Legal Forms, Documents and Contracts

Over 4550 free forms and legal documents. Find and download the one you need!

Marital Settlement Agreement Form

In case of a marital agreement settlement that doesn’t involve children, the following form has to be used in order to negotiate and finalize the settlement.

Download

Extracted Text for Proper Search

Instructions for Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement 
Agreement for Dissolution of Marriage with D	epe	ndent or Minor Child(ren) (05/12	) 	
INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW 	
FORM 	12.902(f)(1), MARITAL SETTLEMENT AGREEMENT FOR 	
DISSOLUTION OF MARRIAGE WITH DEPE	NDENT OR MINOR CHILD(REN) 	
(05/12	) 	
 	
When should this form be used?	 	
 
This  form  should  be  used  when  a 	Petition  for  Dissolution  of  Marriage  with  Dependent  or  Minor 	
Child(ren)	,  Flor	ida  Supreme  Court  Approved  Family  Law  Form  12.901(b)(1),  has  been 	filed	 and 	the 	
parties	 have reached an agreement on some or all of the issues at hand.	 	
 
This form should be typed or printed in black ink.  	Both	 parties must sign the agreement and have their	 	
signatures witnessed by a 	notary public	 or 	deputy clerk	.  After completing this form, you should 	file	 the 	
original with the 	clerk of the circuit	 court	 in the county where the 	petition	 was filed and keep a copy for 	
your  records.    You  should  then  refer  to  the  instructions  for  your  petition, 	answer	,  or  answer  and 	
counterpetition	 concerning the procedures for setting a hearing or 	trial	 (final hearing	). 	
 	
Where can I look for more informatio	n?	 	
 
Before  proceeding,  you  should  read  General  Information  for  Self	-Represented  Litigants  found  at  the 	
beginning of these forms.	  The words that are in 	bold underline	 in these instructions are defined there.  	
For  further  information,  see  chapter  61,  Florid	a  Statutes,  and  the  instructions  for  the  petition  and/or 	
answer that were filed in this case.	 	
 	
Special notes...	 	
 
With  this  form  you  must  also  file  a 	Child  Support  Guidelines  Worksheet	,  Florida  Family  Law  Rules  of 	
Procedure Form 12.902(e), if not already filed.	 	
 
This  form  does  not  act  to  transfer  title  to  the  property.    Such  transfer  must  be  done  by  deed  or 
supplemental final judgment.	 	
 
Remember,  a  person  who  is  NOT  an  attorney  is  calle	d  a  nonlawyer.  If  a  nonlawyer  helps  you  fill  out 	
these forms, that person must give you a copy of a 	Disclosure from Nonlawyer,	 Florida Family Law Rules 	
of Procedure Form 12.900 (a), before he or she helps you.  A nonlawyer helping you fill out these forms 
also 	must	 put his or her name, address, and telephone number on the bottom of the last page of every 	
form he or she helps you complete.

Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for 
Dissolution o	f Marriage with D	epe	ndent or Minor Child(ren) (05/12	) 	
IN THE CIRCUIT COURT OF THE _______________________________JUDICIAL CIRCUIT,	 	
IN AND FOR ______________________________ COUNTY, FLORIDA	 	
 	
Case No.: _____________________________________	 	
Division: ________	______________________________	 	
 	
In re: the Marriage of:	 	
 
____________________________,	 	
Husband,	 	
 	
and	 	
 
____________________________,	 	
Wife.	 	
 	
 	
MARITAL SETTLEMENT AGREEMENT FOR DISSOLUTION OF MARRIAGE 	
WITH DEPENDENT OR MINOR CHILD(REN)	 	
 
 
We, 	{Husband’	s full legal name}	 ________________________________________	, and	 {Wife’s full legal 	
name	,_________________________________ being sworn, certify that the following statements are 	
true:	 	
 	
1. We were married to each other on 	{date}	 ________________________________________	. 	
 	
2. Because  of  irreconcilable  differences  in  our  marriage  (no  chance  of  staying  together),  we  have 
made  this  agreement  to  settle  once  and  for  all  what  we  owe  to  each  other  and  what  we  can 
expect  to  receive  from  ea	ch  other.    Each  of  us  states  that  nothing  has  been  held  back,  that  we 	
have honestly included everything we could think of in listing our assets (everything we own and 
that is owed to us) and our debts (everything we owe), and that we believe the other has 	been 	
open and honest in writing this agreement.	 	
 	
