Note that the terms "Husband" and "Wife" in this context do not correlate to a person's gender and are solely used to identify the individual to the local court. Which spouse has filed or plans to file for divorce? Which spouse has filed or plans to file for divorce? the Wifethe Husband Also known as the Petitioner. Where is the court located? County State Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming Location of Marriage Date of Marriage Is the couple living SEPARATELY? Is the couple living SEPARATELY? YesNo What is the Couple's Address? Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Where the Couple are currently living. Separation Date The day the couple did not live together anymore. What is the Grounds for Divorce? What is the Grounds for Divorce? Irreconcilable DifferencesOther Enter the Grounds for Divorce: Husband Husband's Name Husband's Mailing Address Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Husband's Phone (optional) Include area code Wife Wife's Name Wife's Mailing Address Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Wife's Telephone (optional) Include area code Armed Forces Are any of the spouses CURRENTLY in the Armed Forces? Are any of the spouses CURRENTLY in the Armed Forces? YesNo Army, Navy, Coast Guard, Marines, Air Force, and Space Force. Who are in the Armed Forces? Who are in the Armed Forces? HusbandWifeBoth Spouses Minor Children Are there any CURRENT or EXPECTED minor children of the marriage? Are there any CURRENT or EXPECTED minor children of the marriage? YesNo If there are any minor children or if the Wife is pregnant. Children from both parents only. Financial Disclosures Has the couple EXCHANGED financial information with each other? Has the couple EXCHANGED financial information with each other? YesNo Required by State law, the couple must exchange financial information including bank accounts, ownership in entities, real estate, etc. Alimony Use the Alimony Calculator to get an estimate (select your State after clicking the link). Alimony to be paid by one of the Spouses? Alimony to be paid by one of the Spouses? YesNo Alimony or 'Spousal Support' is the direct payment from one spouse to the other for a period of time after the marriage. Who will be PAYING Alimony? Who will be PAYING Alimony? HusbandWife Alimony Start When will the Alimony start? When will the Alimony start? On the 1st day of the month (after the divorce decree is issued)On a Specific DateOther When the alimony will begin. This is common after the divorce is complete with the issuing of a divorce decree or judgment. Alimony will begin on Write when the Alimony will start: Alimony Amount ($) Will the Alimony be the SAME AMOUNT for the entire period? Will the Alimony be the SAME AMOUNT for the entire period? YesNo Alimony Payment $ per Weekper Month End of Alimony When does the Alimony end? When does the Alimony end? on an End DateDoes NOT End (Alimony in perpetuity)Other Alimony End Date When does the Alimony end? Write how and when the Alimony ends. 1st Payment Amount $ End Date (1st Payment Period) Add another Payment Period? Add another Payment Period? YesNo 2nd Payment Amount $ Start Date (2nd Payment Period) End Date (2nd Payment Period) Add another Payment Period? Add another Payment Period? YesNo 3rd Payment Amount $ Start Date (3rd Payment Period) End Date (3rd Payment Period) Add another Payment Period? Add another Payment Period? YesNo 4th Payment Amount $ Start Date (4th Payment Period) End Date (4th Payment Period) Add another Payment Period? Add another Payment Period? YesNo 5th Payment Amount Start Date (5th Payment Period) End Date (5th Payment Period Add another Payment Period? Add another Payment Period? YesNo 6th Payment Amount $ Start Date (6th Payment Period) End Date (6th Payment Period) Add another Payment Period? Add another Payment Period? YesNo 7th Payment Amount $ Start Date (7th Payment Period) End Date (7th Payment Period) Add another Payment Period? Add another Payment Period? YesNo 8th Payment Amount $ Start Date (8th Payment Period) End Date (8th Payment Period) Add another Payment Period? Add another Payment Period? YesNo 9th Payment Amount $ Start Date (9th Payment Period) End Date (9th Payment Period) Add another Payment Period? Add another Payment Period? YesNo 10th Payment Amount $ Start Date (10th Payment Period) End Date (10th Payment Period) Add another Payment Period? Add another Payment Period? YesNo 11th Payment Amount $ Start Date (11th Payment Period) End Date (11th Payment Period) Add another Payment Period? Add another Payment Period? YesNo 12th Payment Amount $ Start Date (12th Payment Period) End Date (12th Payment Period) Add another Payment Period? Add another Payment Period? YesNo 13th Payment Amount $ Start Date (13th