Fillable Divorce Agreement (Page 3 of 3) in pdf

18. What visitation schedule will the non-custodial parent have in this divorce action?

(Please be specific)

19. What amount of child support will be paid by the non-custodial parent? $ __________ per week.

20. Who provides medical insurance for the minor child/children? ______ Mother ______ Father

Please list the insurance carrier, policy number, etc.

21. Have you or your spouse previously filed for divorce of this marriage? ____ Yes ____ No

22. Is either party receiving FIA assistance? ______ If so, how much and who receives it?_______________

23. Is there a non-support action by the Prosecuting Attorney or Social Services currently in progress?

______ If so, has child support been ordered and in what amount

(Applies to person on FIA assistance, etc.)

per week?

24. Is either party a member of the Armed Forces? ____ Yes ____ No

25. Joint property of the parties: ____ Yes ____ No

____ Been divided

(Provide legal descriptions and vehicle numbers prior to court date)

List of Property: (attach additional sheet of paper if necessary)

26. State here how you and your spouse have agreed to divide marital assets, debts, etc. (Assets include, but

not necessarily limited to: real estate, household goods, appliances, furniture, furnishings, bank accounts,

stocks, bonds, pensions, 401K's, automobiles motorcycles, other motor vehicles, boats and trailers.)

27. Have you divided all personal property and household furnishings, etc? ____ Yes ____ No

28. Where did you read or hear of Divorce Agreement?

(Please be specific: newspaper, friend, courthouse, etc.)

IMPORTANT: Will your spouse sign an acknowledgement of service in front of a Notary Public when he/she

receives copies of the divorce papers ____ Yes ____No; or will it be necessary to have him//her served by a

sheriff or process server where he/she resides? ____ Yes ____ No. If he/she must be served, what would be

the best time to have him/her served?

I have been a resident of the State of Michigan for ____ years, am of sound mind and make this appointment

of my own free will.

INSTRUCTIONS FOR SIGNING

If you are processing your case by mail, you MUST sign in the presence of

a Notary Public. You can usually find a Notary at any bank. Please do not sign until a Notary is present.

Date:

Plaintiff

(Please sign in front of a Notary Public)

STATE OF MICHIGAN

)

Kalamazoo

COUNTY OF ______________) ss.

Subscribed and sworn to before me this ____ day of __________, 200___.

Notary Public, __________ County, Michigan

My Commission Expires:

Divorce Agreement Page 3