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This agreement is made _________ (Month & Day), ____ (Year), between _________

__________ (Name of Husband), residing at _________________________ (Address) here referred to as husband, and _______________________ (Name of Wife), residing at _______________________________________ (Address), here referred to as wife.





Husband and wife recite and declare that:


They were married on _________ (Month & Day), _____ (Year) in ________________ (Location and Address) and since have been and now are husband and wife.


As the result of disputes and unhappy differences occurring and persisting between them, they have been separated and living apart since __________ (Month & Day), _____ (Year) or have agreed to an immediate and permanent separation.


A proceeding for dissolution of marriage is now pending or will shortly be filed by _________________ in __________________ (Court and Location).


___________ (Number) children have been born to the parties of the marriage and are now living. They are listed as follows:


_______________________________________               ______________

Name                                                                                    Age


_______________________________________               ______________

Name                                                                                    Age


_______________________________________               ______________

Name                                                                                    Age


_______________________________________               ______________

Name                                                                                    Age



(If appropriate, add: The following named children of the parties are fully emancipated and no provision for the custody or support of such children is required or is made in this agreement.)


The parties intend, and it is the purpose of this agreement, to provide fully for the custody, support, maintenance, and education of their __________ (Child or Children); to memorialize the separation of the parties, and to remain permanently apart.


(If appropriate, add: and to make a complete and final settlement of all claims that husband/wife may have against husband/wife for alimony, support and maintenance and provide fairly and adequately for him/her support and maintenance, and to provide for the equitable and fair division of the common/community property of the parties).


To insure the full information and advice of each party, each of them has retained and has been represented by independent legal counsel in connection with the negotiations for and the drafting of this agreement: _______________________________________ (Wife’s Attorney), of _____________________________________________ (Address) has represented wife, and _________________________________________________ (Husband’s Attorney), of _________________________________________ (Address), has represented husband.

In consideration of the foregoing recitals and the mutual covenants and agreements of the parties, they agree as follows:




1.1    The parties may and shall hereafter live separate and apart, each free from all dominion, restraint and control by the other, whether direct or indirect, as fully as if unmarried.


1.2    Each party may hereafter reside at such place or places as he or she may select.




2.1    Neither party shall molest or interfere with the other nor compel or attempt to compel the other to cohabit or dwell with him or her, by any means whatsoever, by legal action or otherwise.




3.1    The property, both real and personal, owned by either of the parties at the time of their marriage or subsequently acquired, separately or together, and owned by the parties or either of them at the time of their separation has previously been equitably divided and apportioned between them as follows: ___________________________





3.2    The parties ratify and confirm that division and apportionment.





Each party shall retain, have and enjoy, independently of any claim, right or demand of the other party, all property of every kind, nature and description and whatsoever situated that is now owned or held or is hereafter acquired by him or her, or stands in his or her name.




5.1    Each party releases all right to share in the estate of the other party, or to serve as personal representative of the estate of the other party, except only as provided by will or codicil executed after the date of this agreement.




6.1    Husband or Wife shall pay to husband or wife as and for his or her necessary support and maintenance, and husband or wife shall accept in full settlement and satisfaction of his or her right, claim and demand for such support, maintenance and alimony against husband or wife, the following amounts: ______________________



________________________________________ (Support Schedule and Conditions).




7.1    Each of the parties shall pay all debts incurred by him or her after the date of this agreement and shall indemnify the other party against liability therefor.


7.2    Husband or Wife shall pay debts incurred by him or her or by husband or wife or by the parties jointly prior to the date hereof, including the following: ____________ ____________________________________________________________________



(Itemize debts of both parties including amount, nature of obligation and payee of each).


(If appropriate, add: Husband or Wife represents that he or she had made a full disclosure to husband or wife of all debts and obligations incurred by him or her and in his or her name prior to the date hereof and that all such unpaid debts and obligations are included in the foregoing list).




8.1    Husband or Wife shall have the sole care, custody and control of the following named children of the marriage:


_______________________________________               ______________

Name                                                                                    Age


_______________________________________               ______________

Name                                                                                    Age


_______________________________________               ______________

Name                                                                                    Age


and the named children shall reside with him or her.  Such care, custody and control shall continue with respect to each child until the child reaches majority or sooner becomes emancipated, subject, however, to the visitation provisions set forth in this agreement.




9.1    Husband or Wife shall not remove any of the unemancipated children to a permanent residence outside the State of ____________________ without husband or wife's prior written consent or prior approval of a court of competent jurisdiction on due hearing and notice.


9.2    Husband or Wife and the children are now residing at ______________________ ______________________________ (Address), Husband or Wife shall at all times keep husband or wife informed of the residential address of the children in his or her custody, and their location during vacation and holiday periods if they will be away from their normal residence for more than ________ days in succession.




