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QUESTIONNAIRE FOR PETITION FOR PATERNITY AND OTHER RELATED RELIEF (TIMESHARING, ETC.)
DOUBLE CHECK your answers to make sure your information is correct, ESPECIALLY the spelling of names and addresses. If you are unsure about your answers, use the COMMENTS box below to explain or clarify.
Do you have a lawyer representing you in this matter?
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No
Yes
Choose the correct statement:
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I want my documents mailed to me. I will sign, notarize, and return them to you for filing.
I want to meet with you and sign/notarize my documents in your Daytona Beach office.
I want to discuss a personal meeting with you in my county to sign/notarize my documents.
Is This the First Time You've Filed a Petition for Paternity and Other Related Relief?
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YES
NO
I'M NOT SURE
Do you think the other parent would be willing to sign agreements for an uncontested paternity action?
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YES
NO
I'M NOT SURE
Is There a Child Support Order in Place for ANY of Child(ren)?
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NO
YES
Explain Details of Child Support Order(s)
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Will your case require an scientific testing (DNA Tests)?
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No
Yes
I Don't Know
Have you lived in Florida for 6 months?
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Yes
No
Has the child(ren) lived in Florida for at least 6 months?
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Yes
No
I DON'T KNOW
Your Full Legal Name
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Your Date of Birth
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Social Security Number
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Your Email Address
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Retype Your Email Address
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Main Phone Number (10-Digit)
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Type
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Home
Cell
Work
Other
Can we send text messages to this phone?
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Yes, you can text me at this number.
No
Other Phone Number (10-Digit)
Type
Home
Cell
Work
Other
Can we send text messages to this phone?
Yes, you can text me at this number.
No
Your Street Address:
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Your City
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State
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Zip Code
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County
*
Alachua
Baker
Bay
Bradford
Brevard
Broward
Calhoun
Charlotte
Citrus
Clay
Collier
Columbia
DeSoto
Dixie
Duval
Escambia
Flagler
Franklin
Gadsden
Gilchrist
Glades
Gulf
Hamilton
Hardee
Hendry
Hernando
Highlands
Hillsborough
Holmes
Indian River
Jackson
Jefferson
Lafayette
Lake
Lee
Leon
Levy
Liberty
Madison
Manatee
Marion
Martin
Miami-Dade
Monroe
Nassau
Okaloosa
Okeechobee
Orange
Osceola
Palm Beach
Pasco
Pinellas
Polk
Putnam
St. Johns
St. Lucie
Santa Rosa
Sarasota
Seminole
Sumter
Suwannee
Taylor
Union
Volusia
Wakulla
Walton
Washington
What type of ID do you have?
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Florida Driver License
Florida ID Card
Out of State Driver License
US Military ID
Passport
Other (Explain in Comments)
I Do Not Have Identification
Are you active military?
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No
Yes
What is your Driver License/ID Number? (State and Number)
Are You and Active Member of the United States Military?
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NO
YES
Public Assistance - Choose the Correct Statement
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I have never been on Public Assistance
I used to be on Public Assistance, but I Am Not Currently
I Am Currently on Public Assistance
I Have Applied for Public Assistance
FILING FEES:
Florida courts charge an average of $300 for filing a Petition for Paternity and Other Related Relief. If a Summons and service of process is necessary in your case, the fee may be higher depending on where the othr parent is currently living. These fees are separate and apart from the fee that we charge to prepare your documents. There are situations where the Clerk of Court may grant a waiver of the filing fees, or allow a payment plan, after considering an
Application for Civil Indigency
. The Clerk will consider such things as income, disability, unemployment, number of dependents, and other factors. We can help you complete an application if you believe that you may qualify. Please select the answer that most closely describes your situation.
Read Florida Statute 57.082 - Determination of Civil Indigent Status
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I know that I WOULD NOT qualify for a waiver.
I'm not sure, it's close. I would like to apply for a waiver.
I am indigent, and I know that I would probably qualify for a waiver.
I need more information to make a decision.
Income
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Information About the Other Parent
Do all of the children live with this parent?
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Yes
No
Other (Explain in Comments)
Other Parent's Full Legal Name
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Other Parent's Date of Birth
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Other Parent's Soc Security Number if known.
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Other Parent's Email Address (If Known)
Main Phone Number (10-Digit)
Type
Home
Cell
Work
Other
Do you know where the other parent is?
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Yes, I know the address and phone number.
Yes, I know the address, but NOT the phone number.
No, but I know approximately where he/she lives.
No, but I can find out quickly.
NO - I HAVEN'T A CLUE
Is the other parent active military?
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No
Yes
I Don't Know
Other Parent's Street Address:
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Other Parent's City
State
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Zip Code
What COUNTY does the other parent live in?
What type of ID does the other parent have?
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Florida Driver License
Florida ID Card
Out of State Driver License
US Military ID
Passport
I Don't Know
Other (Explain in Comments)
Have you discussed this court action with the other parent?
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Yes
No, but I'm planning to.
No, I have no plans to.
I don't know how to contact the other parent.
Is the other parent married or single?
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Single
Married
I Don't Know
Additional Information
Were you EVER married to the other parent?
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No
Yes
Are there any current or previous court cases involving any of the children listed on this questionnaire? If so, provide county/case numbers and a complete explanation of each matter.
