Free State of Minnesota County of: District Court Judicial District: Court File Numb... - Minnesota

State of Minnesota
County of:

District Court
Judicial District:
Court File Number: Case Type:

Dissolution

In Re the Marriage of:
, Name of Husband (First, Middle, Last)

and

Joint Petition, Agreement, and Judgment and Decree For Marriage Dissolution Without Children
,

Name of Wife (First, Middle, Last)

1.

Information about Husband: Full Name:
First Middle Last

Address:
Street Address Apt. No.

City

County

State

Zip Code

Date of Birth: __________________________
Month Day Year

Husband's former or other names:
(Or write "none")
First Middle Last

Husband's social security number is listed on Confidential Form 11.1 and submitted along with the Joint Petition. 2. Information about Wife: Full Name:
First Middle Last Apt. No.

Address:
Street Address

City

County

State

Zip Code

Date of Birth: __________________________
Month Day Year

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Wife's former or other names:
(Or write "none")
First Middle Last

First

Middle

Last

Wife's social security number is listed on Confidential Form 11.1 and submitted along with the Joint Petition. 3. Children: "Child" means a living person under age 18, or under age 20 and still in high school, or a
person over 18 who by reason of a physical or mental condition is incapable of self support.

a. Are there any children born to or adopted by husband and wife together? YES NO

(If you answered YES, you are using the wrong form. Use Marriage Dissolution with Children.)

b. Has wife given birth since the date of marriage to a child who is not a child of the Husband. YES NO

(If YES, you are using the wrong form. Use Marriage Dissolution with Children.)

c. Is wife pregnant?

YES

NO

(If YES, you are using the wrong form. Use Marriage Dissolution with Children.)

4.

Our Marriage Husband and Wife were married on: (month, day, year) in the City of of , Country of
, County of

, State

5.

180 Day Requirement Husband has been living in Minnesota for the past six (6) months: Wife has been living in Minnesota for the past six (6) months: YES YES NO NO

6.

Armed Forces Husband is an active member of the armed forces: YES NO

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If YES, has the member of the armed forces been stationed in Minnesota for the past six (6) months? YES NO YES NO

Wife is an active member of the armed forces:

If YES, has the member of the armed forces been stationed in Minnesota for the past six (6) months? YES NO

7.

Marriage Cannot be Saved There has been an irretrievable breakdown of our marriage relationship.

8.

Other Proceedings A separate court case for dissolution, legal separation or annulment has already been started by Husband or Wife in Minnesota or another state: YES, the type of court case is: County in the State of number is Closed Unknown or YES NO If

and it was started in and the Court file Open .

, and the outcome of the case is

9.

Protection or Harassment Order An Order for Protection or a Harassment/Restraining Order is in effect regarding Husband and Wife: YES NO If YES, the Order protects: Husband County on the , and the Court file number is
Month Day Year

Wife. The Order was filed in date:

A copy of the Order is submitted along with this Joint Petition. 10. Public Assistance: (Note: If either person is receiving public assistance from the State of Minnesota or
applies for it after this proceeding is started, notice of this marriage dissolution action must be given to the county's collections and support office. See Minnesota Statutes Section 518A.44)

a. Husband receives public assistance from the State of Minnesota:

Yes

No

If YES, the assistance is from_______________________County. (check all that apply) MFIP in the amount of $ per month.

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Tribal TANF in the amount of $ General Assistance in the amount of $ Medical Assistance Child Care Assistance MinnesotaCare

per month. per month.

b. Wife receives public assistance from the State of Minnesota:

Yes

No

If YES, the assistance is from ______________________County. (check all that apply) MFIP in the amount of $ Tribal TANF in the amount of $ General Assistance in the amount of $ Medical Assistance Child Care Assistance MinnesotaCare Husband's Employment a. Husband is employed: Yes No Husband is self-employed: Yes No Yes No per month. per month. per month.

11.

b. Husband works at least 40 hours per week:

If Husband is unemployed or working less than 40 hours / week, answer these questions: i. Why is Husband unemployed or working less than 40 hours / week?

ii. What is Husband's past work experience (type of jobs, hours, pay, length of time at the job) and what are Husband's professional qualifications or licenses?

c. Current Employment: (if Husband currently has more than two jobs, use an attachment for the
additional jobs.)

