divorce separation agreement
TRANSCRIPT
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WHEREAS, the parties intend that this Agreement sha be binding on them from and
after the date and time of e'e#ution, if permitted, and that this Agreement may be
in#orporated into a fina )udgment of divor#e at some future time$
NOW THEREFORE, FOR AND IN CONSIDERATIONof the mutua benefits and
advantages a##ruing to ea#h party, the undersigned do hereby soemny #ovenant, agree
and #ontra#t as set forth above and beow and being sworn, #ertify that the a statements
#ontained herein are true and #orre#t*
SECTION 1.SEPARATION RELINQUISHMENT OF MARITAL RIGHTS
%he parties sha #ontinue to ive separate and apart, free from interferen#e, authority and
#ontro by the other, as if ea#h were soe and unmarried, and ea#h may #ondu#t, #arry on
and engage in any empoyment, business or trade whi#h ea#h sha seem advisabe for their
soe and separate use and benefit, without, and free from any #ontro, restraint or
interferen#e by the other party in a respe#ts as if ea#h were unmarried$ (either of the
parties sha moest or annoy the other or see& to #ompe the other to #ohabit or dwe
with the other by any pro#eedings for restoration of #on)uga rights or otherwise, or e'ert
or demand any right to reside in the home of the other, if any$
SECTION !.FINANCIAL DISCLOSURES
+y e'e#ution of this instrument, ea#h party warrants and represents to the other party
that he or she has fuy dis#osed their finan#ia status, in#uding their assets and iabiities
of a types and agree that the terms of this Agreement are fair, )ust, and euitabe after
#onsideration of the finan#ia status of the parties$
SECTION ".ASSETS
A$ I# G$#$%&'$ Husband and Wife are in possession of a persona property
beonging to ea#h, and neither ma&es any #aim to any persona property in the
possession of the other e'#ept as otherwise stated in this Agreement$ %he parties
agree to divide their assets -everything they own and that is owed to parties. as
Husband /nitias*___________ Wife /nitias* ___________
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provided beow$ Any persona item-s. not isted beow is the property of the party
#urrenty in possession of the item-s.$ Ea#h party sha retain as his or her own a
of their persona #othing, )ewery and effe#ts$
+$ Wife sha re#eive as her own and Husband sha have no further rights or
responsibiities regarding these assets*
ASSETS: DESCRIPTION OF ITEM(S) WIFE SHALL RECEIVE
(T &*+ #-/*# &0 & '&0$% +&0$, +$/%*$ $&2 *0$3 &/ '$&%'4 &/ 5//*'$. Y + #0 #$$+ 0 '*/0
#3$%/. W2$%$ &55'*&'$, *#'+$ 62$02$% 02$ #&3$ # 0*0'$7+$$+7 +$/%*$+ $'6 */ 6*-$8/,
2/+8/, % 02.)
C%%$#0 F&*%
M&%9$0 V&'$
Cash -on hand. 0
Cash -in ban&s1#redit unions.
Sto#&s1+onds
(otes -money owed to you in writing.
2oney owed to you -not eviden#ed by a note.
Rea estate* -Home.
-3ther.
+usiness interests
Automobies
+oats
3ther vehi#es
0
Retirement pans -4rofit Sharing, 4ension, /RA, 5!6-&.s, et#$. 0
7urniture 8 furnishings in home
7urniture 8 furnishings esewhere
Coe#tibes
Husband /nitias*___________ Wife /nitias* ___________
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ASSETS: DESCRIPTION OF ITEM(S) WIFE SHALL RECEIVE
(T &*+ #-/*# &0 & '&0$% +&0$, +$/%*$ $&2 *0$3 &/ '$&%'4 &/ 5//*'$. Y + #0 #$$+ 0 '*/0
#3$%/. W2$%$ &55'*&'$, *#'+$ 62$02$% 02$ #&3$ # 0*0'$7+$$+7 +$/%*$+ $'6 */ 6*-$8/,
2/+8/, % 02.)
C%%$#0 F&*%
M&%9$0 V&'$
9ewery
:ife insuran#e -#ash surrender vaue.
Sporting and entertainment -%$$, stereo, et#$. euipment
3ther assets
T0&' A//$0/ 0 W*-$
C$ Husband sha re#eive as his own and Wife sha have no further rights or
responsibiities regarding these assets*
ASSETS: DESCRIPTION OF ITEM(S) HUSBAND SHALL RECEIVE
(T &*+ #-/*# &0 & '&0$% +&0$, +$/%*$ $&2 *0$3 &/ '$&%'4 &/ 5//*'$. Y + #0 #$$+ 0 '*/0
#3$%/. W2$%$ &55'*&'$, *#'+$ 62$02$% 02$ #&3$ # 0*0'$7+$$+7 +$/%*$+ $'6 */ 6*-$8/,
2/+8/ % 02.)
C%%$#0 F&*%
M&%9$0 V&'$
Cash -on hand. 0
Cash -in ban&s1#redit unions.
Sto#&s1+onds 0
0
(otes -money owed to you in writing.
2oney owed to you -not eviden#ed by a note.
Rea estate* -Home.
-3ther.