3. We have both filed a Family Law Financial Affidavit, Florida Family Law Rules of Procedure Form 
12.902(b)  or  (c).    Because  we  have  voluntarily  made  full  and  fair  disclosure  to  each  other  of  all 
our  assets	 and  debts,  we  waive  any  further  disclosure  under  rule  12.285,  Florida  Family  Law 	
Rules of Procedure.	 	
 	
4. Each  of  us  agrees  to  execute  and  exchange  any  papers  that  might  be  needed  to  complete  this 
agreement, including deeds, title certificates, etc.	 	
 	
SECTI	ON I.  MARITAL ASSETS AND LIABILITIES	 	
A. Division of Assets.	  We divide our assets (everything we own and that is owed to us) as follows: Any 	
personal item(s) not listed below is the property of the party currently in possession of the item(s).	 	
1. Wife  sha	ll  receive  as  her  own  and  Husband  shall  have  no  further  rights  or  responsibilities 	
regarding these assets:

Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for 
Dissolution o	f Marriage with D	epe	ndent or Minor Child(ren) (05/12	) 	
 	ASSETS:  DESCRIPTION OF ITEM(S) WIFE SHALL RECEIVE	 	
(Please describe each item as clearly as possible. You do not need to list account 
numbers.  Where applicable, include whether the name on any title/deed/account 	
described below is wife’s, husband’s, or both.)	 	
 Current Fair Market Value	 	
 Cash (on hand)	 	 $ 	 Cash (in banks/credit unions)	 	  	  	  	 Stocks/Bonds	 	  	
  Notes (money owed to you in writing)	 	  	
 	  	
 	  	  Money owed to you (not evidenced by a note)	 	  	 
 	
 
 	 
 	
 
 	 
Real estate: (Home)	 	
 
 	 
 (Other)	 	
 
 	 
 	
 
 	 
 Business interests	 	
 
 	 
 	
 
 	 
Automobiles	 	
 
 	 
 	
 
 	 
 	
 
 	 
 Boats	 	
 
 	 
 Other vehicles	 	
 
 	 
 	
 
 	 
 Retirement plans (Profit Sharing, Pension, IRA, 401(k)s, etc.)	 	
 
 	 
 	
 
 	 
 	
 
 	 
 Furniture & furnishings in home	 	
 
 	 
 	
 
 	 
 Furniture & furnishings elsewhere	 	
 
 	 
 	
 
 	 
 Collectibles	 	
 
 	 
 	
 
 	 
Jewelry	 	
 
 	 
 	
 
 	 
 Life insurance (cash surrender value)

Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for 
Dissolution o	f Marriage with D	epe	ndent or Minor Child(ren) (05/12	) 	
 	ASSETS:  DESCRIPTION OF ITEM(S) WIFE SHALL RECEIVE	 	
(Please describe each item as clearly as possible. You do not need to list account 
numbers.  Where applicable, include whether the name on any title/deed/account 	
described below is wife’s, husband’s, or both.)	 	
 Current Fair Market Value	 	
Sporting and entertainment (T.V., stereo, etc.) equipment	 	 	 
 	
 
 	 
 	
 
 	 
 	
 
 	 
 Other assets	 	
 
 	 
 	
 
 	 
 	
 
 	 
 	
 
 	 
 	
 
 	 
 	
 
 	 
 	
 
 	 
Total Assets to Wife	 	
 
$  	  	
2. Husband  shall  receive  as  his  own  and  Wife  shall  have  no  further  rights  or  responsibilities 
regarding these assets:	 	 	ASSETS:  DESCRIPTION OF ITEM(S) HUSBAND SHALL RECEIVE	 	
(Please describe each item as clearly as possible. You do not need to list account 
num	bers.  Where applicable, include whether the name on any title/deed/account 	
described below is wife’s, husband’s or both.)	 	
 