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Name of Husband's Employer (If self-employed, list name and business address) Employer's Street Address

City

State

Zip Code

Name of Husband's Employer if self-employed, list name and business address) Employer's Street Address

City

State

Zip Code

Questions about Current Jobs Is Husband paid by the hour or salaried? What is the average number of hours Husband works per week?

1st Job hourly salary

2nd Job hourly salary

________________hours

________________hours

How much overtime pay does Husband receive per week on $_____________________ average? Does Husband receive bonuses? If Yes, how much was received in bonuses last year? st Yes No 1 Job $_____________ Yes No 2nd Job How much does Husband expect to receive this year? $___________

$____________________ If Yes, how much was received in bonuses last year? $_____________ How much does Husband expect to receive this year? $___________

12.

Husband's Income Source of Income Self Employment Income
minus ordinary and necessary business expenses.

Amount Per Month (or zero) before deductions/taxes $______________ per month

Self Employment income means gross receipts minus costs of goods sold

Job with __________________________ Second Job with _____________________ Third Job with ______________________ Commissions from all jobs

$______________ per month $______________ per month $______________ per month $______________ per month

Monthly income from a job = Hourly wage x Hours worked per week x 4.33 (weeks per month)

Divide the total amount you expect this year by 12 to get a monthly average

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Unemployment benefits Social Security Retirement, Survivors or Disability Income (RSDI) (do not include SSI) Investment and Rental Income Annuity payments Pension or Disability from work or military Worker's Compensation Court-ordered spousal maintenance received Other income____________________________
List Source

$______________ per month

$______________ per month $______________ per month $______________ per month $______________ per month $______________ per month $______________ per month $______________ per month

Add all of the above.

Total monthly income

$ _____________ per month

Enter the amount of child support Husband is court-ordered to pay for any nonjoint child(ren) $______________ per month Enter the amount of spousal maintenance Husband is court-ordered to pay to a current or former spouse $______________ per month 13. Wife's Employment a. Is Wife employed? YES NO Is Wife self-employed? YES NO YES NO

b. Is Wife working at least 40 hours per week?

If Wife is unemployed or works less than 40 hours/week, answer these questions: i. Explain why Wife is not working or why Wife works less than 40 hours/week

ii. What is Wife's past work experience (type of jobs, hours, pay, length of time at the job) and professional qualifications or licenses?

c. Current Employment: (If Wife has more than two jobs at this time, use an attachment for the
additional jobs.)

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Name of Wife's Employer (If Self-Employed list name and business address)

Employer's Street Address

City

State

Zip Code

Name of Wife's Employer (If Self-Employed list name and business address)

Employer's Street Address

City

State

Zip Code

Questions about Jobs Is Wife paid by the hour or salaried?

1st Job hourly salary

2nd Job hourly salary

What is the average number of hours Wife works per week? How much overtime pay does Wife receive per week on average?

________________hours

________________hours

$_____________________ If Yes, how much did Wife receive in bonuses last year? $____________________ How much does Wife expect to receive this year? $____________________

$____________________ If Yes, how much did Wife receive in bonuses last year? $___________________ How much does Wife expect to receive this year? $___________________

Does Wife receive bonuses? Yes Yes No 1 Job No 2nd Job
st

14.

Wife's Income Source of Income Self Employment Income
business expenses.

Amount Per Month (or zero) before deductions/taxes $______________ per month

Self Employment income means gross receipts minus costs of goods sold minus ordinary and necessary

Job with __________________________ Second Job with _____________________

$______________ per month $______________ per month

Monthly income from a job = Hourly wage x Hours worked per week x 4.33 (weeks per month)

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Third Job with ______________________ Commissions from all jobs Unemployment benefits Social Security Retirement, Survivors or Disability Income (RSDI) (do not include SSI) Investment and Rental Income Annuity payments Pension or Disability from work or military Worker's Compensation Court-ordered spousal maintenance received Other income____________________________
Identify Source

$______________ per month $______________ per month $______________ per month

Divide the total amount you expect this year by 12 to get a monthly average

$______________ per month $______________ per month $______________ per month $______________ per month $______________ per month $______________ per month $______________ per month

Add all of the above.