Husband /nitias*___________ Wife /nitias* ___________
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ASSETS: DESCRIPTION OF ITEM(S) HUSBAND SHALL RECEIVE
(T &*+ #-/*# &0 & '&0$% +&0$, +$/%*$ $&2 *0$3 &/ '$&%'4 &/ 5//*'$. Y + #0 #$$+ 0 '*/0
#3$%/. W2$%$ &55'*&'$, *#'+$ 62$02$% 02$ #&3$ # 0*0'$7+$$+7 +$/%*$+ $'6 */ 6*-$8/,
2/+8/ % 02.)
C%%$#0 F&*%
M&%9$0 V&'$
+usiness interests
Automobies
+oats
3ther vehi#es
Retirement pans -4rofit Sharing, 4ension, /RA, 5!6-&.s, et#$.
7urniture 8 furnishings in home
7urniture 8 furnishings esewhere
Coe#tibes
9ewery
:ife insuran#e -#ash surrender vaue.
Sporting and entertainment -%$$, stereo, et#$. euipment
3ther assets 0
0
T0&' A//$0/ 0 H/+
C$ Contingent Assets and :iabiities sha be divided as foows*
_________________________________________________________________
Husband /nitias*___________ Wife /nitias* ___________
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_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
E$ A++*0*#&' R$0*%$3$#0 A#0 P%*/*#/. %he parties represent that aretirement and pension types of a##ounts have been dis#osed and agree to the
foowing division of same*
R$0*%$3$#0 A#0/ P$%/# 0 R$$*$ C%%$#0 F&*%M&%9$0 V&'$
Husband A##ounts* 0 0
Wife A##ounts*
0 0
7$ A++*0*#&' L*-$ I#/%$ P%*/*#/. %he parties agree in referen#e to their
respe#tive ife insuran#e poi#ies the foowing -indi#ate poi#ies, owner,
benefi#iary.* _______________________________________________________
_________________________________________________________________
_
_________________________________________________________________
_
_________________________________________________________________
_
_________________________________________________________________
_
__________________________________________________________________
_________________________________________________________________
_
Husband /nitias*___________ Wife /nitias* ___________
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SECTION
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LIABILITIES: DESCRIPTION OF DEBT(S) TO BE PAID BY WIFE
(T &*+ #-/*# &0 & '&0$% +&0$, +$/%*$ $&2 *0$3 &/ '$&%'4 &/ 5//*'$. Y + #0 #$$+ 0 '*/0
#3$%/. W2$%$ &55'*&'$, *#'+$ 62$02$% 02$ #&3$ # 3%0;&;$, #0$, %
+$/%*$+ $'6 */ 6*-$8/, 2/+8/, % 02.)
M#02'4
P&43$#0
C%%$#0
A3#0 O6$+
T0&' D$0/ 0 B$ P&*+ 4 W*-$
C$ Husband sha pay as his own the foowing and wi not at any time as& Wife to
pay these debts1bis*
LIABILITIES: DESCRIPTION OF DEBT(S) TO BE PAID BY HUSBAND
(T &*+ #-/*# &0 & '&0$% +&0$, +$/%*$ $&2 *0$3 &/ '$&%'4 &/ 5//*'$. Y + #0 #$$+ 0 '*/0
#3$%/. W2$%$ &55'*&'$, *#'+$ 62$02$% 02$ #&3$ # 3%0;&;$, #0$ %
+$/%*$+ $'6 */ 6*-$8/, 2/+8/, % 02.)
M#02'4
P&43$#0
C%%$#0
A3#0 O6$+
2ortgages on rea estate* -Home. 0 0-3ther.
Charge1#redit #ard a##ounts
Auto oan
Auto oan
+an&1#redit union oans
0 0
2oney you owe -not eviden#ed by a note. 0 0
9udgments
3ther
Husband /nitias*___________ Wife /nitias* ___________
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LIABILITIES: DESCRIPTION OF DEBT(S) TO BE PAID BY HUSBAND
(T &*+ #-/*# &0 & '&0$% +&0$, +$/%*$ $&2 *0$3 &/ '$&%'4 &/ 5//*'$. Y + #0 #$$+ 0 '*/0
#3$%/. W2$%$ &55'*&'$, *#'+$ 62$02$% 02$ #&3$ # 3%0;&;$, #0$ %
+$/%*$+ $'6 */ 6*-$8/, 2/+8/, % 02.)
M#02'4
P&43$#0
C%%$#0
A3#0 O6$+
T0&' D$0/ 0 B$ P&*+ 4 H/+
SECTION =.FUTURE EARNINGS AND ACQUISITIONS
A in#ome, earnings, or other property re#eived or a#uired by either party to this
Agreement on or after the date of e'e#ution of this Agreement sha be the soe and
separate property of the re#eiving or a#uiring party$ Ea#h party, as of the effe#tive date
of this Agreement, does hereby and forever waive, reease, and reinuish a right, tite,
and interest in a su#h in#ome, earnings and other property e'#ept as ne#essary to #oe#t
any sums due hereunder in the event of defaut$
SECTION >.