Current Fair 
Market Value	 	
 
 Cash (on hand)	 	
 
$ 	 
 Cash (in banks/credit unions)	 	
 
 	 
 	
 
 	 
 Stocks/Bonds	 	
  	   
 Notes (money owed to you in writing)	 	
 
 	 
 	
 
 	 
 	
 
 	 
Money owed to you (not evidenced by a note)	 	
 
 	 
 	
 
 	 
 	
 
 	 
 Real estate: (Home)	 	
 
 	 
(Other)	 	
 
 	 
 	
 
 	 
Business interests	 	
 
 	 
 	
 
 	 
 Automobiles

Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for 
Dissolution o	f Marriage with D	epe	ndent or Minor Child(ren) (05/12	) 	
 	ASSETS:  DESCRIPTION OF ITEM(S) HUSBAND SHALL RECEIVE	 	
(Please describe each item as clearly as possible. You do not need to list account 
num	bers.  Where applicable, include whether the name on any title/deed/account 	
described below is wife’s, husband’s or both.)	 	
 
Current Fair 
Market Value	 	
 	 	 
 	
 
 	 
Boats	 	
 
 	 
Other vehicles	 	
 
 	 
 	
 
 	 
 Retirement plans (Profit Sharing, Pension, IRA, 401(k)s, etc.)	 	
 
 	 
 	
 
 	 
 	
 
 	 
 Furniture & furnishings in home	 	
 
 	 
 	
 
 	 
 Furniture & furnishings elsewhere	 	
 
 	 
 	
 
 	 
 Collectibles	 	
 
 	 
 	
 
 	 
Jewelry	 	
 
 	 
 	
 
 	 
Life insurance (cash surrender value)	 	
 
 	 
 	
 
 	 
Sporting and entertainment (T.V., stereo, etc.) equipment	 	
 
 	 
 	
 
 	 
 	
 
 	 
 	
 
 	 
Other assets	 	
 
 	 
 	
 
 	 
 	
 
 	 
 	
 
 	 
 	
 
 	 
 	
 
 	 
Total Assets to Husband	 	
 
$  __________

Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for 
Dissolution o	f Marriage with D	epe	ndent or Minor Child(ren) (05/12	) 	
B. Division of Liabilities/Debts.	  We divide our liabilities (everything we owe) as follows:	 	
1. Wife  shall  pay  as  her  own  the  following  and  will  not  at  any  time  ask  Husband  to  pay  these 
debts/bills:	 	 	LIABILITIES:  DESCRIPTION OF DEBT(S) TO BE PAID BY WIFE	 	
(Please describe each item as cle	arly as possible. You do not need to list 	
account numbers.  Where applicable, include whether the name on any 
mortgage, note, or account described below is wife’s, husband’s, or both.)	 
 
Monthly 
Payment	 	
 
Current 
Amount 
Owed	 	 
Mortgages on real estate: (Home)	 	
 
$ 	
 
$ 	 
(Other)	 	
 
 	
 
 	 
 	
 
 	
 
 	 
Charge/credit card accounts	 	 
 	
 
 	
 
 	 
 	
 
 	
 
 	 
 	
 
 	
 
 	 
 	
 
 	
 
 	 
 	
 
 	
 
 	 
 Auto loan	 	
 
 	
 
 	 
 Auto loan	 	
 
 	
 
 	 
 Bank/credit union loans	 	
 
 	
 
 	 
 	
 
 	
 
 	 
 	
 
 	
 
 	 
 	
 
 	
 
 	 
 Money you owe (not evidenced by a note)	 	
 
 	
 
 	 
 	
 
 	
 
 	 
Judgments	 	
 
 	
 
 	 
 	
 
 	
 
 	 
 Other	 	
 
 	
 
 	 
 	
 
 	
 
 	 
 	
 
 	
 
 	 
 	
 
 	
 
 	 
Total Debts to Be Paid by Wife	 	
 
$ ________	 	
 
$ _______

Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for 
Dissolution o	f Marriage with D	epe	ndent or Minor Child(ren) (05/12	) 	
 	
2. Husband  shall  pay  as  his  own  the  following  and  will  not  at  any  time  ask  Wife  to  pay  these 
debts/bills:	 	
 	 	LIABILITIES:  DESCRIPTION OF DEBT(S) TO BE PAID BY HUSBAND	 	
(Please describe each item as clearly as possible. You do not need to list 
account numbers.  Where applicable, include whether the name on any 
mortgage, note or account described below is wife’	s, husband’s, or both.)	 
 Monthly	 	
Payment	 	
 
