Free Separation Declaration Affidavit Template

Separation Declaration Affidavit

I. Separation Declaration Affidavit

This Separation Declaration Affidavit is being made to formally document the separation between [PARTY A NAME] and [PARTY B NAME] as of the effective date listed below. The affidavit outlines the arrangements made regarding property division, child custody, and other relevant matters.

Prepared by:

[YOUR NAME]
[YOUR EMAIL]

II. Date of Separation

The official date of separation between [PARTY A NAME] and [PARTY B NAME] is hereby acknowledged as July 15, 2050.

Both parties agree that all matters concerning their shared property, assets, and financial responsibilities will be governed by the terms outlined in this affidavit and any subsequent legal agreements.

III. Property Division and Financial Matters

The following arrangements have been agreed upon for the division of property and financial responsibilities. This includes assets and liabilities shared by [PARTY A NAME] and [PARTY B NAME] as of the date of separation:

Asset / Liability

Party A's Share

Party B's Share

Notes

Family Home

50%

50%

To be sold or refinanced

Joint Bank Accounts

100%

0%

[PARTY A NAME] will manage

Car (2018 Toyota Camry)

0%

100%

[PARTY B NAME] retains

Each party agrees to assume responsibility for their respective debts and liabilities from the date of separation onward.

IV. Child Custody and Support

The following child custody and support arrangements have been agreed to by [PARTY A NAME] and [PARTY B NAME] for their minor child, [CHILD'S NAME]:

  • Primary Custody: [PARTY A NAME]

  • Visitation: [PARTY B NAME] will have visitation rights every alternate weekend, starting on August 1, 2050.

  • Child Support: [PARTY B NAME] will provide $1,500 per month for child support, starting August 15, 2050, with payments made on the 15th of each month.

The terms outlined above are subject to modification if deemed necessary by a court of law.

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