Property And Debt Statement And Proposed Separation Agreement Page 4

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Table of Contents
Form CAFC040 - Property and Debt Statement and Proposed
Separation Agreement (
For use in Dissolution of Marriage Cases)
Information
shown in blue
In the Circuit Court of
In what Missouri county will this case
on this form
MISSOURI
be filed?
does not print.
Case Number
Division Number
What is the case number of the
pending case?
Answer all questions on this form completely.
Petitioner’s
The full name of the person that filed this case is:
Information
___________________
______________
________________________________
________
(First Name)
(Middle Name)
(Last Name)
(Jr./Sr./III)
Wife filed this case and is the Petitioner.
Husband filed this case and is the Petitioner.
Respondent’s
The full name of the person that did NOT file this case:
Information
___________________
______________
________________________________
________
(First Name)
(Middle Name)
(Last Name)
(Jr./Sr./III)
What does this
There are two parts to this document. Part One is your division of property and debt
and Part Two pertains to spousal support or “maintenance.” This document does not
form cover?
have anything to do with child support or custody. Issues addressing child support and
custody are contained in a parenting plan.
What is a
It is an agreement in which you and your spouse agree to a distribution of property
and debt and to provisions concerning maintenance and attorney’s fees. If both you
Separation
and your spouse sign this document, it is called a “Separation Agreement.” It does not
Agreement?
include provisions for child custody and child support.
Even if both you and your spouse have signed the agreement, the court is not
bound by it. If the court finds that your agreement is “unconscionable” or does not
divide all property and marital debt, it will not be approved by the court. The court can
divide the property in any manner it considers fair, and it may or may not order
maintenance to be paid.
How do I
You must list all of your marital and nonmarital property and marital debt on one of
the four tables.
complete Part
Use a separate row for each item of property or debt. You should draw a line
One of this
through all rows that do not contain an item of property. This is very important because
Form?
someone could alter this document after you have signed it. Keep a copy of this
document after you have signed it.
Statement of Property and Debt and Proposed Separation Agreement – Page 1 of 9
Form CAFC040-07/01/2012
This form is available for free at

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