Current 
Amount 
Owed	 	 
Mortgages on real estate: (Home)	 	
 
$ 	
 
$ 	 
(Other)	 	
 
 	
 
 	 
 	
 
 	
 
 	 
 Charge/credit card accounts	 	 	 	 
 	
 
 	
 
 	 
 	
 
 	
 
 	 
 	
 
 	
 
 	 
 	
 
 	
 
 	 
 	
 
 	
 
 	 
Auto loan	 	
 
 	
 
 	 
Auto loan	 	
 
 	
 
 	 
Bank/credit union loans	 	
 
 	
 
 	 
 	
 
 	
 
 	 
 	
 
 	
 
 	 
 	
 
 	
 
 	 
Money you owe (not evidenced by a note)	 	
 
 	
 
 	 
 	
 
 	
 
 	 
Judgments	 	
 
 	
 
 	 
 	
 
 	
 
 	 
Other	 	
 
 	
 
 	 
 	
 
 	
 
 	 
 	
 
 	
 
 	 
 	
 
 	
 
 	 
 	
 
 	
 
 	 
Total Debts to Be Paid by Husband	 	
 
$ ________	 	
 
$ _______	 	
 
C.  Contingent Assets and Liabilities (listed in Section III of our Family Law Financial Affidavits) will be 
divided as follows:

Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for 
Dissolution o	f Marriage with D	epe	ndent or Minor Child(ren) (05/12	) 	
 	 	
 
SECTION  II.    SPOUSAL  SUPPORT  (ALIMONY)	 (If  you  have  not  agreed  on  this  matter,  write  n/a  on  the 	
lines provided.)	 	
1. ___Each of us forever gives up any right to spousal support (alimony) that we may have.	 	
 	OR	 	
2. ___  (	    )  HUSBAND  (	    )  WIFE  (hereinafter  “Obligor”) agrees  to  pay spousal  support  (alimony)  in 	
the  amount  of  $  ________every  (	    )  week  (	    )  other  week  (	    )  month,  beginning 	{date} 	
__________________	and continuing until 	{date or event}	 _______________________________	 	
_____________________________________________________________________________.	 	
Explain  type  of  alimony  (such  as,  permanent,  bridge	-the	-gap,  d	urational,  rehabilitative,  and/or 	
lump sum) and any other specifics: 	 	 	
 	 	
 	 	
 	 	
 	 	
 
3. Other provisions relating to alimony, including any tax treatment and consequences:	 	
_____________________________________________________________________________	 	
______________________________________________________________________________	 	
 
4. { _____Indicate if applicable}	  Life insurance in the amount of $__________ to secure the above 	
support, will be provided by the Obligor.	 	
 
SECTION III.  PARENTING PLAN ESTAB	LISHING PARENTAL RESPONSIBILITY AND TIME	-SHARING	 	
 	
1. The parties’ minor child(ren) are:	 	
Name	 	Birth date	 	
 	 	
 	 	
 	 	
 	 	
 	 	
 	 	
 	
2. The parties shall have time	-sharing and parental responsibility in accordance with the Parenting 	
Plan attached as Exhibit _____.	 	
 
SECTION IV.  CHILD SUPPORT	 	
 	
1. (    )  Wife  (	    )  Husband  (hereinafter  “Obligor”)  will  pay  child  support,  under  Florida’s  child 	
support  guidelines,  section  61.30,  Florida  Statutes,  to  the  other  parent.    The  Child  Support 
Guidelines Worksheet, Florida Famil	y Law Rules of Procedure Form 12.902(e), is completed and 	
attached.	 	
Child support in the amount of $_________ for the ________children {	total number of parties’ 	
minor or dependent children} 	shall be paid commencing_________________	{month, day, year}	 	
and te	rminating ___________________	{month, day, year}.

Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for 
Dissolution o	f Marriage with D	epe	ndent or Minor Child(ren) (05/12	) 	
 
Upon the termination of the obligation of child support for one of the parties’ children, child 
support in the amount of $____________ for the remaining __________children 	{total number 	
of remaining childre	n} 	shall be paid commencing_____________________	{month, day, year} 	 	
and terminating __________________________	{month, day, year}.	 	
 
