Petition For Dissolution Of Marriage Page 5
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153. Motor Vehicles (include make,
model, vehicle ID/serial number and
Acquired
To Be
Presently
license number of each vehicle,
During
Awarded
Owned By
mobile home, ATV, boat and snow
Marriage
To
machine)
Value
yes
no
H
W JT
H
W JT
$
$
$
$
$
$
$
$
$
4. Other Property (household furnishings, appliances,
jewelry, computers, guns, tools, bank accounts, etc.
Acquired
To Be
Presently
For bank, credit union or other financial institution
During
Awarded
Owned By
accounts, you may list the last 3 digits of the account
Marriage
To
number & the name of the issuing institution.)
Value
yes
no
H
W
JT
H
W JT
$
$
$
$
$
$
$
$
$
$
5.
Retirement Benefits.
Neither spouse has earned retirement or military pension benefits during the marriage.
Our agreement about the distribution of retirement or military pension benefits is
attached. If this agreement is not accepted by the retirement plan administrator as a
qualified domestic relations order, we agree that the court, upon motion by a party,
may make any necessary corrections. We agree any such court-ordered modifications
will be effective retroactive to the date of the original dissolution decree.
A copy of the present value statement from the plan administrator for each retirement
account is attached.
6.
Title transfer. All transactions necessary to effect any transfers required by the above
agreements will be completed by
.
(date)
Husband’s Signature
Wife’s Signature
Page 5 of 15
DR-105 (4/09)(cs)
AS 25.24.200-.260
PETITION FOR DISSOLUTION OF MARRIAGE (WITH CHILDREN)
Civil Rule 90.1(a), f(2)(A)(B), (i)(1)
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