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Divorce Agreement

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Parties Info.
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Children
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Children Information

Are you and your spouse expecting any additional children right now?

Yes No

What is the estimated due date for the birth of the child?

Legal custody

Legal custody is not the same as physical custody.
A parent with legal custody can make decisions about the child's schooling, religious upbringing and medical care, for example. In many states, courts regularly award joint legal custody, which means that the decision making is shared by both parents.

Has another court already established custody or visitation rights for your minor children?

Yes No

If another court has established custody or visitation rights for your minor children, please enter the court's name, the county and state, and case number:

Name of Court

County (not country)

State

Case Number

Are you including a new agreement regarding child custody or visitation in this Divorce Agreement?

Yes No

What is the new legal custody arrangement? For example

One party will have sole legal custody Both parties will share legal custody jointly Other legal custody arrangement

Will the petitioner have sole legal custody of the minor children?

Yes No

Please describe the new legal custody arrangement agreed upon by both spouses:

What type of physical custody arrangement will you share?

One parent will have sole physical custody Joint physical custody Each parent will have sole physical custody of one or more of the couple's minor children Other physical custody arrangement

Please describe the physical custody agreement agreed upon by both spouses:

Please describe in detail how the joint physical custody arrangement will work:

Which minor children will the petitioner have primary physical custody of?

e.g. Stifin Smith and David Miller.

Which minor children will the respondent have primary physical custody of?

e.g. Ray H Lowery and Joseph M Giffin.

When will the non-custodial parent have regularly scheduled visitation with the minor children not in his or her care?

Every other weekend

One day a week

other

Please describe the other visitation arrangements agreed to by both spouses:

Which day of the week will the visitation take place?

Will the petitioner have sole physical custody of the petitioner's minor children?

Yes No

Will holiday visitation be determined now or in the future?

Holiday visitation will be addressed in the future Holiday visitation will be addressed in this Divorce Agreement

Please select one of the five choices from each holiday listed that best describes the petitioner's visitation agreement with your minor children.

New Year's Eve

New Year's Day

Martin Luther King Day

President's Day

Spring Break Week

Easter Weekend

Mother's Day

Memorial Day

Father's Day

Independence Day

Labor Day

Columbus Day

Veteran's Day

Thanksgiving Holiday Break

Winter Holiday Break

Hanukkah

Christmas Eve

Christmas Day

Are there any other holidays you'd like to address in the Agreement?

Yes No

Name of Holiday

Visitation:

Remove

What is the visitation agreement for birthdays of your minor children?

Are there any special visitation arrangements for the summer months?

Yes No

Please describe the special visitation arrangements for the summer months?

Will any extended visitation be given to the non-custodial parent?

Yes No

Please define the details of the extended visitation arrangement:

Number of Weeks Allowed

Month Deadline

Day Deadline

eg. one,two, twenty first etc....

Who will be responsible for the costs of transportation for visits?

One of the parents will be responsible for all costs of transportation Both parents will share the cost of transportation equally for all visitatio Other arrangement

Will the petitioner be responsible for transportation costs?

Yes No

Please describe your agreement regarding visitation transportation costs:

How will childcare responsibilities be handled?

The parties agree to allow one another the first opportunity to have the children if the other is unable to provide care and will work together to choose childcare providers Each parent is responsible for selecting his or her own childcare Other

What are the other childcare arrangements?

Will both parents share the cost of health insurance for the minor children?

Yes No

Who will be responsible for providing health insurance?

the petitioner the respondent other

Who will be responsible for providing health insurance for the minor children?

Name

Reason

Please describe how health insurance will be provided

Will both the parents share the cost of medical expenses not covered by insurance?

Yes No

Will the petitioner be solely responsible for the cost of non-covered medical expenses?

Yes No

How will you and your spouse divide tax exemption for your children?

Is a child support order already in effect for your children?

Yes No

Please describe the current child support agreement:

Name of Court

County (not country)

State of Court

Court Case Number

Amount of Support:

$

Per

Payer?

the petitioner the respondent

Do you want to propose a change to the child support order currently in effect?

Yes No

Do you want this Agreement to include child support?

Yes No

How much will be paid in child support and how often?

Child Support Amount:

$

Per

which is based on

Payer?

the petitioner the respondent

Is the proposed child support amount in this Settlement Agreement different from the amount determined by your state's Child Support Guidelines?

Yes No

Please describe the reason the amount of child support has changed

How will the child support payments be made?

Paid directly to the custodial parent Paid to the state agency for disbursement to the custodial parent

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