{Insert schedule for the child support obligation, including the amount, commencement, and 
termination dates for the remainin	g minor or dependent children, which shall be payable as 	
the obligation for each child ceases.  Please indicate whether the schedule ____appears below 
or ____ is attached as part of this form.}	 	
______________________________________________________________	_______________	 	
_____________________________________________________________________________	 	
_____________________________________________________________________________	 	
_____________________________________________________________________________	 	
______	_______________________________________________________________________	 	
_____________________________________________________________________________	 	
 
The Obligor shall pay child support until all the minor or dependent child(ren): reach the age of 
18; bec	ome emancipated, marry, join the armed services, die, or become self	-supporting; or 	
until further order of the court or agreement of the parties.  The child support obligation shall 
continue beyond the age of 18 and until high school graduation for any chi	ld who is: dependent 	
in fact; between the ages of 18 and 19; and is still in high school, performing in good faith with a 
reasonable expectation of graduation before the age of 19.	 	
 
Child support shall be payable (   ) at least once a month and in accordan	ce with the parent(s)’s 	
employer(s)’s payroll cycle, or (   ) other 	{explain}	______________________________________.	 	
 
 
If the child support amount above deviates from the guidelines by 5% or more, explain the 
reason(s) here: 
______________________________________________________________________________	 	
_______________________________________________________________________	_______	 	
______________________________________________________________________________	 	
 	
 	
2. Child Support Arrearage.	  There currently is a child support arrearage of $ ___________	 	
for retroactive child support and/or $___________ for previously ordered unp	aid child support.	 	
The  total  of  $  ___________  in  child  support  arrearage  shall  be  repaid  at  the  rate    of 	 	
$  ___________  every  (	    )  week  (	    )  other  week  (	    )  month,  beginning 	{date}_____________	 , 	
until paid in full including statutory interest.	 	
 	
3. Health  Insurance.	  (    )  Wife  (	    )  Husband  will  maintain  health  insurance  for  the  parties’  minor 	
child(ren).  The party providing coverage will provide insurance cards to the other party showing 
coverage.   	OR	 (    )  Health  insurance  is  either  not  reasona	ble  in  cost  or  accessible  to  the 	
child(ren) at this time. Any uninsured/ unreimbursed medical costs for the minor child(ren) shall 
be assessed as follows:	 	
a. ___Shared equally by husband and wife.	 	
b. ___Prorated according to the child support guideline percentages.	 	
c. 	___Other 	{explain}	:  _________________________________________________________

Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for 
Dissolution o	f Marriage with D	epe	ndent or Minor Child(ren) (05/12	) 	
As  to  these  uninsured/unreimbursed  medical  expenses,  the  party  who  incurs  the  expense  shall 
submit  a  request	 for  reimbursement  to  the  other  party  within  30  days,  and  the  other  party, 	
within 30 days of receipt, shall submit the applicable reimbursement for that expense, according 
to the schedule of reimbursement set out in this paragraph.	 	
 	
4. Dental  Insurance.	  (    )  Wife  (	    )  Husband  will  maintain  (	    )  dental  insurance  for  the  parties’ 	
minor  child(ren).    The  party  providing  coverage  will  provide  insurance  cards  to  the  other  party 
showing coverage.  	OR	 (    	) dental insurance is either not reasonable in cost 	or accessible to the 	
child(ren)  at  this  time.  Any  uninsured/  unreimbursed  dental  costs  for  the  minor  child(ren)  shall 
be assessed as follows:	 	
a. ___Shared equally by husband and wife.	 	
b. ___Prorated according to the child support guideline percentages.	 	
c. 	___Other	 {explain}	:  _________________________________________________________	 	
As  to  these  uninsured/unreimbursed  dental  expenses,  the  party  who  incurs  the  expense  shall 
submit  a  request  for  reimbursement  to  the  other  party  within  30  days,  and  the  other  pa	rty, 	
within 30 days of receipt, shall submit the applicable reimbursement for that expense, according 
to the schedule of reimbursement set out in this paragraph.	 	
 	
5. Life Insurance. 	 (    ) Wife (	    ) Husband shall be required to maintain life insurance c	overage for 	
the  benefit  of  the  parties’  minor  child(ren)  in  the  amount  of  $  ___________until  the  youngest 
child turns 18, becomes emancipated, marries, joins the armed services ,or  dies.	 	
 	