Total monthly income

$ _____________ per month

Enter the amount of child support Wife is court-ordered to pay for any nonjoint child(ren)

$______________ per month

Enter the amount of spousal maintenance Wife is court-ordered to pay to a current or former spouse $______________ per month 15. Health Care Coverage (Health Care Coverage does not include Minnesota Care or Medical Assistance.) a. Wife has b. Husband has medical medical dental insurance or dental insurance or no insurance. no insurance.

16. a.

Spousal Maintenance Does Husband need spousal maintenance from Wife? YES NO

If YES, Husband is ______ years of age, Husband and Wife have been married for ______ years. Husband has the following _____. education: Husband's

_________________________

gross monthly income totals $ _____________ . Husband's monthly expenses total $ , and Husband is not able to maintain the standard of living

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established during the marriage because:

. Wife has the ability to pay Husband $ maintenance. per month for spousal

b.

Does Wife need spousal maintenance from Husband?

YES

NO

If YES, Wife is ______ years of age, Husband and Wife have been married for ____ years. Wife has the following education: . Wife's gross monthly income totals $ _____________, Wife's monthly expenses total $ , and Wife is not able to maintain the standard of living established

during the marriage because:

Husband has the ability to pay Wife $ maintenance.

per month for spousal

c.

Do both parties agree that neither party needs spousal maintenance?

YES

NO

If YES, both parties agree that each party is fully capable of self-support and is not dependent upon the other for additional support in the form of spousal maintenance. Each party has made a full and fair disclosure of all income and assets, and liabilities that each is responsible for, and agree that this waiver is reasonable. The waiver is fair and equitable and is supported by the above consideration and was signed by both parties after full financial disclosure to each other.

17.

Name Change a. Neither person wants to change his/her name. b. first Wife Husband wants to change his/her name to: (full name, not initials) middle last

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This name change request is made with no intent to defraud or mislead anyone: True False

The person requesting the name change has been convicted of a felony YES NO

If YES: i. Notice of this request for name change has been given to the proper authority as required by Minn.Stat.§259.13. (IMPORTANT NOTICE: If you are a convicted felon and you request a name change without following the requirements of Minn.Stat §259.13, using the new last name after your divorce is a gross misdemeanor.) ii. An Affidavit of Service of the Notice marked Exhibit "A" has been attached to this Joint Petition.

AGREEMENT OF HUSBAND AND WIFE 1. 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 each other. Each of us states that nothing has been held back, and 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. We will sign and exchange any papers that might be needed to complete this agreement before or after the divorce.

2.

Real Estate Real estate includes a homestead, condominium, apartment building, vacant land, contract for deed interest, remainder interest, and more. Husband owns no real estate by himself or with anyone else. Wife owns no real estate by herself or with anyone else. Husband and/or Wife own real estate as described on the Real Estate Attachment(s).

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(Use a separate Real Estate Attachment sheet for each parcel of real estate. The Real Estate Attachment sheet(s) must be attached to this Joint Petition, even if Husband and Wife have no real estate.)

All Real Estate Attachments are incorporated into this Joint Petition, Agreement, Judgment and Decree and Husband and Wife agree that the real estate shall be awarded as stated on the Real Estate Attachment(s) in Attachment "C". Check one: There is one Real Estate Attachment; OR There are ______ Real Estate Attachments. 3. Non-Marital Property
Non-marital Property means: (1) anything that you or your spouse owned before the marriage; (2) a gift, bequest, devise, or inheritance made by a third party to one but not to the other spouse; (3) anything that you or your spouse got in trade or in exchange for your non-marital property; (4) anything that is an increase in the value of non-marital property (STOP: Property can be part nonmarital and part marital. Defining and valuing non-marital property can be complicated. If you have any concerns or questions, you should stop here and talk to an attorney.) (5) anything you or your spouse received after the valuation date set by the Court; or (6) anything defined as nonmarital property by a valid antenuptial contract.

a. Husband owns non-marital property: YES NO If YES, Husband and Wife agree that that the following property is Husband's nonmarital property and shall be awarded to Husband:

The total value of Husband's non-marital property is $

b. Wife owns non-marital property: YES NO. If YES, Husband and Wife agree that the following property is Wife's non-marital property and shall be awarded to Wife:

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The total value of Wife's non-marital property is $

4.

Division of Marital Property
Marital Property means almost anything that you or your spouse own that you or your spouse received during the marriage, even during the times that you and your spouse were separated. This includes real estate, boats, cabins, household goods, furniture, jewelry, and other things.

