NO. _________________________
PETITIONER
IN THE DISTRICT COURT
JUDICIAL DISTRICT
RESPONDENT
{COUNTY, STATE}
NO FAULT DIVORCE AGREEMENT (WITH CHILDREN)
Petitioner’s Name:
Address:
Phone Number:
Occupation:
SSN:
U.S. Citizen?
DOB:
Birthplace:
Respondent’s Name:
Address:
Phone Number:
Occupation:
SSN:
U.S. Citizen?
DOB:
Birthplace:
Wedding Date:
County, State:
Separation Date:
Child 1:
DOB:
Child 2:
DOB:
Child 3:
DOB:
Child 4:
DOB:
Child 5:
DOB:
The two parties have agreed to dissolve their marriage for the following reason(s):
The two parties hereby swear and attest that they have fully and truthfully disclosed their assets, debts,
liens, and income to each other to the best of their respective knowledge. Both parties agree to cooperate
in the distribution of assets, the arrangement of minor child custody, and the dissolution of the marriage.
Neither party shall hereby bring forth any claims of fault against the other.
Petitioner Signature
Date
Respondent Signature
Date