SPOUSAL SUPPORT (ALIMONY)
? #$ony@6$ /n #onsideration of the provisions #ontained herein for the respe#tive benefits of
the parties and other good and vauabe #onsiderations, the parties hereto mutuay
waive any and a #aim or right to temporary or permanent aimony, maintenan#e
or support, whether past, present or future$T2/, $&2 - 02$ 5&%0*$/ -%$$%
;*$ 5 %*;20 0 /5/&' /55%0 (&'*3#4) 02&0 02$4 3&4 2&$ -%3 02$
02$%.
$ Husband Wife agrees to pay spousa support -aimony. in the amount of
0___________ every wee& other wee& month, beginning
_____________________ {date} and #ontinuing unti
______________________________ {date or event}.
E'pain type of aimony -temporary, permanent, rehabiitative, and1or ump sum. and anyother spe#ifi#s*
Husband /nitias*___________ Wife /nitias* ___________
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? *-appies@:ife insuran#e in the amount of 0 to se#ure the above support, wi be
provided by the obigor$
SECTION ?.
CHILD CUSTODY, PARENTAL RESPONSIBILITY, AND VISITATION
A$ %he foowing #hid-ren. have been born to the marriage of the parties*
N&3$ B*%02 +&0$
_________________________ _____________
_________________________ _____________
_________________________ _____________
_________________________ _____________
+$ P&%$#0&' R$/5#/**'*04 @ C2*'+ C/0+4
+oth Husband and Wife are proper persons to have the permanent ega and
physi#a #ustody, parenta responsibiity, #are and #ontro of the minor #hidren of
the parties$ Husband and Wife sha share the de#isionma&ing rights, the
responsibiities and the authority reating to the heath, edu#ation and wefare of
the #hidren, and sha, therefore, ma&e )oint de#isions #on#erning the #hidren=s
heath, edu#ation and wefare$ +oth Husband and Wife sha e'#hange information
#on#erning the heath, edu#ation and wefare of the minor #hidren, and sha
#onfer with one another in the e'er#ise of de#isionma&ing rights, responsibiities
and authority$ Husband and Wife sha have eua a##ess to a medi#a, denta and
s#hoo re#ords #on#erning the minor #hidren$
However, the parties agree that the best interest of the #hid-ren. at this time is that
primary parenta responsibiity and physi#a #ustody of the minor #hid-ren. wi be
and agree as foows*
Husband sha have primary parenta responsibiity and #ustody of the
minor #hid-ren. of the parties sub)e#t to the visitation rights of Wife$
Wife sha have primary parenta responsibiity and #ustody of the minor
#hid-ren. of the parties sub)e#t to the visitation rights of Husband$
Husband /nitias*___________ Wife /nitias* ___________
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Husband and Wife sha have )oint primary parenta responsibiity and
#ustody of the minor #hid-ren. of the parties, both ega and physi#a$
C$ S$#+&%4 P&%$#0&' R$/5#/**'*04, V*/*0&0*#, % T*3$ S2&%*#; @G$#$%&' P%*/*#/$
isitation sha be #ondu#ted pursuant the foowing genera provisions*
i. isitation shoud be peasant for the #hidren and for the parent$isitation shoud hep the #hidren maintain a good reationshipwith the non#ustodia parent$
ii. isitation means the visiting parent wi have the #hidren visit in hisor her home overnight$ /t may in#ude trips and outings esewhere$
iii. isitation s#hedues sha be foowed and the visiting parent shainform the other parent when he or she #annot #ompy with the
s#hedue$
iv. Ad)ustment of the visitation s#hedue from time to time may bene#essary a##ording to the #hidren>s ages, heath and interests$
v. isitation shoud provide meaningfu persona #onta#t for both thevisiting parent and the #hidren$
vi. isitation shoud not be used to #he#& on the other parent and the#hidren shoud not be uestioned for information about the otherparent$
vii. +oth parents shoud strive to agree on matters pertaining to the#hidren, in#uding dis#ipine, so that one parent is not underminingthe other parent>s efforts$
viii. /t is in the #hid>s best interest for ea#h parent to have a freuent,meaningfu and #ontinuing reationship with their #hidren$ 7or#hidren to ma&e an adeuate ad)ustment to the dissoution of theirparents marriage, the #hidren must be aowed to #ontinue theirreationship with both parents, e'perien#e minima #hanges in theirifestye if at a possibe, and not e'perien#e postdivor#e #onfi#tbetween their parents$
B$ S$#+&%4 P&%$#0&' R$/5#/**'*04, V*/*0&0*#, % T*3$ S2&%*#; -S2$+'$.