(See attached Asset Sheet listing all assets. The Asset Sheet must be attached to the Joint Petition, even if husband and wife have no assets.)

The Asset Sheet is incorporated into this Joint Petition, Agreement, Judgment and Decree and Husband and Wife agree to divide their marital property as listed by them in Attachment
"A".

5.

Division of Marital Debts
Marital Debts means debts incurred by you or your spouse during the marriage, even during the times that you and your spouse were separated. Do not include monthly expenses you pay in full each month, such as telephone and utilities.

(See attached Debt Sheet listing all debts. The Debt Sheet must be attached to the Joint Petition, even if wife and husband have no debts.)

The Debt Sheet is incorporated into this Joint Petition, Agreement, Judgment and Decree and Husband and Wife agree to divide their marital debts as listed by them in Attachment "B".

6.

Spousal Maintenance a. Neither party is awarded spousal maintenance. Petitioner and Respondent have waived any claims to spousal maintenance for the past, present, or future, and expressly waive all rights to modify their waivers of maintenance. This court is

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divested of jurisdiction to award or modify maintenance in the future pursuant to Karon v. Karon, 435 N.W. 2d 501 (Minn. 1989). Consideration for this agreement is: (check all that apply) the parties' mutual waivers of maintenance the property settlement the parties' respective incomes and ability to earn income other:

The Court has reviewed this agreement and finds it to be fair and equitable under all of the circumstances, and supported by sufficient consideration including the parties' mutual waivers, incomes per year and the property division. Full disclosure of each party's financial circumstances has occurred. b. Maintenance is reserved because:

Either party can ask the court to order the payment of spousal maintenance in the future by filing a Motion stating a change in circumstances. c. Husband Wife shall pay permanent spousal maintenance to the other per month starting on (date): Wife shall pay temporary spousal maintenance to the other per month starting on (date): . and

party in the amount of $ d. Husband

party in the amount of $ ending on (date):

The monthly amount of permanent or temporary spousal maintenance shall be: subject to income withholding from the payor's income, regardless of source, by his or her employer, trustee, or other payor of funds and mailed to: Minnesota Child Support Payment Center, P.O. Box 64326, St. Paul, MN 55164-0326. If the person paying spousal support is self-employed, send payments to Minnesota Child Support Payment Center, P.O. Box 64306, St. Paul, MN 55164-0306. To start income withholding, Husband or Wife must apply for income withholding only services at the Child

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Support office in their County and must send a copy of this Order to the Child Support office. Until income withholding starts, the person owing maintenance shall pay the amount directly to the spouse receiving it. OR maintenance shall be paid directly by the spouse owing the maintenance to the spouse receiving it, payable on the _____________day of each month.

7.

Insurance Coverage Husband and wife shall each provide for his or her own health and dental insurance. Either party may be eligible to extend for a limited time, at his/her own expense, the dependent coverage available under the other party's insurance plan, pursuant to federal and state statutes.

8.

Other: We also agree to the following: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________

BASED UPON THE ABOVE INFORMATION, Husband and Wife request that the Court issue a final judgment and decree terminating our marriage and ordering the terms of this Agreement. READ and SIGN the Verification and Acknowledgments. STATE OF MINNESOTA COUNTY OF (County where documents signed) ) ) SS )

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Verification and Acknowledgments a. I have read this document. To the best of my knowledge, information and belief the information contained in this document is well grounded in fact and is warranted by existing law. I have not been determined by any Court in Minnesota or in any other State to be a frivolous litigant and I am not the subject of an Order precluding me from serving or filing this document. I am not serving or filing this document for any improper purpose, such as to harass the other party or to cause delay or needless increase in the cost of litigation or to commit a fraud on the Court. I understand that if I am not telling the truth or if I am misleading the Court or if I am serving or filing this document for an improper purpose, the Court can order me to pay money to the other party, including the reasonable expenses incurred by the other party because of the cost of serving or filing this document, Court costs, and reasonable attorney's fees. WAIVER (Rule 306.01(c)): I know I have the right to be represented by a lawyer of my choice. I hereby expressly waive that right and I freely and voluntarily sign the foregoing stipulation.

b.

c.

d.

e.