Payment Period) End Date (13th Payment Period) Add another Payment Period? Add another Payment Period? YesNo 14th Payment Amount $ Start Date (14th Payment Period) Start Date (15th Payment Period) Add another Payment Period? Add another Payment Period? YesNo 15th Payment Amount $ Start Date (15th Payment Period) End Date (15th Payment Period) Add another Payment Period? Add another Payment Period? YesNo 16th Payment Amount $ Start Date (16th Payment Period) End Date (16th Payment Period) Add another Payment Period? Add another Payment Period? YesNo 17th Payment Amount $ Start Date (17th Payment Period) End Date (17th Payment Period) Add another Payment Period? Add another Payment Period? YesNo 18th Payment Period $ Start Date (18th Payment Period) End Date (18th Payment Period) Add another Payment Period? Add another Payment Period? YesNo 19th Payment Amount $ Start Date (19th Payment Date) End Date (19th Payment Period) Add another Payment Period? Add another Payment Period? YesNo 20th Payment Amount $ Start Date (20th Payment Period) End Date (20th Payment Period) Change of Circumstance Can the decision for Alimony be changed in the future? Can the decision for Alimony be changed in the future? YesNo For example, if a Spouse should lose their job the Alimony can change. The decision for Alimony can ONLY CHANGE if the following should occur to a Spouse: The decision for Alimony can ONLY CHANGE if the following should occur to a Spouse: Job LossInjuryDisabilityIllness or DiseaseOther (check all that apply) Alimony can be changed under the following: Health Insurance Health Insurance responsibility: Health Insurance responsibility: Each Spouse is responsible for THEIR OWNOne Spouse pays for BOTH Who will be paying for the Health Insurance? Who will be paying for the Health Insurance? HusbandWife Health Insurance covers: Health Insurance covers: MedicalDentalVisionOther Write other coverages: Marital Home Do either of the Spouses own a home? Do either of the Spouses own a home? YesNo Commonly the home that one or both of the spouses currently live. Enter the Property Address Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Property Details The Home is currently owned by: The Home is currently owned by: HusbandWifeBoth Spouses Who CURRENTLY lives at the Home? Who CURRENTLY lives at the Home? HusbandWifeBoth SpousesNobody Will the Home be placed For Sale? Will the Home be placed For Sale? YesNo Division of Assets Do you want to write the Division of Assets now? Do you want to write the Division of Assets now? YesNo, this will be completed later This is who gets what. This is the master list of every asset and property and describing who shall own it after the marriage. Write the Division of Assets on Attachment A and Attachment B attached to this Agreement Write the Division of Assets on Attachment A and Attachment B attached to this Agreement I understand Husband - Division of Assets Enter what the HUSBAND will be obtaining after the Divorce: List ALL assets, property, real estate, vehicles, jewelry, stocks, bonds, etc. Wife - Division of Assets Enter what the WIFE will be obtaining after the Divorce: List ALL assets, property, real estate, vehicles, jewelry, stocks, bonds, etc. Cash Payment This is to make a balance for the division of property. For example, if the Husband is receiving the house he may make a cash payment to the wife for 50% of its value. Will there be a CASH PAYMENT made immediately after the Divorce? Will there be a CASH PAYMENT made immediately after the Divorce? YesNo Who is making the payment? Who is making the payment? HusbandWife Payment Amount $ When must the payment be made? When must the payment be made? within 30 Days after the divorce is finalized.on a Specific Date. Due Date Liabilities Do any of the Spouses have outstanding loans or debt? Do any of the Spouses have outstanding loans or debt? YesNo Credit card debt, loans, mortgages, liens, etc. Husband's Liabilities Enter the Debts the Husband will have after the Divorce: If none, write "None." Wife's Liabilities Enter the Debts the Wife will have after the Divorce: If none, write "None" or "N/A". Retirement Plans Do any of the Spouses have a Retirement Plan? Do any of the Spouses have a Retirement Plan? YesNo Will each Spouse KEEP THEIR OWN Retirement Plan after the Separation? Will each Spouse KEEP THEIR OWN Retirement Plan after the Separation? YesNo Describe the Retirement Plans held by EACH Spouse: For disclosure purposes. Retirement Plan (ownership) Who will own the Retirement Plans after the divorce? Who will own the Retirement Plans after the divorce? Both Spouses (shared equally)HusbandWifeOther (describe) Enter who will own the Retirement Plans: Name Change Will any of the Spouses be CHANGING THEIR NAME after the