10.1  Husband or Wife shall have the right to visit the children, individually or together, at their place of residence with husband or wife at reasonable times and at reasonable intervals; and to have the children, or any of them, accompany him or her from their place of residence at reasonable times and for reasonable periods provided that he or she shall not keep any of the children away from their residence later than __________ (Time of Day) on any such occasion, without husband or wife's prior consent.


10.2  Husband or Wife shall have the privilege of having the children, or any of them, visit him or her at his or her residence and stay with him or her not more often than _______ per calendar month or as the case may be and on weekends and during holiday periods for not to exceed ______ hours or as the case may be.


10.3  During such periods when the children or any of them are with husband or wife

he or she may take them on short journeys as he or she may choose and they may desire, provided that he or she shall not without the prior consent of __________ husband or wife take them from this state.


10.4  Husband or Wife shall make prior arrangements with husband or wife for each of such weekend or holiday visit at least _____ days prior to the commencement thereof.


10.5  The rights of visitation expressed in this section shall not be exercised by husband or wife at any time or in such a manner as to interfere with the education and normal social and school activities of any of the children.


10.6  The parties may freely agree to any different arrangements for exercise of the visitation rights of husband or wife from time to time, as future exigencies and the welfare of the children may require, but no such substitute or additional privilege shall be deemed to amend this agreement, unless expressed in writing and signed by the parties.


10.7  Each of the parties shall at all times in good faith endeavor to maintain in all the children respect and affection for the other party.





11.1  Notwithstanding his or her general custody of the children, husband or wife shall confer with husband or wife from time to time with respect to the welfare of the children, or any of them, and particularly as to educational, health and disciplinary matters of a substantial nature, such as, by way of examples, during the serious illness or prior to a scheduled operation of any of the children, or in connection with the selection of a college for the higher education of any of the children.

11.2  It shall at all times be the objective of both parties to decide all questions affecting each of their children in such manner as to promote the welfare, happiness and well-being of the children.




12.1  Husband or Wife shall pay to husband or wife for the support, maintenance, care and education of each child in his or her custody ________ Dollars per month, beginning ___________ (Month & Day), _____ (Year).


12.2  On the occurrence of the first to occur of any of the following events with respect to each child, the obligation of husband or wife to pay support for that child shall terminate at the end of the month in which such event occurs: (1) the death of the child; (2) the attainment of the child's twenty-first birthday; or (3) an emancipation event as defined in Section 13.


12.3  The obligation of husband or wife for support and maintenance of the children in the custody of husband or wife as provided in this section, shall be separate from all other obligations contained in this agreement and shall continue as obligations of and charges against husband or wife's estate on his or her death, to the extent and for the period that such obligation shall be in force and effect at the time of his or her death.





13.1  For the purposes of this agreement, a child in the custody of husband or wife shall become emancipated on the occurrence of any one of the following events:


13.1.1           The valid marriage of the child;


13.1.2           The full and permanent employment of the child gainfully and for a reasonable living wage, excluding vacation and seasonal employment of a temporary nature;


13.1.3           The induction, enlistment or entry on active duty in the Armed Services of the United States for a term of service of not less than one year.


13.1.4           The emancipation of any child shall be postponed beyond the event that would otherwise result in his or her emancipation, if, at the time of such event, the child is enrolled as a full-time student in an accredited institution of higher learning. instead, the emancipation event for any such child shall be the date of the child's graduation from that institution. provided, however, the emancipation of any child shall not be extended beyond the child's twenty-third birthday.




14.1  Husband or Wife shall pay husband or wife's attorney for __________ (his or her) services rendered and to be rendered to him or her in connection with the preparation of this agreement and advice with respect to his or her rights and obligations.  Husband or wife agrees that such payment shall fully and finally discharge any right or claim he or she may have against husband or wife for reimbursement of expenses for all such legal services rendered to him or her.




15.1  This agreement shall not be construed in any measure as a consent to or condonation of a divorce in favor of either party or dissolution of marriage, but this agreement shall not be a bar to an action for divorce or a proceeding for dissolution of marriage previously or hereafter filed.

15.2  If a judgment or decree of divorce or dissolution of marriage is entered in any action or proceeding therefor, this agreement and in particular the provisions for the custody and support of the children of the parties shall, if the court approves, be incorporated in, merged with, and become a part of such judgment or decree.

(If appropriate, add: and for the support and maintenance of husband or wife)




16.1  Each party shall hereafter execute all instruments necessary to carry out the terms of this agreement.




17.1  This agreement shall be binding on the parties and their respective heirs, personal representatives and assigns.


In witness whereof, each party to this agreement has caused it to be executed at _____________________________ (Place of Execution) on the date indicated below.


______________________________                     _____________________

Signature of Husband                                     Date


______________________________                     _____________________

Signature of Wife                                                       Date


______________________________                     _____________________

Signature of Husband's Attorney                                Date


______________________________                     _____________________

Signature of Wife's Attorney                          Date

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