Divorce Decree (With Children) Page 3

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10B. For payment of expenses related to the child(ren) attending private school see paragraph 24 below.
X
10C. For these purposes, educational expenses shall be defined to include tuition, fees and the costs of necessary books and other
course materials.
11. Child Health Care: For so long as Husband or Wife has an obligation to pay child support and/or educational support:
11A. Husband shall maintain medical and dental insurance for the benefit of the child(ren).
11B. Wife shall maintain medical and dental insurance for the benefit of the child(ren).
11C. Husband shall pay the medical and dental expenses of the child(ren) not paid by insurance up to $_________________
per calendar year. Any additional medical and dental expenses not covered by insurance shall be paid ____ % by Husband
and ____ % by Wife.
11D. Wife shall pay the medical and dental expenses of the child(ren) not paid by insurance up to $_________________ per
calendar year. Any additional medical and dental expenses not covered by insurance shall be paid ____ % by Husband
and ____ % by Wife.
12. Life Insurance for the Benefit of Child(ren):
12A. Husband shall maintain life insurance on his life with a minimum death benefit of $ __________ for the benefit of the
child(ren) so long as there is a child support and/or educational support obligation.
12B. Wife shall maintain life insurance on her life with a minimum death benefit of $ __________ for the benefit of the
child(ren) so long as there is a child support and/or educational support obligation.
X
12C. If Husband or Wife dies without the required insurance, Husband’s or Wife’s estate shall be liable to the child(ren) to the
extent that the required insurance was not maintained. Such obligation on the part of Husband’s or Wife’s estate shall be
accorded the highest possible priority.
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13.
All provisions in paragraphs 3, 5, 6, 7, 8, 9, 10, 11 and 12 are subject to further order of the court.
14. Bank Savings, Checking, Credit Union Accounts and Securities (Stocks, Bonds, Mutual Funds, etc.):
14A. There are none.
14B. Each is awarded those titled in their name alone.
14C. Husband is awarded:
_____________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
____________________________________________________________________________________________
.
14D. Wife is awarded:
________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
____________________________________________________________________________________________
.
15. Vehicles (Autos, Trucks, Motorcycles, Trailers, Campers, Boats, etc.):
15A. There are none.
15B. Each party is awarded the vehicles titled in their name alone.
15C. Husband is awarded:
_____________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
____________________________________________________________________________________________
.
15D. Wife is awarded:
________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
____________________________________________________________________________________________
.
X
15E. Necessary transfer documents shall be signed no later than ten days following the filing of this Divorce Decree. If either
party fails to do so, the Director of Finance of the City and County of Honolulu is authorized and directed to transfer the
ownership of vehicle(s) if requested to do so.
FORM NO. 073106 8/98
DIVORCE DECREE (WITH CHILDREN) 1F-P-096
(Page 3)

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