%he non#ustodia parent is entited to reasonabe visitation with the minor
#hid-ren.$ Husband and Wife adopt the foowing visitation s#hedue for the non
#ustodia parent*
+irth to 6 ear of Age
Husband /nitias*___________ Wife /nitias* ___________
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i. (on#ustodia parent sha have four -5. visits with the #hid perwee&, with su#h #onta#t asting four -5. hours in ength$
ii. /f the #hid is ta&en from the home of the #ustodia parent, the #hidsha be returned at east one -6. hour before evening bedtime$
iii. Hoiday A##ess
Hoiday a##ess ta&es pre#eden#e over the reguary s#heduedvisitation pan$
%he non#ustodia parent sha be entited to the foowing*
3n ea#h #hid>s birthday from D*!! p$m$ unti $!! p$m$;2emoria Bay 2onday from *!! p$m$ unti F*!! p$m$;:abor Bay 2onday from *!! p$m$ unti F*!! p$m$;
%han&sgiving Bay from *!! p$m$ unti F*!! p$m$;Christmas Bay from *!! p$m$ unti F*!! p$m$;/ndependen#e Bay from *!! p$m$ unti F*!! p$m$;2other>s Bay with 2other from *!! p$m$ unti 5*!! p$m$ and7ather>s Bay with 7ather from *!! p$m$ unti 5*!! p$m$
6 ear of Age to D ears of Age
i. %he non#ustodia parent sha have a##ess on aternate wee&endsfrom 7riday at F*!! p$m$ unti Sunday at F*!! p$m$
ii. Additionay, the non#ustodia parent sha be permitted one -6.wee& night ea#h and every wee& with the #hid from D*G! p$m$ unti*G! p$m$
iii. Hoiday A##ess
Hoiday a##ess ta&es pre#eden#e over the reguary s#hedueda##ess1visitation pan$
%he non#ustodia parent sha be entited to the foowing*
/n years ending in an odd number*
%he night before ea#h #hid>s birthday from D*!! p$m$ unti *!!p$m$;2emoria Bay 2onday from I*!! a$m$ unti F*!! p$m$;/ndependen#e Bay from I*!! a$m$ unti F*!! p$m$;%han&sgiving Bay from I*!! a$m$ unti F*!! p$m$;Christmas Eve from F*!! p$m$ unti Christmas Bay at 6!*!! a$m$;
Husband /nitias*___________ Wife /nitias* ___________
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/n years ending in an even number*
Ea#h #hid>s birthday from D*G! p$m$ unti *G! p$m$;Easter from *!! a$m$ unti F*!! p$m$;:abor Bay 2onday from I*!! a$m$ unti F*!! p$m$;Haoween evening from D*G! p$m$ unti *!! p$m$;Christmas Bay from 6!*!! a$m$ unti *!! p$m$
iv. Summer isitation
%he non#ustodia parent sha have one -6. wee& of va#ation withthe #hidren ea#h 9une, 9uy and August of ea#h year$ %he non#ustodia parent sha notify the #ustodia parent in writing no aterthan 2ay 6st of ea#h year as to the spe#ifi# wee&s of su#h summervisitation$
D ears of Age and +eyond
i. (on#ustodia parent sha have a##ess with the #hid onaternate wee&ends from 7riday at F*!! p$m$ unti Sunday atF*!! p$m$ and on the Wednesday pre#eding the wee&enda##ess from D*G! p$m$ to *G! p$m$
ii. /n addition, the non#ustodia parent sha have a##ess withthe #hid during the wee& immediatey foowing thewee&end visitation on %uesday and %hursday evening fromD*G! p$m$ unti *G! p$m$
iii. Hoiday A##ess*
Hoiday a##ess ta&es pre#eden#e over the reguarys#hedued a##ess1visitation pan$
%he non#ustodia parent sha be entited to the foowing*
/n years ending in an odd number*
%he night before ea#h #hid>s birthday from D*!! p$m$ to*!! p$m$;Spring +rea& from 7riday at F*!! p$m$ to the Sunday priorto the start of s#hoo at F*!! p$m$;2emoria Bay wee&end from F*!! p$m$ on 7riday unti F*!!p$m$ on 2onday;/ndependen#e Bay from F*!! p$m$ on 9uy Grdunti F*!! p$m$on 9uy Dth;%han&sgiving hoiday from F*!! p$m$ on Wednesday untiF*!! p$m$ on Sunday;7rom F*!! p$m$ on Be#ember Fth unti
Husband /nitias*___________ Wife /nitias* ___________
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F*!! p$m$ on 9anuary 6st$
/n years ending in an even number*
Ea#h #hid>s birthday from D*G! p$m$ unti *G! p$m$;Easter wee&end from F*!! p$m$ on s Bay17ather>s Bay
%he mother sha have a##ess every 2other>s Bay wee&endfrom 7riday at F*!! p$m$ unti Sunday at F*!! p$m$; %he
father sha have a##ess every 7ather>s Bay wee&end from7riday at F*!! p$m$ unti Sunday at F*!! p$m$
v. Summer isitation*
%he non#ustodia parent sha have five -D. wee&s ofsummer visitation with the #hid to be ta&en in no more thantwo -. wee& intervas and with su#h wee&y or two -.wee& visits to be non#onse#utive$ %he non#ustodia parentsha notify the #ustodia parent in writing no ater than 2ay6st of ea#h year as to the spe#ifi# wee&s of su#h summer
visitation$
E$ S$#+&%4 P&%$#0&' R$/5#/**'*04, V*/*0&0*#, % T*3$ S2&%*#;-A++*0*#&'
P%*/*#/.
