Petition For Dissolution Of Marriage (With Children) Form Page 7
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17Our agreement about the distribution of retirement or military pension benefits is
attached. If the agreement is not accepted by the retirement plan administrator as a
qualified domestic relations order (QDRO), we agree that the court, upon motion by
a party, may make any necessary changes. If changes are necessary, we agree that
the effective date of the order will remain the date of our original dissolution decree.
A copy of the present value statement from the plan administrator for each
retirement account is attached. [Note: This is required. An account statement is
not the same as a present value statement. You should consult an attorney if you
have concerns about the valuation of pension benefits.]
6. Transfer Deadline.
All payments from one party to the other party will be made by
.
All documents necessary to carry out this agreement (including but not limited to signing
quit claim deeds, refinancing, transferring title) will be done by
.
Any property stored by one party for the other will be transferred by
.
B. Debts
[List every debt owed whether or not it is a joint debt. List to whom each debt is owed and
the amount owed. Then check the boxes showing whether the debt was incurred during the
marriage, who now owes the debt, and who you agree will pay it. Include ALL debts that
are currently owed (mortgages, car loans, credit cards, etc.) For credit card, bank card, or
debit card accounts, you may list the last 4 digits of the account number and the name of
the issuing institution. Note: Even though you agree who is responsible to pay a debt that is
in both of your names, the bank or other creditor may still hold the other spouse
responsible for the debt if payments are not made.]
Incurred
During
Currently
To Be
Marriage
Owed By
Paid By
Owed To
Amount
yes
no
A
B JT
A
B
JT
$
$
$
$
$
$
$
$
$
$
$
$
IV.
SPOUSAL MAINTENANCE (ALIMONY) AGREEMENT
$
per month to be paid by
Party A
Party B, beginning
until
or until the recipient dies or remarries. If child support payments will be
made through CSSD, you may also have spousal maintenance payments made through CSSD.
Do you want spousal maintenance payments to be made through CSSD?
Yes
No
Signature of Party A
Signature of Party B
Page 7 of 17
DR-105 (8/15)(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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