6. IRS  Income  Tax  Deduction(s).	  The  assignment  of  any  tax  deductio	ns  for  the  child(ren)  shall  be	  	
as follows: 	{explain}	 ____________________________________________________________	 	
_____________________________________________________________________________	 	
The other parent will convey any applicable IRS form regarding the income tax deduction.	 	
 	
7. Other  provisions  relating  to  child  support  (e.g.,  uninsured  medical/dental  expenses,  health  or 
dental  insurance,  life  insurance  to  secure  child  support,  orthodonti	c  payments,  college  fund, 	
etc.): 	 	
 	 	
 	 	
 	 	
 	 	
 	 	
 	 	
 	 	
 	 	
 	 	
 
SECTION V.  OTHER

Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for 
Dissolution o	f Marriage with D	epe	ndent or Minor Child(ren) (05/12	) 	
SECTION VI.	  We have not agreed on the following issues:	 	
 	 	
 	 	
 	 	
 	 	
 	 	
 	 	
 	 	
 	 	
 	 	
 	
 
 
 
 
 	
 
I  certify  that  I  have  been  open  and  honest  in  entering  into  this settlement  agreement.    I  am satisfied 
with this agreement and intend to be bound by it.	 	
 
 
Dated: ___________________	 	_____________________________________________	 	
Signature of Husband	 	
Printed	 Name: 	 	 	
Address: 	 	 	
City, State, Zip: 	 	 	
Telephone Number: 	 	 	
Fax Number: 	 	 	
 	 	 	 	 	 	Email Address:_______________________________	 	
 
STATE OF FLORIDA	 	
COUNTY OF ________________________	 	
 
Sworn to or affirmed and signed before me on _______________by 	 	. 	
 	
 	 	
NOTARY PUBLIC or DEPUTY CLERK	 	
 	
 
 	 	
[Print,  type,  or  stamp  commissioned  name  of  notary  or 
clerk.]	 	
____	 	Personally known	 	
____	 	Produced identification	 	
Type of identification produced

Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for 
Dissolution o	f Marriage with D	epe	ndent or Minor Child(ren) (05/12	) 	
IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW:	  	
[fill in 	all	 blanks] T	his form was prepared for the: 	{choose only 	one	}  (     ) Husband  (     ) Wife	 	
This form was completed with the assistance of:	 	
{name of individual}	 _________________________________________________________________,	 	
{name of business} 	__________________________________________________________________,	 	
{address}	  	_____________________________________________________________________, 	 	
{city}	 _________________________, 	{state}	 _____, 	{telephone number}	 _________________________, 	 	
 	
 
 	
I  cert	ify  that  I  have  been  open  and  honest  in  entering  into  this settlement  agreement.    I  am satisfied 	
with this agreement and intend to be bound by it.	 	
 
 
Dated:______________________	 	_____________________________________________	 	
Signature of Wife	 	
Printed Name: 	 	 	
Address: 	 	 	
City, State, Zip: 	 	 	
Telephone Number: 	 	 	
Fax Number: 	 	 	
Email Address:________________________________	 	
 
STATE OF FLORIDA	 	
COUNTY OF 	___________________________ 	 	
 
Sworn to or affirmed and signed before me on 	_________________	by 	 	. 	
 	
 	 	
NOTARY PUBLIC or DEPUTY CLERK	 	
 	
 
 	 	
[Print,  type,  or  stamp  commissioned  name  of  notary  or 
clerk.]	 	
____	 	Personally known	 	
____	 	Produced identification	 	
Type of identification produced 	____________________________ 	 	
 
IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BEL	OW:	  	
[fill in 	all	 blanks] This form was prepared for the: 	{choose only 	one	} (     ) Husband  (     ) Wife	 	
This form was completed with the assistance of:	 	
{name of individual}	 __________________________________________________________________,	 	
{name of business}	 ____________________________________________________________________,	 	
{address}	  	______________________________________________________________________,	 	
{city}	 ___________________________, 	{state}	 ____________ 	{telephone number}	 _________________.
Next: Montana DMV Bill of Sale Form Previous: Maine Acknowledgment and Receipt of Summons Form
If you want to remove Marital Settlement Agreement Form from this website please contact us providing the reasons together with this url: https://formsarchive.com/marital-settlement-agreement-form/