/n e'er#ising visitation rights the foowing additiona provisions appy*
6$ C#-'*0/ B$06$$# R$;'&% W$$9$#+, H'*+&4, + E0$#+$+ S33$%V*/*0&0*#. Where there is a #onfi#t between a hoiday wee&end and thereguar wee&end visitation, the hoiday ta&es pre#eden#e$ %hus, if the non#ustodia parent misses a reguar wee&end be#ause it is the #ustodiaparent>s hoiday, the reguar aternating visitation s#hedue wi resumefoowing the hoiday$ /f the non#ustodia parent re#eived two #onse#utivewee&ends be#ause of a hoiday, the #hid wi spend the foowing wee&endwith the #ustodia parent$ When there is a #onfi#t between hoidayvisitation and e'tended summer visitation, the hoiday visitation ta&espre#eden#e$ When there is a #onfi#t between reguar wee&end visitation
Husband /nitias*___________ Wife /nitias* ___________
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and e'tended summer visitation, e'tended summer visitation ta&espre#eden#e$
$ A55%5%*&0$ C#+0 B4 P&%$#0/$ 4arents sha, at a times, avoidspea&ing negativey about ea#h other and shoud firmy dis#ourage su#h#ondu#t by reatives or friends$ Ea#h parent shoud en#ourage the #hidrento support the other parent$ %he basi# rues of #ondu#t and dis#ipineestabished by the #ustodia parent shoud be the baseine standard for bothparents, and #onsistenty enfor#ed by both, so that the #hidren do notre#eive mi'ed signas$
G$ P&%$#0&' C33#*&0*#. 4arents sha at a times &eep ea#h otheradvised of their home and wor& addresses and teephone numbers$ So faras possibe, a #ommuni#ation #on#erning the #hidren sha be #ondu#tedbetween the parents in person, or teephoni#ay at their residen#es -and notat their pa#es of empoyment.$
5$ G%&+$ R$5%0/ + M$+*&' I#-%3&0*#. %he #ustodia parent shaprovide the non#ustodia parent with grade reports and noti#es froms#hoo as they are re#eived and sha, #onsistent with ___________ aw,permit the non#ustodia parent to #ommuni#ate #on#erning the #hidrendire#ty with the s#hoo and with the #hidren>s do#tors and otherprofessionas, outside the presen#e of the #ustodia parent$ Ea#h parentsha immediatey notify the other of any medi#a emergen#ies or seriousinesses of the #hidren$ %he #ustodia parent sha notify the non#ustodiaparent of a s#hoo or other events -i&e Chur#h or S#outs. invovingparenta parti#ipation$ /f the #hidren are ta&ing medi#ations, the #ustodiaparent sha provide a suffi#ient amount and appropriate instru#tions$
D$ V*/*0&0*# C'02*#;. %he #ustodia parent sha send an appropriatesuppy of the #hidren>s #othing with them, whi#h sha be returned #ean-when reasonaby possibe., with the #hidren, by the non#ustodia parent$%he non#ustodia parent sha advise, as far in advan#e as possibe, of anyspe#ia a#tivities so that the appropriate #othing may be sent$
F$ V*/*0&0*# % S55%0 D*/50$/. (either visitation nor #hid support is tobe withhed be#ause of either parent>s faiure to #ompy with a #ourt order$%he #hidren have a right to both support and visitation, neither of whi#h isdependent upon the other$ /n other words, faiure to pay support does notmean no visitation and no visitation does not mean no support$ /f there is avioation of either a visitation or a support order, the e'#usive remedy is toappy to the #ourt for appropriate san#tions$
$ A+/03$#0/ 0 T2*/ V*/*0&0*# S2$+'$. Athough this is a ratherspe#ifi# s#hedue, the parties are e'pe#ted to fairy modify visitation whenfamiy ne#essities, inesses or #ommitments reasonaby so reuire$ %hereuesting party sha give as mu#h noti#e as #ir#umstan#es permit$
Husband /nitias*___________ Wife /nitias* ___________
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$ P*95 + D%5@--. Jness other arrangements are made, thenon#ustodia parent sha pi#& up the #hidren at the times spe#ified andreturn them at the times spe#ified$ %he #ustodia parent sha have the#hidren ready for visitation at the time they are to be pi#&ed up and shabe present at the home to re#eive the #hidren at the time they are returned$Jn)ustified vioations of this provision may resut in the offender beingsub)e#t to #ontempt of #ourt$ -Commentary* Whie it is most desirabe forthe parents to pi#& up and return the #hidren, this provision does notprohibit grandparents, #urrent spouses or other appropriate aduts &nownto the #hidren$.
