1
SPACES THAT ARE NOT APPLICABLE TO YOU. Spousal support will automatically
terminate on the death of either of the parties.
2
3
___________ Spousal support is not appropriate in this case .
4
___________ Wife shall receive spousal support in the amount of $_____________________per
(Amount Wife to receive)
5
______________________, due and payable on the ___________________of each
(Week or month)
(Date amount due)
6
_______________________ for a period of ______________________________
(Week or month)
(Number of weeks, months or years)
7
The spousal support shall begin on ______________________________________
8
(Date spousal support to begin)
and end on _________________________________________. Spousal support
9
(Date last spousal support payment will be made)
shall cease upon the remarriage of the recipient or the death of either party.
10
___________ Husband shall receive spousal support in the amount of $__________________per
11
(Amount Husband to receive)
______________________, due and payable on the ___________________of each
12
(Week or month)
(Date amount due)
_______________________ for a period of ______________________________
13
(Week or month)
(Number of weeks, months or years)
14
The spousal support shall begin on ______________________________________
(Date spousal support to begin)
15
and end on _________________________________________. Spousal support
(Date last spousal support payment will be made)
16
shall cease upon the remarriage of the recipient or the death of either party.
17
XVII.
18
FORMER NAME
19
If wife is filing, wife should initial ONLY ONE of the following three statements and
print “N/A” in the spaces not filled in. If husband is filing, husband should print
20
“N/A” in all the spaces.
21
_________ Wife does not wish to return to her former name.
22
23
_________ Wife wishes to return to her former name of _______________________________
24
___________________________________________________
25
(Print full name).
16