divorce? Will any of the Spouses be CHANGING THEIR NAME after the divorce? YesNo Who will be CHANGING THEIR NAME after the divorce? Who will be CHANGING THEIR NAME after the divorce? HusbandWife Husband's New Name Wife's New Name The Children How many of the Children are MINORS? Select12345678910 This is children that are the offspring or adopted by both spouses. This DOES NOT include any children that were outside of the marriage. Name of 1st Child 1st Child's Date of Birth Name of 2nd Child 2nd Child's Date of Birth Name of 3rd Child 3rd Child's Date of Birth Name of 4th Child 4th Child's Date of Birth 5th Child's Name 5th Child's Date of Birth 6th Child's Name 6th Child's Date of Birth 7th Child's Name 7th Child's Date of Birth 8th Child's Name 8th Child's Date of Birth 9th Child's Name 9th Child's Date of Birth 10th Child's Name 10th Child's Date of Birth Expecting a Child Is there any Child expected in the future? Is there any Child expected in the future? YesNo If the Wife is pregnant with the Husband's child. Expected Due Date Custody The Couple chooses to enter into the following custody schedule: The Couple chooses to enter into the following custody schedule: Joint CustodySole Custody Joint Physical - Custody allows for both parents to have maximum involvement in the lives of their children. The parent may not have rights to move away from the children.Sole Custody - Parents can legally move across the country without needing to first consult the other parent. Children live with 1 parent while the other parent has visitation rights only. Enter the Husband's Custody: Enter the Wife's Custody: Who will have Sole Custody? Who will have Sole Custody? HusbandWife Will the Husband have VISITATION RIGHTS? Will the Husband have VISITATION RIGHTS? YesNo Will the Wife have VISITATION RIGHTS? Will the Wife have VISITATION RIGHTS? YesNo Enter the Wife's Visitation Rights: Enter the Husband's Visitation Rights: Moving Are BOTH SPOUSES allowed to freely move? Are BOTH SPOUSES allowed to freely move? YesNo If not, the Spouses will not be able to move a specific distance from one another. Each Spouse may not move more than: Enter the maximum distance where a parent may move from the other. Previous Court Actions Have there been any previous COURT ACTIONS related to custody? Have there been any previous COURT ACTIONS related to custody? YesNo Court Location County State of Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming Do you know the Case Number? Do you know the Case Number? YesNo The case number (#) to the previous custody proceedings. Case Number (#) Child Support ($) Use an Child Support Calculator to get an estimate. Will either Spouse be required to pay CHILD SUPPORT? Will either Spouse be required to pay CHILD SUPPORT? YesNo Child Support payments will be decided by: Child Support payments will be decided by: the Spousesthe Court Who will be PAYING Child Support? Who will be PAYING Child Support? the Husbandthe Wife Child Support shall be: $per month Child Support payments will begin on: Child Support payments will begin on: a Specific Datethe 1st day of the month (after the divorce decree is issued) What is the START DATE for the Child Support? Which court will decide the Child Support: State ofPlease SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming Medical Is Health Insurance and Medical Care INCLUDED in the Child Support payments? Is Health Insurance and Medical Care INCLUDED in the Child Support payments? YesNo Additional Support Will there be any ADDITIONAL SUPPORT payments? Will there be any ADDITIONAL SUPPORT payments? YesNo Besides alimony and what's included in the child support. Enter any Additional Payments: Claiming as Dependents Which spouse will be able to claim the Minor Children as Dependents? Which spouse will be able to claim the Minor Children as Dependents? HusbandWifeBoth Spouses This is for tax benefits. If a minor child is considered a "Dependent" of a Spouse, then the Spouse will receive a tax credit at the end of the year subject to their income. Which spouse will be able to claim the Minor Child as a Dependent? Which spouse will be able to claim the Minor Child as a Dependent? HusbandWife Husband's Dependent(s): Wife's Dependent(s): Additional Terms and Conditions Are there any Additional Terms or Conditions? Are there any Additional Terms or Conditions? YesNo This is the LAST CHANCE to include any items that were not mentioned in this Marital Settlement Agreement. Enter any Additional Terms or Conditions: Signing Requirements Do the Spouses agree to NOTARIZE this Agreement? Do the Spouses agree to NOTARIZE this Agreement? Yes It is required to have a marital settlement agreement signed with a notary public. 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