I$ E0%&%%*'&% A0**0*$/. Chidren are often invoved in sports, essons,and other e'tra#urri#uar a#tivities, whi#h are generay to their benefit anden)oyment$ Ea#h parent sha re#ogniKe that a reasonabe amount ofe'tra#urri#uar a#tivities are generay assumed to be in the #hidren>s bestinterests$ Ea#h parent shoud attempt to be fe'ibe in order toa##ommodate the #hidren>s e'tra#urri#uar a#tivity s#hedues as must as
reasonaby possibe, athough e'tra#urri#uar a#tivities shoud notsupersede summer visitation with non#ustodia parents, nor shoud they beused as a method by whi#h to deny a##ess to the non#ustodia parent$ /nre#ognition of the s#heduing diffi#uties that #an be #aused by #hidren> se'tra#urri#uar a#tivities, #ustodia parents shoud a#t in good faith inattempting to s#hedue su#h e'tra#urri#uar a#tivities as not tounreasonaby infringe upon the non#ustodia parent>s a##ess to the#hidren$ :i&ewise, the non#ustodia parent shoud a#t in good faith inattempting to assist in transportation needs and in a##ommodating the#hidren>s e'tra#urri#uar s#hedues as mu#h as reasonaby possibe$ s e'tra#urri#uar a#tivities$
6!$ N0*$ - C$'$+ V*/*0&0*#. Whenever possibe, the non#ustodiaparent sha give a minimum of three -G. days noti#e of intent not toe'er#ise a or part of the s#hedued visitation$ When su#h noti#e is notreasonaby possibe, the ma'imum noti#e permitted by the #ir#umstan#es,and the reason therefore, sha be given$ %he #ustodia parent sha give thesame type of noti#e when good #ause e'ists ma&ing the #an#eation ormodifi#ation of s#hedued visitation ne#essary$
66$ M*//$+ V*/*0&0*#. /n the event the non#ustodia parent misses visitationas the resut of iness of the #hid or parent, an emergen#y, or other su#hreasonabe e'#use, the parties sha ma&e a good faith effort to ma&e up aportion of that visitation within a reasonabe period of time, understandingthe importan#e of the non#ustodia parent>s #ontinuing and freuent#onta#t with the #hidren$ -Commentary* /t is important to remember thatiness shoud not ne#essariy deprive the non#ustodia parent of visitationwith the #hidren$ Ceary, a non#ustodia parent #an ta&e #are of a si#hid as we as the #ustodia parent in many #ir#umstan#es$.
Husband /nitias*___________ Wife /nitias* ___________
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6$ C/0+*&' P&%$#0/ V&&0*#. Jness otherwise spe#ified, the #ustodiaparent sha be entited to a period of va#ation with the #hidren no essthan that a##orded the non#ustodia parent, whose visitation sha abateduring the first fourteen days thereof, and thereafter ony so ong asdistan#e ma&es visitation impra#ti#abe$
6G$ C&%$0&9$% P%*/*#. As a genera rue, ea#h parent sha have the right offirst refusa for #hid#are or baby sitting needs of the other parent fordurations of four hours or more$ Whenever either parent has a need for#hid #are or baby sitting for a duration of four hours or more, that parentshoud aways ma&e a good faith attempt first to inuire of the otherparent, with as mu#h advan#e noti#e as reasonaby possibe, whether theother parent desires to provide #hid #are or baby sitting$ %he other parentis under no obigation to provide the #hid#are or baby sitting$ /f the otherparent ee#ts to provide su#h #hid#are or baby sitting, it sha be done at no#ost$ %his provision is intended to provide ea#h parent additiona a##ess tothe #hidren whenever reasonaby possibe$
65$ T$'$52#$ + M&*' P%**'$;$/. Ea#h parent sha aow ibera andreasonabe teephone and mai privieges with the #hidren$
6D$ M$+*&' R$5%0/ + B*''/. %he Custodia parent sha provide #opies ofa medi#a information, and do#umentation, in#uding bis, within seven-. days of their re#eipt and sha immediatey notify the other parent in theevent of a medi#a emergen#y$ Every effort sha be made for the #ustodiaparent to provide the non#ustodia parent with the ne#essary informationof a medi#a e'pense in order to get the bi satisfied$ %he parent with themedi#a insuran#e sha provide the other parent with a #opy of the
e'panation of benefits within seven -. days from the date of re#eipt ofsame so that the uninsured portion of the bi #an be ui#&y #a#uated andpaid within a reasonabe period of time$
6F$ A&0$3$#0 - S55%0 D%*#; E0$#+$+ V*/*0&0*#. /f the non#ustodia parent>s support obigation is #urrent, support sha abate by D!per#ent during any visitation of seven -. #onse#utive days or more$ /fsupport is not #urrent, the D! per#ent that woud have been abated sha bepaid and sha appy to the e'isting arrearage$ -Commentary* /f the#ustodia parent a#tuay re#eives the fu amount of #hid support duringthis period and if support is #urrent, it is the #ustodia parent>s obigation torefund the money immediatey to the non#ustodia parent$ %his aeviatesmany of the probems that arise when wagewithhoding orders have beenissued$.
6$ M+*-*&0*#. /f the parties mutuay agree permanenty to #hange theprovisions of their de#ree of divor#e, they must petition the Court toapprove and order that #hange$ /n the event that the parties do not obtain a#ourt order, the Court wi not be bound by any aeged Agreement of theparties$
Husband /nitias*___________ Wife /nitias* ___________
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7$ O02$% P%*/*#/.
