Property And Debt Statement And Proposed Separation Agreement Page 11

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Part Two – Maintenance and Other Provisions
What is
Maintenance is money paid on a regular schedule by one spouse to the other for
support after the dissolution of marriage. It may be for a set period of time or it may be
maintenance?
for an indefinite period of time. It usually terminates upon the death of either party or
the remarriage of the party receiving maintenance unless the parties agree otherwise.
It may or may not be subject to future modification upon a showing of changed
circumstances. Maintenance used to be referred to as “alimony.”
Maintenance to
The court lacks jurisdiction to enter any orders with respect to maintenance of
Wife.
Wife
No maintenance is to be paid to Wife by Husband. This agreement is not subject to
modification.
Husband shall pay to Wife the sum of ____________ per month as and for
maintenance. Said maintenance is _______ subject to modification. Said
maintenance shall terminate upon the death of either party, the remarriage of Wife, or
at such earlier time as set forth herein.
________________________________________________________________________
________________________________________________________________________
Maintenance to
The court lacks jurisdiction to enter any orders with respect to maintenance of
Husband.
Husband
No maintenance is to be paid to Husband by Wife. This agreement is not subject to
modification.
Wife shall pay to Husband the sum of ____________ per month as and for
maintenance. Said maintenance is _______ subject to modification. Said
maintenance shall terminate upon the death of either party, the remarriage of
Husband, or at such earlier time as set forth herein.
________________________________________________________________________
________________________________________________________________________
Wage
(Answer only if maintenance is to be paid by either party.)
Income withholding shall be prepared by the person receiving maintenance and
Withholding for
issued by the Circuit Clerk upon the effective date of this order.
Maintenance
Income withholding shall not issue for the following reason(s):
________________________________________________________________________
Additional
________________________________________________________________________
Provisions
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Statement of Property and Debt and Proposed Separation Agreement – Page 8 of 9
Form CAFC040-07/01/2012
This form is available for free at

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