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Use this form if you have NO children under 18 and NO property
 and your spouse WILL sign.

Your Information
First name:
Last name:
Street:
City:
County:
State:
Zip:
Home Phone:
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Work Phone:
Email address:
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Best way to contact you:

Who lived in Florida for at least 6 months before the filing for Dissolution of Marriage?

Are you a member of the military service?

Your Spouse's Information
First name:
Last name:
Street:
City:
County:
State:
Zip:
Home Phone:

Is your spouse a member of the military service?

Marriage Information
Date of Marriage:
Place of Marriage:
Date of Separation:
Is Alimony to be Paid?
If yes, how much?
Alimony to be paid by?
Your combined income with your spouse
Wife's Former Name
   
Wife requests to have former name restored:
Indicate former name:
SHIPPING METHOD/ (Select one)
Billing Information
Name as it appears on your credit card:
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Billing Address
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State
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City
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Zip
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Credit Card Type

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Credit Card Number
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Expiration Date
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