Free IN THE CIRCUIT COURT OF THE 14TH JUDICIAL CIRCUIT - Illinois

IN THE CIRCUIT COURT OF THE 14TH JUDICIAL CIRCUIT ROCK ISLAND COUNTY, ILLINOIS IN RE THE MARRIAGE OF: _________________________________ (Type or Print Plaintiff's Name) PLAINTIFF;
VS. __________________________________________ DEFENDANT; (Type or Print Defendant's Name) NO.

AGREEMENT AS TO ASSETS AND DEBTS Now come ____________________________, Plaintiff, and ___________________________, (Type or Print Plaintiff's Name) (Type or Print Defendant's Name) Defendant, and hereby agree to the following distribution of all marital assets in excess of One Hundred Dollars ($100.00) in value and the following division of all marital debts and liabilities. MARITAL ASSETS Description of Asset and Estimated Value
(List all marital assets in excess of One Hundred Dollars $100.00 in value-assets of lower value may be listed). 1.________________________________________________ 2.________________________________________________ 3.________________________________________________ 4.________________________________________________ 5.________________________________________________ 6.________________________________________________ 7.________________________________________________ 8.________________________________________________ 9.________________________________________________ 10._______________________________________________ 11._______________________________________________ 12._______________________________________________ 13._______________________________________________ 14._______________________________________________ 15._______________________________________________

Party to Receive Asset
(Enter name of Party (Husband or Wife who will receive the asset). ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________

MARITAL DEBTS AND LIABILITIES
Description of Debt or Liability (List all Marital Debts and Liabilities) Amount Account Number Party to Pay Debt
(Enter name of Party husband or wife who will be responsible for paying the Debt or liability) (List total balance due) ( List Account Number where applicable)

1._______________________ $_____________ 2._______________________ $_____________ 3._______________________ $_____________ 4._______________________ $_____________ 5._______________________ $_____________ 6._______________________ $_____________ 7._______________________ $_____________ 8._______________________ $_____________ 9._______________________ $_____________ 10.______________________ $_____________ 11.______________________ $_____________ 12.______________________ $_____________ 13.______________________ $_____________ 14.______________________ $_____________ 15.______________________ $_____________

______________ ______________ _______________ _______________ ________________ ________________ ________________ ________________ ________________ ________________ _________________ _________________ __________________ __________________ __________________

_____________ _____________ _____________ _____________ _____________ _____________ _____________ _____________ _____________ _____________ _____________ _____________ _____________ _____________ _____________

________________________________
PLAINTIFF'S SIGNATURE Subscribed and Sworn to before me this_____ Day of _________________________, 20_____. _______________________________________ Notary Public

_____________________________
DEFENDANT'S SIGNATURE Subscribed and Sworn to before me this _____ Day of _________________________, 20_____. _______________________________________ Notary Public