<p>IN THE CIRCUIT COURT OF THE TWENTIETH JUDICIAL CIRCUIT IN AND FOR COLLIER COUNTY, FLORIDA CIVIL ACTION </p><p>______</p><p>Petitioner/, and CASE NO: __-DR-___</p><p>______</p><p>Respondent/. ______/</p><p>AFFIDAVITS OF NON-MILITARY SERVICE, PREGNANCY, NAME CHANGE AND GROUNDS FOR DISSOLUTION OF MARRIAGE, AND NOTICE OF RELATED CASES</p><p>AFFIDAVIT OF NON-MILITARY SERVICE</p><p>I, ______, am not now on active duty in the military service of the United States, nor have I been on active military service of the United States within a period of thirty (30) days immediately before this date, and know of my own personal knowledge that the Petitioner/Respondent, ______, is not now on active duty in the military service of the United States, nor has the Petitioner/Respondent, ______, been on active military service of the United States within a period of thirty (30) days immediately before this date.</p><p>PREGNANCY, NAME CHANGE AFFIDAVIT </p><p>I [full legal name] ______, being sworn, certify that the following information is true: </p><p>1. I am married to ______[name of spouse] and I am the ______[party] in the above styled case.</p><p>2. I am not now pregnant.</p><p>3. I am requesting that my name be changed as a part of the Final Judgment in this case to ______.[name change]</p><p>GROUNDS FOR DISSOLUTION OF MARRIAGE I [full legal name] ______, being sworn, certify that the following information is true: </p><p>1. I am married to ______[name of spouse] who is the ______[party] in the above styled case.</p><p>2. My spouse and I were married on ______[date of marriage] in ______[location of marriage]. </p><p>3. I have been a resident of the State of Florida for six (6) months prior to the filing of the Petition for Dissolution of Marriage in the above-styled case. I have filed a copy of my ______[type of identification filed] in the Court file. </p><p>4. My marriage to the above spouse is irretrievably broken. There is nothing that can be done to save, correct, or restore this marriage. </p><p>5. My spouse and I have entered into a Marital Settlement Agreement that resolves all issues raised by or pertaining to the above-styled action. I entered into this Agreement freely and voluntarily. </p><p>6. [if parties have children] ____ [number] children were born of our marriage as follows: [list names and dates of birth of children born of the parties’ marriage]</p><p>7. [if parties have children] The provisions in Marital Settlement Agreement and our Parenting Plan are in the best interests of our children. </p><p>NOTICE OF RELATED CASES</p><p>COMES NOW the Petitioner/Respondent, ______, by and through undersigned counsel and hereby submits this his/her Notice of Related Cases as required by Florida Rule of Judicial Administration 2.545(d). A related case may be an open or closed civil, criminal, guardianship, domestic violence, juvenile delinquency, or domestic relations case. A case is “related” to this family law case if it involves any of the same parties, children, or issues and it is pending at the time the party files a family case; if it affects the court’s jurisdiction to proceed; if an order in the related case may conflict with an order on the same issues in the new case; or if an order in the new case may conflict with an order in the earlier litigation.</p><p>___ There are no related cases. ___ The following are the related cases (add additional pages if necessary):</p><p>Related Case No. 1 Case Name(s):______Petitioner: ______Respondent: ______Case No.: ______Division: ______Type of Proceeding: ___ Dissolution of Marriage ___ Paternity ___ Custody ___ Adoption ___ Child Support ___ Modification/Enforcement/Contempt Proceedings ___ Juvenile Dependency ___ Juvenile Delinquency ___ Termination of Parental Rights ___ Criminal ___ Domestic/Sexual/Dating/Repeat ___ Mental Health Violence Injunctions ___ Other ______</p><p>State where case was decided or is pending: ___ Florida; ___ Other ______Name of Court where case was decided or is pending (circuit name, county name): ______Title of last Court Order/Judgment (if any): ______Date of Court Order/Judgment (if any): ______</p><p>Relationship of cases: ___ pending case involves same parties, children, or issues; ___ may affect court’s jurisdiction; ___ order in related case may conflict with an order in this case; ___ order in this case may conflict with previous order in related case. Statement as to the relationship of the cases: ______</p><p>Related Case No. 2 Case Name(s):______Petitioner: ______Respondent: ______Case No.: ______Division: ______Type of Proceeding: ___ Dissolution of Marriage ___ Paternity ___ Custody ___ Adoption ___ Child Support ___ Modification/Enforcement/Contempt Proceedings ___ Juvenile Dependency ___ Juvenile Delinquency ___ Termination of Parental Rights ___ Criminal ___ Domestic/Sexual/Dating/Repeat ___ Mental Health Violence Injunctions ___ Other ______</p><p>State where case was decided or is pending: ___ Florida; ___ Other ______Name of Court where case was decided or is pending (circuit name, county name): ______Title of last Court Order/Judgment (if any): ______Date of Court Order/Judgment (if any): ______Relationship of cases: ___ pending case involves same parties, children, or issues; ___ may affect court’s jurisdiction; ___ order in related case may conflict with an order in this case; ___ order in this case may conflict with previous order in related case. Statement as to the relationship of the cases: ______</p><p>PETITIONER/RESPONDENT hereby: ___ Does not request coordination of litigation in any of the cases listed above. ___ Does request coordination of the following cases: ______Assignment to one judge ___ Coordination of existing cases will conserve judicial resources and promote an efficient determination of these cases because: ______.</p><p>The Petitioner/Respondent acknowledges a continuing duty to inform the court of any cases in this case or any other state that could affect the current proceeding.</p><p>Dated: ______CLIENT NAME</p><p>STATE OF FLORIDA COUNTY OF COLLIER</p><p>Sworn to or affirmed and signed before me on this __ day of January, 201_ by CLIENT NAME.</p><p>______NOTARY PUBLIC or DEPUTY CLERK</p><p>___ Personally known ___ Produced identification Type of identification produced: ______</p><p>I HEREBY CERTIFY that a copy of this document was delivered via electronic service to the person listed below on January __, 201_. , Esquire Address , Florida 34102 </p><p>,Esquire Attorney for Address ,Florida 34102</p><p>______,Esquire Florida Bar No: 765740</p>
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