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V.
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The parties were married on ___________________, in __________________________
(date of marriage)
(City or County of Marriage)
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State of _____________________________, and ever since that day have been, and are now,
(State in which marriage took place)
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husband and wife.
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VI.
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The parties were separated on _________________________.
(date)
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VII.
There are no minor children born to, or adopted through, this union, and Wife is not
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pregnant.
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VIII.
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DIVISION OF ASSETS
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Initial ONLY ONE of the statements below. Print “N/A” in the spaces you do not use.
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Be sure to address all retirement accounts, bank accounts and vehicles. When listing
accounts, use the last four digits of the account. Include the VIN numbers when listing
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vehicles.
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1. ________ All of the community assets and property have been previously divided and
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each is to keep the property they have in their possession at this time.
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2. ________ There is no community property to be divided.
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3. ________ The community property should be divided as follows: (Be sure to list specific
assets with enough information to identify those assets, including pension
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benefits.)
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WIFE SHALL RECEIVE THE FOLLOWING
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AS HER SOLE AND SPEARATE PROPERTY:
___________________________________
____________________________________
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___________________________________
____________________________________
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___________________________________
____________________________________
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___________________________________
____________________________________
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___________________________________
____________________________________
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