Florida Supreme Court Approved Family Law Form 12.901(b)(3), Petition for Dissolution of Marriage with No Dependent or Minor Child(ren) or Property (02/18) Completed Form Examples and Samples
View a filled-out example of Florida Supreme Court Approved Family Law Form 12.901(b)(3), Petition for Dissolution of Marriage with No Dependent or Minor Child(ren) or Property. This sample demonstrates how to correctly complete the petition for a simplified, uncontested divorce in Florida. Ideal for individuals seeking guidance on filling out their divorce papers without children or shared assets.
Florida Divorce Form 12.901(b)(3) Example: No Children or Property
How this form was filled:
This is an example of a Petition for Dissolution of Marriage for a couple with no children or shared property. It shows how to correctly fill in the petitioner's and respondent's information, state the grounds for divorce, confirm residency, and request a name change.
Information used to fill out the document:
- Case Style: In the Circuit Court of the Eighth Judicial Circuit, in and for Alachua County, Florida
- Case Number: 26 2026 DR 001234
- Division: Family
- Petitioner's Full Name: Alex Miller
- Petitioner's Last 4 SSN: 1234
- Petitioner's Date of Birth: June 15, 1988
- Respondent's Full Name: Jordan Davis
- Respondent's Last 4 SSN: 5678
- Respondent's Date of Birth: September 2, 1990
- Date of Marriage: October 26, 2020
- Place of Marriage: Miami, Florida
- Date of Separation: January 5, 2026
- Residency Requirement: Petitioner has lived in Florida for more than 6 months before filing.
- Marriage Status: The marriage is irretrievably broken.
- Children Status: There are no minor or dependent children and the Wife is not pregnant.
- Property/Debt Status: There are no marital assets or liabilities for the Court to divide.
- Name Change Request: Petitioner requests to restore former name to Alex Smith.
- Petitioner's Signature Date: February 10, 2026
- Notary Date: February 10, 2026
What this filled form sample shows:
- Correctly filled **case information**, including county and division.
- Demonstrates assertion of **Florida residency** for jurisdiction.
- Clearly states the marriage is **irretrievably broken**.
- Verifies compliance with the form's core requirements: **no minor children, no pregnancy, and no marital property/debts** for court division.
- Includes a properly formatted request to **restore a former name**.
Form specifications and details:
| Form Name: | Petition for Dissolution of Marriage with No Dependent or Minor Child(ren) or Property |
| Form Number: | Florida Supreme Court Approved Family Law Form 12.901(b)(3) |
| Revision Date: | (02/18) |
| Use Case: | Simplified, uncontested divorce where parties have no children and no marital assets or debts requiring court intervention. |
| Jurisdiction: | State of Florida, Circuit Court, Family Division |
Created: February 05, 2026 08:33 PM