DATE:

DATE:

Signature of Husband (Sign only in presence of notary public) ( ) Daytime Telephone Number of Husband

Signature of Wife (Sign only in presence of notary public) ( ) Daytime Telephone Number of Wife

Sworn / affirmed to before me this Day of , _______

Sworn / affirmed to before me this Day of ________________, ______

______________________________ Notary Public

Notary Public

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HUSBAND'S ATTORNEY Husband is acting as his own attorney OR is represented by the following attorney:
Name

WIFE'S ATTORNEY Wife is acting as her own attorney OR is represented by the following attorney:
Name

Address

Address

City / State / Zip

City / State / Zip

Telephone

Telephone

Attorney Registration Number

Attorney Registration Number

(If public assistance is being provided to a party or nonjoint children, the public authority may need to sign off on this Joint Petition and Agreement.) The public authority responsible for the collection and enforcement of child support reviewed and agreed to the Joint Petition and Agreement of the above-named parties.

DATE:

Name and Title

Attorney Registration No.

Address

City / State / Zip

Telephone

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COURT ORDER This case came before the Court without a hearing on the parties' Joint Petition for Dissolution of Marriage. The Court, having reviewed the file, makes the following Order: The parties' Joint Petition and Attachments contains the necessary facts and includes an agreement on all issues before the Court. The real estate, if any, and the personal property of the parties is hereby awarded according to the division set out in their foregoing Joint Petition, which is made part of this final judgment. Debts and liabilities of the parties must be paid as provided in their foregoing Joint Petition. The parties are ordered to obey all of its provisions.

1.

2.

The marriage between the parties is dissolved and the parties are single.

3.

Husband's

Wife's name is changed to:

___________________________________________________________
first middle last

4.

Each party shall execute any documents necessary to transfer real estate and personal property as awarded herein without further order of the Court. Should either party fail to execute the necessary documents, a certified copy of the Judgment and Decree shall operate to transfer title as awarded herein.

5.

NOTICE: IF THE AGREEMENT OF THE PARTIES INCLUDES AN AWARD OF SPOUSAL MAINTENANCE, Appendix A is incorporated and made a part of this final judgment. Appendix A contains, among other things, provisions regarding payments to the Public Agency pursuant to Minnesota Statutes § 518A.50; Rules of Maintenance; Wage and Income Deduction of Maintenance pursuant to Minnesota Statutes § 518A.53; Change of Address or Residence; Cost of Living Increase of Maintenance pursuant to Minnesota Statutes § 518A.58; and Judgments for Unpaid Maintenance pursuant to Minnesota Statutes § 548.091.

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General Rule of Practice 125 notwithstanding, let Judgment be entered immediately.

The foregoing facts were found by me after due hearing and the Order thereon is recommended.

BY THE COURT

District Court Referee Dated:

Judge of District Court Dated:

Judgment
I certify the above constitutes the Judgment of the Court. Court Administrator Dated:

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Attachment "A" DIVISION OF ASSETS AND VALUE Husband's Name: Wife's Name: 1. We agree on how to divide our assets (everything we own and that is owed to us). 2. Each person shall receive as their own all assets in their column. Definitions: Current Fair Market Value is an estimate of the amount of money you could get if you sold the item to a stranger, such as through a newspaper advertisement. It does not mean what you paid for it originally, and it does not mean what it would cost you to replace it if you lost it. If you are still paying for an item, list it in husband's or wife's column at the present value. Present value means the current fair market value minus the amount you still owe. Who Gets the Item and What is the Value



DESCRIPTION OF ASSETS If you do not have the type of property described, enter a zero in the columns for Husband and Wife. To avoid confusion at a later date, describe each item as clearly as possible. For example, include the last 4 digits of account numbers (xxx2873), names of banks, & whose name is on the title or account, if applicable. List all property owned separately or together, no matter when it was acquired, except do not list the non-marital property described at #4 of the Joint Petition.

*Enter the current fair market value or present value of the item in the column of the person getting the item.



*HUSBAND

*WIFE



Cash on hand: Cash in banks/credit unions: (Name of bank, last 4 digits of account number, whose name is on the account)

$

$

$ $ $ $ $ Stocks/Bonds: $ $ $ $ $

$ $ $ $ $ $ $ $ $ $

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Notes (money owed to you in writing): $ $ Husband Money owed to you (not evidenced by a note): $ $ $ Business interests: (Name of business, who owns it) $ $ Automobiles: (Year, Make, Model) (Reminder: Use present value if you are still paying for the items.) $ $ $ $ Boats: $ $ Other vehicles: (Snowmobiles, 4-Wheelers, etc.) $ $ $ Retirement plans Profit Sharing or Pension: (Enter "present value". Contact plan
administrator for the present value. Include name of employer/group providing the plan, and type of plan.)

