Free Notarized Separation Affidavit Template

Notarized Separation Affidavit

I. Introduction

This Notarized Separation Affidavit is a legal document confirming the separation of John Doe and Jane Doe. It provides sworn testimony regarding their living arrangement and marital status for official purposes.


II. Separation Details

Affiant's Information

  • Name: John Doe

  • Address: 123 Maple Street, Springfield, IL 62701

  • Date of Birth: January 15, 1980

Spouse's Information

  • Name: Jane Doe

  • Address: 456 Oak Avenue, Springfield, IL 62701

  • Date of Birth: February 25, 1982

Date of Separation: June 15, 2050
Current Living Arrangement: Both spouses have been living separately since the separation date and have no intention to reconcile.


III. Use Cases and Purposes

This affidavit is being submitted for the following reasons:

  1. Divorce Proceedings: This affidavit is used as proof of the separation required to initiate divorce proceedings.

  2. Child Custody and Support: It is also submitted in child custody hearings to demonstrate the marital separation, which may affect custody decisions.

  3. Tax and Financial Purposes: The affidavit is needed to update records with financial institutions, insurance companies, and government agencies.


IV. Conclusion

This affidavit, duly notarized, is intended to serve as a valid declaration of the separation between John Doe and Jane Doe, effective as of June 15, 2050, for legal and official purposes.

Prepared by: [YOUR NAME]
Email: [YOUR EMAIL]

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