Full Name: |
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Address: |
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City: |
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State: |
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Zip Code: |
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Full Name: |
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Address: |
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City: |
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State: |
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Zip Code: |
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City of Marriage: |
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State of Marriage: |
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Date of Marriage: |
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Date of Separation: |
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How many real estate properties are jointly owned? |
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Would you like to provide details for the division of personal property? |
Yes
No
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Would you like to provide details for the division of retirement or pension benefits? |
Yes
No
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Would you like to provide details for the division of stocks or bonds? |
Yes
No
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Please enter the number of bank accounts you would like to detail: |
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How many debts would you like to include in the agreement? |
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How many automobiles would you like to include in the agreement? |
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Will spousal support be part of this agreement? |
No spousal support
Husband will support the Wife in the amount of:
Wife will support the Husband in the amount of:
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How many pets would you like to include in the agreement? |
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Would you like to detail taxes? |
Yes
No
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The Husband and Wife shall: |
Keep Current Insurance Policy
Use Separate Insurance Policy
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How many policies would you like to include in the agreement? |
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Agreement Signing Date: |
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How many witnesses for the husband? | |
How many witnesses for the wife? | |
Will this document be notarized? |
No
Yes
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If both parties decide to divorce, will this separation be incorporated into the divorce decree? |
No
Yes
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Please select the State that will govern this agreement: |
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Would you like to add an additional paragraph? |
No
Yes |
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