$ $ Wife $ $ $ $ $

$ $ $ $ $ $ $ $ $

$ $ 401(k), IRAs or other: (Enter current account balance, name of bank where funds are held, whose name is on the account.) $ $ $ Furniture & furnishings:
We have already divided the furniture and furnishings in a fair $ manner. (Enter in each spouses' column the total value of their share of the furniture and furnishings already divided); We agree to divide the furniture and furnishings as follows: (List items not included above.)

$ $ $ $ $ $

$ $ $ $

$ $ $ $

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$ $ $ $ Husband Collectibles & Jewelry: $ $ $ $ Life insurance: (cash surrender value) (Name of insurance company and
last 4 digits of policy number.)

$ $ $ $ Wife $ $ $ $ $ $

$ $ Sporting & entertainment & electronic equipment: stereo, guns, etc.) (TV, $ $ $ $ $ $ Real Estate:
Do Not List Here. Use Real Estate Attachment.

$ $ $ $ $ $

Other assets: $ $ $ $ Husband $ $ $ $ Wife $

Total Value of Property To Each Person:

(Excluding Real Estate, and any Non-Marital Property listed at Paragraph #4 of the Joint Petition.) $

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Attachment "B" DIVISION OF LIABILITIES/DEBTS Husband's Name: Wife's Name: Date we filled out this form: 1. We agree on how to divide our marital debts (debts we have incurred since our marriage date, either separately or together). 2. Each person shall pay as their own the debts listed in their column, and shall not ask the other person to pay these debts/bills. 3. We have listed all marital debts we know of on this Attachment. Any debts incurred by one of us alone and not listed on this Attachment shall be paid by the person whose name is on the debt/bill.


DESCRIPTION OF DEBT(S) If you do not have the type of debt described, enter a zero in the columns for Husband and Wife. To avoid confusion at a later date, describe each debt as clearly as possible. For example, state who the debt is owed to, whether husband's or wife's name is on the debt, and the last 4 digits of account numbers (xxx3094), if applicable. List all debts in husband's name alone and in wife's name alone and in both names together. Include debts incurred during the marriage and after separation. Do not include bills you pay in full each month.

*Write the current amount owed in the column of the person who will pay it.



*HUSBAND

*WIFE



Mortgages and loans on Real Estate:
Do not list here. Use the Real Estate Attachment.

Charge/credit card accounts: $ $ $ $ $ $ $ $ $ Auto loans: $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

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Bank/credit union loans: $ $ $ $ Husband $ $ Student loans: $ $ $ $ Money you owe: (not evidenced by a note ) $ $ $ $ Judgments: $ $ $ Other debts: $ $ $ $ $ Husband Total Debts to be Paid by Each Person: (Excluding Real Estate mortgages and loans.) $ $ $ $ $ $ Wife $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Wife $ $

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Attachment "C" REAL ESTATE ATTACHMENT Fill out a separate Attachment for each parcel of real estate. 1. Real Estate belongs to: (List all owners)

2.

Street Address of the real estate is:

City The property is in

State County.

Zip Code

3.

Legal Description is:

(Use the full legal description from the deed.

If the legal

description is long, you may use an attachment. Type or print neatly.)

4.

Purchase date price: $ .

(month, day, year) and purchase

5.

Mortgages or loans: (Write "NONE" if there is no mortgage). 1st Mortgage: Amount currently owed $ 2nd Mortgage: Amount currently owed $ and name of lender

and name of lender

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6.

Current Market Value of this property: $

7.

This property is the homestead:

Yes

No

AGREEMENT OF HUSBAND AND WIFE 1. All right, title, and interest of Husband and Wife in the real estate described above shall be awarded to: Husband Wife

2.

Husband and Wife also agree that : (Describe any liens in favor of husband or wife, or other agreements about the use, sale of, or award of the property. Attach additional pages if needed. If there are no other agreements, write "None".)

3.

The Mortgage(s) or Loan(s) described above shall be paid by starting on the following date: (write "NONE" if there is no mortgage or loan.)

Husband

Wife

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