The MAIN REASON for the separation is because of: The MAIN REASON for the separation is because of: Irreconcilable differences (most common)Other This is the official, primary reason for the breakdown of the marriage. "Irreconcilable differences" are the most common grounds for no-fault divorce. Please describe the specific reason for the separation: Adultery, cruelty/abuse, and abandonment/desertion are among the most commonly cited reasons for a divorce. Spouse A's name: Spouse B's name: Does the couple currently reside at the same address? Does the couple currently reside at the same address? YesNo Do you want to enter the spouses' address at this time? Do you want to enter the spouses' address at this time? YesNo, I will do this later Do you want to enter the spouses' addresses at this time? Do you want to enter the spouses' addresses at this time? YesNo, I will do this later Couple's current address: Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Spouse A'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 Spouse B'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 On what date was the couple married? Where was the couple married? What was the separation date? This is the date that the spouses began living at separate addresses. What is the anticipated separation date? This is the date when the spouses plan to no longer live together. Will either of the spouses legally change their name during or after the separation process? Will either of the spouses legally change their name during or after the separation process? YesNo Who is legally changing their name? Who is legally changing their name? Spouse ASpouse BBoth spouses What will Spouse A's new name be? What will Spouse B's new name be? Have the spouses exchanged financial information with each other? Have the spouses exchanged financial information with each other? YesNo Financial disclosure by each spouse is typically required by state law. Are either of the spouses currently in the armed forces? Are either of the spouses currently in the armed forces? YesNo Who is in the armed forces? Who is in the armed forces? Spouse ASpouse BBoth Spouses 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 can be written at a later time when all the assets and liabilities are available. Spouse A will take ownership of the following: (after the separation) Spouse B will take ownership of the following: (after the separation) DIVISION OF LIABILITIES Does the couple have any debt that must be divided? Does the couple have any debt that must be divided? YesNo Like assets, debt owned by the Couple (such as a mortgage or credit card debt) must be divided fairly and assigned to one or both spouses. Do you want to choose at this time how the debt will be divided after the separation? Do you want to choose at this time how the debt will be divided after the separation? Yes (choose now)No (choose later) Who will assume the debt after the separation? Who will assume the debt after the separation? Both spouses (equally)Spouse A (100%)Spouse B (100%)Other Describe the debts that each spouse will assume: Spouse A's Debts: Spouse B's Debts: Does the couple own a marital home? Does the couple own a marital home? YesNo A "marital home" is a residential property that one or both of the spouses own. What is the property address of the marital home? Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code The marital home is currently owned by: The marital home is currently owned by: Spouse ASpouse BBoth spouses Who currently lives at the marital home? Who currently lives at the marital home? Spouse ASpouse BBoth spousesNeither of the spouses What will happen to the marital home? What will happen to the marital home? It will be owned equally by the couple (50/50)It will be owned by Spouse A (100%)It will be owned by Spouse B (100%)The home will be placed FOR SALE (with the proceeds being shared between the couple)Other (describe) What will happen to the marital home? Who will be responsible for the couple's health insurance after the separation? Who will be responsible for the couple's health insurance after the separation? Each spouse is responsible for their own health insurance.One spouse will pay for both spouses' insurance. Who will be paying for the health insurance? Who will be paying for the health insurance? Spouse ASpouse B Health insurance will cover: Health insurance will cover: MedicalDentalVisionOther Describe any other coverage: Do either of the spouses have a retirement plan? Do either 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: Who will own the retirement plan(s) after the separation? Who will own the retirement plan(s) after the separation? Both spouses (shared equally)Spouse ASpouse BOther (describe) Describe how the retirement plan(s) will be shared by the spouses: Are there any CURRENT or EXPECTED minor children of the marriage? Are there any CURRENT or EXPECTED minor children of the marriage? YesNo Select "Yes" if the couple has any children under the age of 18 or is expecting an unborn child.This question refers only to children of both spouses; it does not include stepchildren. Is either spouse currently pregnant with a child of the marriage? Is either spouse currently pregnant with a child of the marriage? YesNo This question refers to an unborn child of both spouses. What is the due date of the expected child? CHILDREN INFORMATION How many minor children does the couple have? Select123456minor child(ren) Do not include any unborn children or children over the age of 18 in this amount. Child's Name and Date of Birth 2nd Child's Name and Date of Birth 3rd Child's Name and Date of Birth 4th Child's Name and Date of Birth 5th Child's Name and Date of Birth 6th Child's Name and Date of Birth The Couple chooses the following custody schedule: The Couple chooses the following