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Petitioner, and Respondent. (Florida)

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IN THE CIRCUIT COURT OF THE _____________________ JUDICIAL CIRCUIT,
IN AND FOR ______________________________ COUNTY, FLORIDA
Case No: ________________________
Division: ________________________
In Re: The Marriage of:
_________________________________,
Petitioner,
and
_________________________________,
Respondent.
ORDER FOR TEMPORARY SUPPORT AND OTHER RELIEF
WITH NO DEPENDENT OR MINOR CHILD(REN)
This cause came before this Court for a hearing on a Motion for Temporary Support and Other Relief with
No Dependent or Minor Child(ren). The Court, having reviewed the file and heard the testimony, makes
these findings of fact and ORDERS as follows:
The Court has jurisdiction over the subject matter and the parties.
SECTION I. MARITAL ASSETS AND LIABILITIES
A. Injunction.
1. _____ Petitioner _____ Respondent is (are) prohibited and enjoined from disposing of any marital
assets without the written permission of the other party or a court order; however,
_____Petitioner _____Respondent may continue to pay all ordinary and usual expenses.
2. The Court may enforce compliance with the terms of this injunction through civil and/or indirect
criminal contempt proceedings, which may include arrest, incarceration, and/or the imposition of
a fine.
3. Violation of this injunction may constitute criminal contempt of court.
4. Bond. This order is conditioned upon _____ Petitioner _____ Respondent posting bond in the
sum of $__________ with the clerk of this Court.
B. Temporary Use of Assets.
1. The assets listed below are temporarily determined to be marital assets. Each party shall
temporarily have the use of, as his/her own, the assets awarded in this section, and the other
party shall temporarily have no further use of said assets. Any personal property not listed below
shall be for the use of party currently in possession of that item(s), and he or she may not
Florida Supreme Court Approved Family Law Form 12.947(d), Order for Temporary Support and Other Relief With
No Dependent or Minor Child(ren) (02/18)
dispose of that item(s) without the written permission of the other party or a court order.
ASSETS: DESCRIPTION OF ITEM(S)
(Please describe each item as clearly as possible. You do not need to list
account numbers.)
Petitioner
Shall Have
Temporary
Use
Respondent
Shall Have
Temporary
Use
Automobiles
Furniture & furnishings in home
Furniture & furnishings elsewhere
Jewelry
Business interests
Other Assets
C. Temporary Responsibility for Liabilities/Debts.
1. The liabilities listed below are temporarily determined to be marital. Each party shall pay as his
or her own the marital liabilities indicated below and shall keep said payments current. The other
party shall temporarily have no further responsibility for the payment of these debts.
LIABILITIES: DESCRIPTION OF DEBT(S)
(Please describe each item as clearly as possible. You do not
need to list account numbers.)
Current
Amount
Owed
Petitioner
Shall Pay
Respondent
Shall Pay
Mortgages on real estate: (home)
$
$
Florida Supreme Court Approved Family Law Form 12.947(d), Order for Temporary Support and Other Relief With
No Dependent or Minor Child(ren) (02/18)
LIABILITIES: DESCRIPTION OF DEBT(S)
(Please describe each item as clearly as possible. You do not
need to list account numbers.)
Current
Amount
Owed
Petitioner
Shall Pay
Respondent
Shall Pay
Charge/credit card accounts
Auto loan
Auto loan
Bank/Credit Union loans
Money owed (not evidenced by a note)
Other
SECTION II. TEMPORARY EXCLUSIVE USE AND POSSESSION OF HOME
{Indicate all that apply}
1. _____Petitioner _____ Respondent shall have temporary exclusive use and possession of the
dwelling located at: {address}
until {date or event}
.
2. _____ Petitioner _____Respondent may make a visit to the premises described in the paragraph
above for the purpose of obtaining his or her clothing and items of personal health and hygiene
and to obtain any items awarded in this order. This visit shall occur after notice to the person
granted temporary exclusive use and possession of the dwelling and at the earliest convenience
of both parties.
3. _____ Other:
Florida Supreme Court Approved Family Law Form 12.947(d), Order for Temporary Support and Other Relief With
No Dependent or Minor Child(ren) (02/18)
_______________________________________________________________________
.
SECTION III. TEMPORARY ALIMONY
1. _____ The Court denies the request(s) for temporary alimony.
