Respondent will have sole possession of the following vehicles, and Petitioner shall
execute all documents necessary to transfer title of said vehicles within thirty (30) days of
the date of this Order:
_______________________________________________
Vehicle #1, Make, Model, and Year
_______________________________________________
Vehicle #2, Make, Model, and Year
13.
The parties have agreed on the following property division:
The parties already have divided all items of property.
Petitioner will have sole possession of the following items of property:
_________________________________________________________________________
_________________________________________________________________________
Respondent will have sole possession of the following items of property:
_________________________________________________________________________
_________________________________________________________________________
14.
The marriage has suffered an irretrievable breakdown and should be dissolved.
15.
Change of names:
Wife would like her maiden name or previous married name of
__________________________________________________________ restored to her.
Wife does not want to change her name.
The parties have disclosed all relevant documents and exchanged all information on value of property,
pensions, real estate, and other assets and debts. The parties agree that this division of property is/is not
an approximate equal division of the assets and debts. The parties agree that if this division is not a
nearly equal division, that the deviation from the presumptive equal division should be accepted by the
Court because it is the parties’ agreement and neither party has been forced or threatened to accept this
agreement.
I affirm under the penalties of perjury that the foregoing representations are true.
____________________________
Your Signature
Form #PS-31152-3
Approved by State Court Administration 02/10