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IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT, (Florida)

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IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,
IN AND FOR COUNTY, FLORIDA
Case No.:
Division:
,
Petitioner,
and
,
Respondent.
FINAL JUDGMENT OF PATERNITY
This cause came before the Court upon a Petition to Determine Paternity and for Related Relief, under
chapter 742, Florida Statutes. The Court having reviewed the file and having heard the testimony,
makes these findings of fact and reaches these conclusions of law:
1. The Court has jurisdiction of the subject matter and the parties.
2. Paternity. {Choose only one} _____ By operation of law, _____ The Court finds that
{full legal name} ,
is the natural and biological father of the minor child(ren), listed below:
The parties’ dependent or minor child(ren) is (are):
Name Birth date
SECTION I. PARENTAL RESPONSIBILITY AND PARENTING PLAN ESTABLISHING TIME-SHARING WITH
DEPENDENT OR MINOR CHILD(REN)
1. Jurisdiction. The Court has jurisdiction to determine parental responsibility and to adopt or
establish a Parenting Plan with time-sharing with regard to the child(ren) listed in paragraph 2
above.
2. Parental Responsibility and Parenting Plan for the Minor Child(ren).
{Choose only one}
a. _____Not adjudicated. Since no request for relief was made in this action, parental
responsibility of and time-sharing with the minor child(ren) is governed by sections 742.031
and 744.301, Florida Statutes.
Florida Supreme Court Approved Family Law Form 12.983(g), Final Judgment of Paternity (03/15)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
b. _____Parenting Plan. The parties shall comply with the Parenting Plan which is attached
hereto and incorporated herein as Exhibit _____.
SECTION II. CHILD SUPPORT
1. The Court finds that there is a need for child support and that the _____ Mother _____ Father
(hereinafter Obligor) has the present ability to pay child support. The amounts in the Child
Support Guidelines Worksheet, Florida Family Law Rules of Procedure Form 12.902(e), filed by
the _____ Mother _____ Father are correct OR the Court makes the following findings:
The Mother’s net monthly income is $ , (Child Support Guidelines ____%).
The Father’s net monthly income is $ , (Child Support Guidelines ____%).
Monthly child care costs are $ .
Monthly health/dental insurance costs are $ .
2. Amount.
Child support established at the rate of $___________ per month for the _______children {total
number of parties’ minor or dependent children} shall be paid commencing _________________
{month, day, year} and terminating ____________________________ {month, day, year}. Child
support shall be paid in the amount of $___________ per ___________ {week, month, other}
which is consistent with the Obligor’s current payroll cycle.
Upon the termination of the obligation of child support for one of the parties’ children, child
support in the amount of $__________for the remaining _____children {total number of
remaining children} shall be paid commencing __________________________ {month, day,
year} and terminating____________________________{month, day, year}. This child support
shall be paid in the amount of $__________ per ___________ {week, month, other} consistent
with Obligor’s current payroll cycle.
{Insert schedule for the child support obligation, including the amount, and commencement
and termination dates, for the remaining minor or dependent children, which shall be payable
as the obligation for each child ceases. Please indicate whether the schedule ____appears
below or ____ is attached as part of this form.}
The Obligor shall pay child support until all of the minor or dependent children: reach the age of
18; become emancipated, marry, join the armed services, die, or become self-supporting; or
until further order of the court or agreement of the parties. The child support obligation shall
continue beyond the age of 18 and until high school graduation for any child who is dependent
in fact, between the ages of 18 and 19, and is still in high school, performing in good faith with a
reasonable expectation of graduation before the age of 19.
