Marital Settlement Agreement

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MARITAL SETTLEMENT AGREEMENT
In re Marriage of: ______________________________Case Number: ___________________
1.
We have the following minor child or children:
Name:
Name:
DOB:
DOB:
Name:
Name:
DOB:
DOB:
To list any other minor children, attach form MC-020 or attach a sheet of paper
and write Additional Minor Children with name and date of birth of each child.
Check here if you attach another page
2.
Custody of and visitation with the children shall be awarded as set forth on the attached
Child Custody and Visitation Order Attachment-Judicial Council Form (FL-341) OR
mediation agreement.
3.
Child support for the minor children shall be ordered as set forth on the attached: Child
Support Information and Order Attachment-Judicial Council Form (FL-342)
OR
Child support is payable through Department of Child Support Services (see attached notice
from DCSS).
4.
Health insurance coverage shall be maintained and health care expenses paid as set forth on
the attached: Child Support Information and Order Attachment-Judicial Council Form (FL-
342).
5. Regarding spousal support (choose only one):
Each party waives the right to receive spousal support, and requests that the court terminate
jurisdiction to award future spousal support to the other party.
Spousal support is ordered as set forth in the attached Spousal, Partner, or Family Support
Order Attachment-Judicial Council Form (FL-343).
Petitioner/Respondent (choose one) shall pay to Petitioner / Respondent (choose one) as and
for spousal support the sum of $______ per month, commencing _______and continuing
until______. If no termination date is specified, said support shall continue until the death
of either party, remarriage of the supported party, or further order of the court.
6.
The division of community and separate property assets and debts is set forth on the
attached:
Property Order Attachment to Judgment-Judicial Council Form (FL-345) OR
There is no property or debt to be divided.
Other:
Form Approved for Optional Use
Page 1 of 2
FL-11 (Adopted 1/1/11, Revised 01/01/12)

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