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Name of Your Employer
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Your Title or Position
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Your Complete Work Address
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Your Monthly Gross Income (Before Taxes)
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Employer's Phone Number (10-Digit)
Name of the Other Parent's Employer
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Other Parent's Title or Position
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Other Parent's Work Address
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Other Parent's Monthly Gross Income
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Other Parent's Phone Number (10-Digit)
YOUR PARENTING PLAN -
Explain what you would like the court to give you in terms of shared parenting and timesharing. Are you asking for 50%/50%? If not, what should a typical week look like? How would you like to handle school breaks and holidays? Birthdays? Christmas? You will have an opportunity to review your proposed parenting plan before it is filed with the court.
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Who should claim the child(ren) on federal income tax returns?
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Mother
Father
Alternating Mother and Father (Explain in Comments)
Other (Explain in Comments )
Additional Comments/Information
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If you have not taken the mandatory 4-hour parenting course, and we've told you that you can take it online, click on the below link to begin the class:
TAKE YOUR 4-HOUR PARENTING CLASS HERE
Information About the Child(ren)
How many minor children (under 18 years of age) do you have with the other parent?
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1
2
3
4
5
Who will provide health/dental/vision insurance on the child(ren)?
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The Father
The Mother
I Don't Know
Other
Who Will Cover Health/Dental Expenses NOT Covered by Insurance
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Mother/Father Will Share 50/50
Mother
Father
Other (Explain in Comments Section Above)
CHILD #1
What is the Child's Sex?
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MALE
FEMALE
Child #1 - Full Legal Name
*
Child #1 - Date of Birth
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Are you on this child's birth certificate?
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Yes
No
Child #1 - Social Security Number
*
Child #1 - Place of Birth
*
Address(s) Where Child Has Lived for the Past 5 Years
AND
Dates at Each Address,
AND
who the child lived with at each address.
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Have you been ordered to pay child support for this child? If yes, list the name of the court that issued the order, how much you are ordered to pay. Also include the county/court case number. If you receive child support for this child, indicate amount that you receive and the county/court case number
*
Add a Second Child?
YES
CHILD #2
What is the Child's Sex?
*
MALE
FEMALE
Child #2 - Full Legal Name
*
Child #2 - Date of Birth
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Are you on this child's birth certificate?
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Yes
No
Child #2 - Social Security Number
*
Child #2 - Place of Birth
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Address(s) Where Child Has Lived for the Past 5 Years
AND
Dates at Each Address,
AND
who the child lived with at each address.
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Have you been ordered to pay child support for this child? If yes, list the name of the court that issued the order, how much you are ordered to pay. Also include the county/court case number. If you receive child support for this child, indicate amount that you receive and the county/court case number
*
Add a Third Child?
YES
CHILD #3
What is the Child's Sex?
*
MALE
FEMALE
Child #3 - Full Legal Name
*
Child #3- Date of Birth
*
Are you on this child's birth certificate?
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Yes
No
Child #3 - Social Security Number
*
Child #3 - Place of Birth
*
Address(s) Where Child Has Lived for the Past 5 Years
AND
Dates at Each Address,
AND
who the child lived with at each address.
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Have you been ordered to pay child support for this child? If yes, list the name of the court that issued the order, how much you are ordered to pay. Also include the county/court case number. If you receive child support for this child, indicate amount that you receive and the county/court case number
*
Add a Fourth Child?
YES
CHILD #4
What is the Child's Sex?
*
MALE
FEMALE
Child #4 - Full Legal Name
*
Child #4- Date of Birth
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Are you on this child's birth certificate?
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Yes
No
Child #4 - Place of Birth
*
Child #4 - Social Security Number
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Address(s) Where Child Has Lived for the Past 5 Years
AND
Dates at Each Address,
AND
who the child lived with at each address.s
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Have you been ordered to pay child support for this child? If yes, list the name of the court that issued the order, how much you are ordered to pay. Also include the county/court case number. If you receive child support for this child, indicate amount that you receive and the county/court case number
*
Add a Fifth Child?
YES
CHILD #5
What is the Child's Sex?
*
MALE
FEMALE
Child #5 - Full Legal Name
*
Child #5- Date of Birth
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Are you on this child's birth certificate?
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Yes
No
Child #5 - Place of Birth
*
Child #5 - Social Security Number
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Address(s) Where Child Has Lived for the Past 5 Years
AND
Dates at Each Address,
AND
who the child lived with at each address.
*
COMMENTS and File Upload
Upload Copies of Existing Court Orders or Other Documents
Use this space to make additional comments or explain any answers or special circumstances with your situation.
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How did you find our business? If someone referred you, please tell us who. Thank you!
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DISCLAIMER and DISCLOSURE by NONLAWYERS and TERMS for your INITIAL DEPOSIT
I understand and acknowledge that Florida Document Specialists is not a law firm, and its employees and/or owner/operators are not attorneys and are not qualified to give me legal advice or represent me in court. I further state that I am not seeking legal advice or legal representation, and none has been offered or given. I am handling my legal matter on my own as a pro se litigant. I have read and understand the Disclaimer and Disclosure by Nonlawyer posted on the
www.FloridaDocument.com
website.
I further acknowledge and understand that this work is a custom project, and that work will begin as soon as I make my initial deposit. As such, I acknowledge and understand that my deposit is
non-refundable.
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YES, I Understand and Acknowledge