Free Sample Separation Affidavit Template
Sample Separation Affidavit
I. Introduction
This Separation Affidavit is made and executed by the undersigned, [YOUR NAME], in accordance with the legal requirements governing the separation agreement between the parties involved. The purpose of this affidavit is to formally document the terms and conditions of the separation, effective as of January 15, 2050.
II. Personal Details of the Parties Involved
This section outlines the key personal details of the parties to the separation agreement.
Party 1: [YOUR NAME]
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Address: 123 Elm Street, Springfield, IL 62701
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Email: johndoe@email.com
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Date of Birth: January 5, 1985
Party 2: Jane Smith
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Address: 456 Oak Avenue, Springfield, IL 62701
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Email: janesmith@email.com
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Date of Birth: February 20, 1982
III. Terms of Separation Agreement
This section outlines the terms of the separation, including the division of assets, obligations, and any other relevant conditions. The agreement includes:
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Financial Settlement: The agreed amount of financial settlement between the parties is $50,000, payable in monthly installments of $5,000 over the next 10 months, starting on February 1, 2050.
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Custody Arrangements: The parties have agreed to joint custody of their child, Emily Smith, born April 15, 2010. Custody will be split equally between the parties with visitation rights as outlined below.
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Property Division: The following assets will be divided between the parties:
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Family home located at 123 Elm Street, Springfield, IL will be retained by [YOUR NAME].
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The business [YOUR COMPANY NAME] will be divided as follows: Jane Smith will receive 40% ownership.
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IV. Conclusion
This Separation Affidavit reflects the full and final terms of the separation agreement between [YOUR NAME] and Jane Smith. Both parties acknowledge their understanding and consent to the terms outlined in this document, which is effective as of January 15, 2050.
Signed and affirmed on January 15, 2050.
[YOUR NAME]
Date: January 15, 2050
Jane Smith
Date: January 15, 2050