Florida Supreme Court Approved Family Law Form 12.983(g), Final Judgment of Paternity (03/15)
If the child support ordered deviates from the guidelines by more than 5%, the factual findings
which support that deviation are:
3. Arrearage/Retroactive Child Support.
a. ____There is no retroactive child support or arrearage at the time of this Final Judgment.
b. ____ The _____ Mother _____ Father _____ both has (have) incurred medical expenses in
the amount of $ on behalf of the minor child(ren), including hospital and other
expenses incidental to the birth of the minor child(ren). Petitioner shall pay ___%,
Respondent shall pay __%, which shall be paid as follows: _____ added to arrearage in
paragraph c below _____ other {explain}
_________________________________________________________________________
__________________________________________________________________________
c. ____The _____Mother _____ Father shall pay to the other party the child support arrearage
of:
$________ for retroactive child support, as of {date}______________________________.
$ for previously ordered unpaid child support, as of {date} _________________.
$ for previously incurred medical expenses.
The total of $ in child support arrearage shall be repaid at the rate of $_____
per month, payable ( ) in accordance with Obligor’s employer’s payroll cycle, and in any
event at least once a month ( ) other {explain} ___________________________________
___________________________________________________________________________,
beginning {date} ________________________, until paid in full including statutory interest.
4. Insurance.
{Indicate all that apply}
a. _____ Health/Dental Insurance. ____ Mother _____ Father shall be required to maintain:
_____ health and/or _____ dental insurance for the parties’ minor child(ren), so long as
it is reasonable in cost and accessible to the child(ren). The party providing insurance
shall be required to convey insurance cards demonstrating said coverage to the other
party;
OR
_____ health _____ dental insurance is not reasonable in cost or accessible to the
child(ren) at this time.
b. _____ Reasonable and necessary uninsured medical/dental/prescription drug costs for the
minor child(ren) shall be assessed as follows:
_____ Shared equally by both parents.
_____ Prorated according to the child support guideline percentages.
Florida Supreme Court Approved Family Law Form 12.983(g), Final Judgment of Paternity (03/15)
__________________________________________________________________________
______________________________________________________________________________
_____ Other {explain}: _______________________________________________________
As to these uninsured medical/dental/prescription drug expenses, the party who incurs the
expense shall submit request for reimbursement to the other party within 30 days, and the
other party, within 30 days of receipt, shall submit the applicable reimbursement for that
expense, according to the schedule of reimbursement set out in this paragraph.
5. _____Life Insurance (to secure payment of support). To secure the child support obligations in
this judgment, _____ Mother _____ Father _____ each party shall maintain life insurance
coverage, in an amount of at least $ _, on _____ his life _____ her life _____ his/her
life naming the _____ minor child(ren) as the beneficiary(ies) OR naming the _____ Mother
_____Father _____other {name} _________________________________________as Trustee
for the minor child(ren), so long as reasonably available. The obligation to maintain the life
insurance coverage shall continue until the youngest child turns 18, becomes emancipated,
marries, joins the armed services, dies, or otherwise becomes self-supporting.
6. _____IRS Income Tax Exemption(s). The assignment of any tax exemption(s) for the child(ren)
shall be as follows:
.
Further, each party shall execute any and all IRS forms necessary to effectuate the provisions of
this paragraph.
7. Other provisions relating to child support: ___________________________________________
SECTION III. METHOD OF PAYMENT
Obligor shall pay court-ordered child support/alimony and arrears, if any, as follows:
1. Place of Payment
a. ____Obligor shall pay court-ordered support directly to either the State Disbursement Unit,
or the central depository, as required by statute, along with any fee required by statute.
OR
b. ____Both parties have requested and the court finds that it is in the best interests of the
child(ren) that support payments need not be directed through either the State
Disbursement Unit or the central depository at this time; however, either party may
subsequently apply, pursuant to section 61.13(1)(d)3, Florida Statutes, to require payments
through either the State Disbursement Unit or the central depository.
