Separation Agreement - Massachusetts Family Court
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8Commonwealth of Massachusetts
The Trial Court
Probate and Family Court Department
Worcester Division, ss.
Docket No.
- - - - - - - - -
SEPARATION AGREEMENT
(APPLICABLE TO ALL DIVORCES - without children)
Party A
v.
Party B
(Name of Party A)
(Street Address)
(City/Town, State, Zip)
(referred to as the Party A), and
(Name of Party B)
---- - - - - - -
of
- - - - - - -
-
,
- - - - - - - - -
--,
--
:
--
=
- - - - -
--
(Stre
et Addres
s
)
(
C
it
y/
Town, S
tate, Zi
p)
(referred to as Party B).
The parties were married in
_
(City/Town, State, Zip)
!
I
on
and last lived together at
_
(Date of Marriage)
(Street Address)
/
/
on
- - - -
-
-
- - - - - - - - -
-
- -
-
- -
(City/T
ow
n)
(S
tate)
(Z
ip)
when an irretrievable breakdown of the marriage occurred.
CHILDREN
o
No children were born of this marriage or were legally adopted by both parties.
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