{explain any other agreed-upon arrangements}
(either parent sha ta&e the #hid-ren. from the #ustody of the other parent or any
#hid #are provider or other person entrusted by the other parent with the #are of
the #hid-ren. without the Agreement of the other party during the other party=s
time of parenta responsibiity or visitation$
SECTION .CHILD SUPPORT, HEALTH INSURANCE, DENTAL INSURANCE
A$ A3#0 + P$%/# 0 P&4. Husband Wife wi pay #hid support to
Wife Husband for the benefit of the minor #hidren of the parties in the amount
of 0______ , per #hid, every wee& other wee& month, beginning
______________________ {date} and #ontinuing unti modified by #ourt order,
or the minor #hid-ren. be#omes an adut, eman#ipated, marries, dies, otherwise
be#omes sefsupporting$ -(ote* Chid support is stated in terms of amount per
#hid$.
+$ C2*'+ S55%0 A%%$&%&;$. %here #urrenty is a #hid support arrearage of
0 _________________ for retroa#tive #hid support and1or 0 for
previousy ordered unpaid #hid support$ %he tota of 0 in #hid
support arrearage sha be repaid at the rate of 0 ___ every wee& other
wee& month, beginning _______________________, unti paid in fu in#uding
statutory interest$
C$ H$&'02 I#/%$.
Husband Wife wi maintain heath insuran#e #overage for the
parties= minor #hid-ren.$ %he party providing #overage wi provide insuran#e
#ards to the other party showing #overage$
OR
Heath insuran#e is not reasonaby avaiabe at this time$ Any uninsured1
Husband /nitias*___________ Wife /nitias* ___________
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unreimbursed medi#a #osts for the minor #hid-ren. sha be assessed as foows*
a$ Shared euay by both parents$
b$ 4rorated a##ording to the #hid support guideine per#entages$
#$ 3ther {explain}*_____________________________________
__________________________________________________________
As to these uninsured1unreimbursed medi#a e'penses, the party who in#urs the
e'pense sha submit a reuest for reimbursement to the other party within G! days,
and the other party, within G! days of re#eipt, sha submit the appi#abe
reimbursement for that e'pense, a##ording to the s#hedue of reimbursement set
out in this paragraph$
B$ D$#0&' I#/%$.
Husband Wife wi maintain denta insuran#e #overage for the parties=
minor #hid-ren.$ %he party providing #overage wi provide insuran#e #ards to the
other party showing #overage$
OR
denta insuran#e is not reasonaby avaiabe at this time$ Any uninsured1
unreimbursed denta #osts for the minor #hid-ren. sha be assessed as foows*
a$ Shared euay by both parents$
b$ 4rorated a##ording to the #hid support guideine per#entages$
#$ 3ther{explain}*____________________________________ ______________________________________________________
As to these uninsured1unreimbursed denta e'penses, the party who in#urs the
e'pense sha submit a reuest for reimbursement to the other party within G! days,
and the other party, within G! days of re#eipt, sha submit the appi#abe
reimbursement for that e'pense, a##ording to the s#hedue of reimbursement set
out in this paragraph$
E$ L*-$ I#/%$. Husband Wife sha be reuired to maintain ife insuran#e
#overage for the benefit of the parties= minor #hid-ren. in the amount of 0
unti the youngest #hid be#omes an adut, be#omes eman#ipated, marries,
dies, or otherwise be#omes sefsupporting$
7$ IRS I#3$ T& D$+0*#(/). %he parent granted primary residentia
responsibiity or soe parenta responsibiity of the parties= minor #hid-ren. sha
have the benefit of any ta' dedu#tions for the #hid-ren. or as foows {explain}*
_________________________________________________________________
Husband /nitias*___________ Wife /nitias* ___________
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_________________________________________________________________
%he other parent wi #onvey any appi#abe /RS form regarding the in#ome ta'
dedu#tion$
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ADDITIONAL OR FURTHER DOCUMENTS COOPERATION
Ea#h party agrees that he or she wi sign and e'e#ute any further or additiona do#uments
as may be ne#essary to put into effe#t the intended purposes hereof$ Ea#h party sha
e'e#ute, a#&nowedge and deiver to the other party any and a instruments and
assuran#es that the other party may reasonaby reuire or find #onvenient, e'pedient, or
businessi&e for the purpose of giving fu for#e and effe#t to the provisions of this
Agreement, spe#ifi#ay in#uding any deeds, affidavits, ta' forms or other instruments
reuired of one party to the other in order to pass good or mer#hantabe tite to any
property owned by either party during the marita reationship$
SECTION 1!.DIVORCE
/t is agreed and understood that this Agreement finay settes a rights of the parties and
the property )ointy or individuay owned by the parties, and that this Agreement, and the
enfor#eabiity thereof, is not #ontingent upon either party or both parties being granted a
divor#e on any grounds$ However, if either or both parties are granted a divor#e on any
grounds, the parties agree that this Agreement sha be made a part thereof and that su#h
de#ree or )udgment sha not #onfi#t with the terms hereof e'#ept to the e'tent
disapproved by the Court$ /n the event that the aw governing this Agreement prohibits
this Agreement from being effe#tive unti a divor#e a#tion has been fied, or a 9udgment of
Bivor#e entered, then the parties agree that su#h event sha be the effe#tive date of this
Agreement$ /n the event a divor#e a#tion or )udgment is reuired prior to this Agreement