OR
2. _____The Court finds that there is a need for, and that _____ Petitioner _____ Respondent,
hereinafter Obligor, has/had the present ability to pay, temporary alimony as follows:
{Indicate all that apply}
a. _____ Temporary Periodic. Obligor shall pay temporary periodic alimony to Obligee in the
amount of $__________ per month, payable ( ) in accordance with Obligor’s employer’s
payroll cycle, and in any event, at least once a month, or _____ other {explain}
beginning {date} _____________. This temporary periodic alimony shall continue until
modified by court order, the death of either party, or until {date or event}
_________________whichever occurs first.
b. _____ Retroactive. Obligor shall pay retroactive alimony in the amount of $__________ for
the period of {date} ___________________ through {date} _______________________,
which shall be paid pursuant to paragraph 4 below.
3. Reasons for Awarding/Denying Temporary Alimony Award. The reasons for awarding/denying
temporary alimony are as follows:
a_____ length of the marriage of the party receiving temporary alimony: years;
b._____ age of party receiving temporary alimony: years;
c._____ health of party receiving temporary alimony: _____ excellent _____ good _____ poor
_____ other ____________________________________________________;
d._____ other factors
____ Please indicate here if additional pages are attached.
4. Retroactive Alimony. _____ Petitioner _____ Respondent shall pay to the other party the
temporary retroactive alimony of $___________, as of {date} ____________. This amount shall
be paid in the amount 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.
5. Insurance.
[Indicate all that apply]
a. _____ Health Insurance. _____ Petitioner _____ Respondent shall temporarily be required to
Florida Supreme Court Approved Family Law Form 12.947(d), Order for Temporary Support and Other Relief With
No Dependent or Minor Child(ren) (02/18)
pay health insurance premiums for the other party not to exceed $__________ per month.
Further, _____ Petitioner _____ Respondent shall pay any reasonable and necessary
uninsured medical costs for the other party not exceed $_____________per year. As to these
uninsured medical expenses, the party who is entitled to reimbursement of the uninsured
medical expense shall submit request for reimbursement to the other party within 30 days,
and the other party shall, within 30 days after receipt, submit the applicable reimbursement
for that expense.
b. _____ Life Insurance (to secure payment of support). To secure the temporary alimony
obligations set forth in this order, the Obligor shall temporarily maintain any existing life
insurance coverage on his/her life naming the Obligee as the sole irrevocable beneficiary, so
long as reasonably available. This temporary insurance shall be in the amount of at least
$__________ and shall remain in effect until this temporary obligation for alimony
terminates.
6. _____ Other provisions relating to temporary alimony including any tax treatment and
consequences: _________________________________________________________________
.
SECTION IV. METHOD OF PAYMENT
Obligor shall pay any temporary court-ordered alimony and arrears, if any, as follows:
1. Place of Payment.
[Indicate if applies]
a. _____ Obligor shall pay temporary 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.
b. _____ Both parties have requested and the Court finds that it is in the best interests that
temporary 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.
[If applicable]
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 temporary support obligation until all of said support is deducted
from 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
Florida Supreme Court Approved Family Law Form 12.947(d), Order for Temporary Support and Other Relief With
No Dependent or Minor Child(ren) (02/18)
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: there are no minor child(ren) common to the parties,
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 the Obligee pursuant to the payment
method prescribed above.
4. Other provisions relating to method of temporary payment: ____________________________
.
SECTION V. TEMPORARY ATTORNEY’S FEES, COSTS, AND SUIT MONEY
1. _____ Petitioner
’s _____ Respondent’s request(s) for temporary attorney’s fees, costs, and suit
money is (are) denied because
.
OR
2. _____ The Court finds there is a need for and an ability to pay temporary attorney’s fees, costs,
and suit money. _____ Petitioner _____ Respondent is hereby ordered to pay to the other party
$__________ in temporary attorney’s fees, and $__________ in costs. The Court further finds
that the temporary attorney’s fees awarded are based on the reasonable rate of $__________
per hour and _____reasonable hours. Other provisions relating to temporary attorney fees, costs,
and suit money are as follows:
.
SECTION VI. OTHER PROVISIONS
Other Provisions:
Florida Supreme Court Approved Family Law Form 12.947(d), Order for Temporary Support and Other Relief With
No Dependent or Minor Child(ren) (02/18)
____________________________________________
.
DONE AND ORDERED in __________________________, Florida, on {date} _______________________.
CIRCUIT JUDGE
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}___________________________.
by___________________________________
{Clerk of court or designee}
Petitioner (or his or her attorney)
Respondent (or his or her attorney)
State Disbursement Unit
Other:
Florida Supreme Court Approved Family Law Form 12.947(d), Order for Temporary Support and Other Relief With
No Dependent or Minor Child(ren) (02/18)
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Completed 10 January 2021

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