custody schedule: Joint Custody (both parents share custody).Sole Custody (1 parent has custody rights, 1 parent has visitation rights). Describe Spouse A's custody arrangement: Describe Spouse B's custody arrangement: Which spouse will have sole custody? Which spouse will have sole custody? Spouse ASpouse B Will Spouse A have visitation rights? Will Spouse A have visitation rights? YesNo Will Spouse B have visitation rights? Will Spouse B have visitation rights? YesNo Describe Spouse B's visitation rights: Describe Spouse A's visitation rights: Will there be moving/relocation restrictions on either spouse? Will there be moving/relocation restrictions on either spouse? Yes (there will be limitations)No (can move without limitations) A spouse must obtain the other spouse's consent before moving more than: e.g., "50 miles away, unless the move is due to job relocation." Have there been any previous court actions related to custody? Have there been any previous court actions related to custody? YesNo Where did the court action take place? County State Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming Case Number (#) If you do not know or do not wish to enter the case number, leave this box blank. Will either spouse be required to pay child support? Will either spouse be required to pay child support? YesNo Child support is paid to meet the basic needs of the children, such as food, clothing, and/or housing. This is NOT the same as alimony. 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? Spouse ASpouse B How much will each child support payment be? $per month Child support payments will begin on: Child support payments will begin on: The 1st day of the following month (after the separation)A specific date What is the start date for the child support? Child support payments will be determined by the appropriate government agency in which state? State ofPlease SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming MEDICAL SUPPORT Will health insurance and medical care be included in the child support payments? Will health insurance and medical care be included in the child support payments? YesNo ADDITIONAL SUPPORT Will there be any additional support or responsibilities (OTHER THAN child support or alimony)? Will there be any additional support or responsibilities (OTHER THAN child support or alimony)? YesNo For example, if a spouse is obligated to pay for a child's higher education. Enter any additional responsibilities: Which spouse will be able to claim the children as dependents? Which spouse will be able to claim the children as dependents? Spouse ASpouse BBoth 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 child as a dependent? Which spouse will be able to claim the child as a dependent? Spouse ASpouse B Spouse A's dependents: Spouse B's dependents: Will either spouse have to pay alimony? Will either spouse have to pay alimony? YesNo (most common) Alimony is financial support given by one spouse to another. Which spouse will be PAYING alimony? Which spouse will be PAYING alimony? Spouse ASpouse B Payments will be made: Payments will be made: Each weekEach month When will the paying spouse begin making alimony payments? When will the paying spouse begin making alimony payments? On the 1st day of the following month (after the separation is finalized)On a specific dateOther Alimony payments will begin on: When will the alimony start? ALIMONY AMOUNT Will alimony payments be the SAME AMOUNT for the entire period? Will alimony payments be the SAME AMOUNT for the entire period? YesNo Payment amount: $ 1st Payment Period $ 2nd Payment Period $ Would you like to add another payment period? Would you like to add another payment period? YesNo 3rd Payment Period $ Would you like to add another payment period? Would you like to add another payment period? YesNo 4th Payment Period $ Would you like to add another payment period? Would you like to add another payment period? YesNo 5th Payment Period $ Would you like to add another payment period? Would you like to add another payment period? YesNo 6th Payment Period $ Would you like to add another payment period? Would you like to add another payment period? YesNo 7th Payment Period $ Would you like to add another payment period? Would you like to add another payment period? YesNo 8th Payment Period $ When will the alimony end? When will the alimony end? On a specific end dateNo end date (alimony in perpetuity)Other Enter the alimony end date: When will the alimony end? e.g., "Alimony will end when Spouse B graduates from or is otherwise no longer enrolled in medical school." Can the decision for alimony be changed in the future? Can the decision for alimony be changed in the future? YesNo For instance, if a spouse loses their job, suffers an injury, or suffers any other unfortunate circumstance. Alimony can only be changed if any of the following should occur: (check all that apply) Alimony can only be changed if any of the following should occur: (check all that apply) Job lossInjuryDisabilityIllness or diseaseOther Alimony can be changed under the following conditions: Would you like to add any additional terms and conditions to this Agreement? Would you like to add any additional terms and conditions to this Agreement? YesNo Describe the additional terms and conditions: What is the effective date of this agreement? This is the date that the agreement will be signed. If you do not know the effective date, leave this box blank. Notarizing this agreement is HIGHLY recommended to ensure its validity and may be required if the couple plans to file the agreement with a local registry. Notarizing this agreement is HIGHLY recommended to ensure its validity and may be required if the couple plans to file the agreement with a local registry. I understand. Next Save Save and finish later