be#oming effe#tive, or in the event that a divor#e a#tion is desire by one or more of the
parties, both parties agree and sign and e'e#ute a peading and papers reuired to obtain
a divor#e and )ointy reuest and #onsent to the immediate submission of this Agreement
to the appi#abe Court and to an entry of a )udgment by in#orporation of this Agreement
into the fina de#ree or )udgment of divor#e$ %he parties agree that ea#h mutuay submitsto the persona )urisdi#tion of the Chan#ery Court of __________ County, State of
2ississippi, so that said Court has the power to de#ide any and a matters and uestions
#on#erning the dissoution of the parties= marriage, and the division of the parties=
property and debts$
Husband /nitias*___________ Wife /nitias* ___________
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SECTION 1".MODIFICATION
%his Agreement sha stop and pre#ude either party from ma&ing other or further demands
and #aims upon the other, not in#uded herein, e'#ept that su#h ega a#tion may be ta&en
by either party as is ne#essary to enfor#e or modify the terms and provisions hereof,
e'#ept that the 4roperty Settement provision sha not be sub)e#t to modifi#ation$
SECTION 1
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%he parties sha refrain from, reease and reinuish any and a #aim that he or she may
have had, may now have, or may hereafter a#uire to share in any #apa#ity or to any
e'tent whatsoever, in the estate of the other, whether by way of statutory aowan#e,
heirship, homestead rights, or ee#tion to ta&e against or under the other party=s :ast Wi
and %estament$ /t is the intent of the parties that neither sha be a benefi#iary or re#ipient
of property of the other by Wi or intestate su##ession from and after the date of this
Agreement and e'pressy waive and reiuinsh any su#h right regardess of whether the
Wi of the other has been #hanged to deete the gift to her or him and regardess of
whether one party sha die prior to the entry of a fina )udgment of divor#e$
SECTION 1>.
ENFORCEMENT
%his Agreement may be enfor#ed by a#tions and pro#eedings for Contempt of Court, or
atta#hment and garnishment, for spe#ifi# performan#e, or any other remedy egay
avaiabe to either Husband or Wife, for the enfor#ement of the provisions and #ovenants
of this Agreement$
SECTION 1?.BANRUPTCY
%o the e'tent of any obigation #ontained herein is dis#harged in ban&rupt#y and the non
ban&rupt party is hed iabe for said debt, the nonban&rupt party sha have the right to
petition a #ourt of #ompetent )urisdi#tion for spousa support in an amount suffi#ient to
#over any amounts so dis#harged$
SECTION 1.ENTIRE AGREEMENT
%his Agreement #onstitutes the entire Agreement between the parties and ea#h party
a#&nowedges that there are no further Agreements not e'pressy in#uded herein and thatthis Agreement may be modified, atered, or amended ony in writing, duy signed and
notariKed by ea#h in the form of this origina$
SECTION 1.
Husband /nitias*___________ Wife /nitias* ___________
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FULLY READ AND UNDERSTAND INFORMED CONSENT
Ea#h party represents and a#&nowedges that he or she has fuy read this Agreement,
#onsuted with ea#h other, #arefuy #onsidered same, and have signed and e'e#uted same
after su#h #onsutation, that the signing of this Agreement is free and vountary without
for#e or #ousion by either party or any third party, and that ea#h party signed same with
the fu &nowedge of said party>s rights, obigations, and responsibiities$ Ea#h party
agrees that they have had a reasonabe opportunity to #onsut with an attorney of their
#hoi#e in the negotiation and preparation of this do#ument, and regarding any divor#e
pro#eeding$
SECTION !.SEVERABILITY
/f any portion of the Agreement sha be hed to be void, voidabe or unenfor#eabe for
any reason, then a the remaining parts or portions sha be #onstrued, impemented and
administered as if su#h void, voidabe or unenfor#eabe portion did not appear herein$
SECTION !1.CONTROLLING LAW
%his Agreement sha be governed, enfor#ed and interpreted a##ording to the aws of the
State of 2ississippi$
SECTION !!.HEIRS AND ASSIGNS
%his Agreement sha be binding upon their ega representatives, su##essor, heirs and
assigns$
ELECJ%EB A(B A
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%eephone (umber*7a' (umber*
Bated*Signature of Husband4rinted (ame*Address*City, State, Mip*%eephone (umber*7a' (umber*
Husband /nitias*___________ Wife /nitias* ___________
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S%A%E 37 2/SS/SS/44/
C3J(% 37 _________________
4ersonay appeared before me, the undersigned authority in and for said #ounty and state,on this __________ day of ___________________________, _________, within my )urisdi#tion,the within named ______________________________, who a#&nowedged that -he1she1they.e'e#uted the above and foregoing instrument$
______________________________(otary 4ubi#
4rinted (ame* _________________
2y Commission E'pires*
_____________________
S%A%E 37 2/SS/SS/44/
C3J(% 37 _________________
4ersonay appeared before me, the undersigned authority in and for said #ounty and state,on this __________ day of ___________________________, _________, within my )urisdi#tion,
the within named ______________________________, who a#&nowedged that -he1she1they.e'e#uted the above and foregoing instrument$
______________________________(otary 4ubi#
4rinted (ame* _________________
2y Commission E'pires*
_____________________