Cases
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3IN THE CIRCUIT COURT OF THE TWENTIETH JUDICIAL CIRCUIT, IN AND FOR
LEE COUNTY, FLORIDA
CIVIL DIVISION
Petitioner
No: ___________________________
Case
vs.
Respondent
SPECIAL INTERROGATORIES FOR DISSOLUTION OF MARRIAGE CASES
NOTE: You must answer every question correctly, either by typing or printing legibly in ink. If a
question does not apply to your case, write “N/A” in the blank or select “NO”.
STATE OF FLORIDA COUNTY OF LEE
I, the undersigned, under oath and under penalty of perjury, swear or affirm as follows:
1. (a) List your full legal name __________________________________________________________
(b) List the name of the person you are married to _________________________________________
(c) List the City, State you were married in ______________________________________________
(d) List the date you were married _____________________________________________________
2. If everything said in the Petition for Dissolution of Marriage is true and correct to the best of your
knowledge, state that below. If there is anything you need to correct in your Petition, briefly state the
corrections below.
Everything is true and correct
Petition needs corrections listed below:
_________________________________________________________________________________
_________________________________________________________________________________
3. Are you or your spouse a member of the armed forces?
Yes
No
4. (a) Your Petition for Dissolution of Marriage was filed on __________________________________.
(Date)
(b) Have either you or your spouse resided in the State of Florida continuously as a permanent
resident for more than six months before the date the petition was filed?
Yes
No
(c) Which spouse?
Husband
Wife
Both
5. (a) “Irretrievably broken” means that the marriage cannot be put back together or salvaged in any
way, not even with the help of marriage counseling. Is your marriage irretrievably broken?
Yes
No
Rev. 1/20/15
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