Petition For Dissolution Of Marriage With Dependent Or Minor Child(Ren) Page 8
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11SECTION II. SPOUSAL SUPPORT (ALIMONY)
[Choose only one]
1. ___ Petitioner forever gives up his/her right to spousal support (alimony) from Respondent.
2. ___ Petitioner requests that the Court order Respondent to pay the following spousal support
(alimony) and claims that he or she has a need for the support that he or she is requesting and
Respondent has the ability to pay that support. Spousal support (alimony) is requested in the
amount of $
every ( ) week ( ) other week ( ) month, beginning {date} ______________
and continuing until {date or event} ___________________________
Explain why the Court should order Respondent to pay and any specific request(s) for type of
alimony (temporary, permanent, rehabilitative, and/or lump sum): ___________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
[Choose if applicable] ( ) Petitioner requests life insurance on Respondent’s life, provided by
Respondent, to secure such support.
SECTION III. PARENTING PLAN ESTABLISHING PARENTAL RESPONSIBILITY AND TIME-SHARING
1. The minor child(ren) currently reside(s) with ( ) Mother ( ) Father ( ) Other: {explain}
__________________________________________________________________________________
2. Parental Responsibility. It is in the child(ren)’s best interests that parental responsibility be.
[Choose only one]
a. ___ shared by both Father and Mother.
b. ___ awarded solely to ( ) Father ( ) Mother. Shared parental responsibility would be
detrimental to the child(ren) because: _______________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
3. Parenting Plan and Time-Sharing. It is in the best interests of the child(ren) that the family be
ordered to comply with a Parenting Plan that ( ) includes ( ) does not include parental time-sharing
with the child(ren). The Petitioner states that it is in the best interests of the child (ren) that:
[Choose only one]
a. ___ The attached proposed Parenting Plan should be adopted by the court. The parties
( ) have ( ) have not agreed to the Parenting Plan.
b. ___ The court should establish a Parenting Plan with the following provisions:
___ No time-sharing for the ___ Father__Mother.
___ Limited time-sharing with the ___ Father___Mother.
___ Supervised Time-Sharing for the ___ Father___Mother.
___ Supervised or third-party exchange of the child(ren).
___ Time-Sharing Schedule as follows:
__________________________________________________________________________________
Florida Supreme Court Approved Family Law Form 12.901(b)(1), Petition for Dissolution of Marriage with
Dependent or Minor Child(ren) (10/11)
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