2. Income Deduction.
a. ____Immediate. Obligor shall pay through income deduction, pursuant to a separate
Income Deduction Order which shall be effective immediately. Obligor is individually
responsible for paying this support obligation until all of said support is deducted from
Florida Supreme Court Approved Family Law Form 12.983(g), Final Judgment of Paternity (03/15)
Obligor’s income. Until support payments are deducted from Obligor’s paycheck, Obligor is
responsible for making timely payments directly to the State Disbursement Unit or the
Obligee, as previously set forth in this order.
b. ____Deferred. Income deduction is ordered this day, but it shall not be effective until a
delinquency of $ , or, if not specified, an amount equal to one month’s obligation
occurs. Income deduction is not being implemented immediately based on the following
findings: Income deduction is not in the best interests of the child(ren) because: {explain}
,
AND
there is proof of timely payment of a previously ordered obligation without an income
deduction order in cases of modification,
AND
_____ there is an agreement by the Obligor to advise the Title IV-D agency, the clerk of
court, and the Obligee of any change in Payor and/or health insurance
OR
_____ there is a signed written agreement providing an alternative arrangement between
the Obligor and the Obligee and, at the option of the IV-D agency, by the IV-D agency in IV-D
cases in which there is an assignment of support rights to the state, reviewed and entered in
the record by the court.
3. Bonus/one-time payments. _____ All _____% _____ No income paid in the form of a bonus or
other similar one-time payment, up to the amount of any arrearage or the remaining balance
thereof owed pursuant to this order, shall be forwarded to Obligee pursuant to the payment
method prescribed above.
4. Other provisions relating to method of payment. ________________________________
.
SECTION IV. CHILD(REN)’S NAME(S)
a. _____There shall be no change to the child(ren)’s name(s).
b. _____It is in the child(ren)’s best interests that
the child(ren)’s present name(s):
(1) _______________________________
(2) ________________________________
(3) ________________________________
(4) ________________________________
(5) ________________________________
(6) ________________________________
by which they shall hereafter be known
shall be changed to the following:
(1) ______________________________
(2) _______________________________
(3) _______________________________
(4) _______________________________
(5) _______________________________
(6) _______________________________
c. The name change is in the best interest(s) of the child(ren) because:__________________
Florida Supreme Court Approved Family Law Form 12.983(g), Final Judgment of Paternity (03/15)
________________________________________________________________________
______________________
_________________________________________________________________________.
SECTION V. ATTORNEY’S FEES, COSTS, AND SUIT MONEY
1. _____ Petitioner’s _____ Respondent’s request(s) for attorney’s fees, costs, and suit money is
(are) denied because
.
2. ____The Court finds there is a need for and an ability to pay attorney’s fees, costs, and suit
money. _____ Petitioner _____ Respondent is hereby ordered to pay to the other party
$ __ in attorney’s fees, and $ ____ in costs. The Court further finds that the
attorney’s fees awarded are based on the reasonable rate of $ per hour and
reasonable hours. Other provisions relating to attorney’s fees, costs, and suit money
are as follows:___________________________________________________________________
.
3. The costs of the scientific paternity testing shall be assessed:
_____ against Petitioner
_____ against Respondent
_____ Other {explain} .
SECTION VI. OTHER PROVISIONS
1. Other Provisions.
The Court reserves jurisdiction to modify and enforce this Final Judgment.
DONE AND ORDERED at _____________________, Florida, on .
CIRCUIT JUDGE
Florida Supreme Court Approved Family Law Form 12.983(g), Final Judgment of Paternity (03/15)
I CERTIFY that a copy of this {name of document}__________________________________________ was
( ) mailed ( ) faxed and mailed ( ) e-mailed ( ) hand-delivered to the parties or entities listed
below on {date} ____________________________.
(SEAL)
By:
{Clerk of court or designee}
Petitioner (or his or her attorney)
Respondent (or his or her attorney)
Central depository
State Disbursement Unit
_ Other: _______________________________________
Florida Supreme Court Approved Family Law Form 12.983(g), Final Judgment of Paternity (03/15)
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IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT, (Florida)

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Completed 12 November 2020

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