Free Affidavit of Separation Under One Roof Template

Affidavit of Separation Under One Roof

I. Introduction

This Affidavit of Separation Under One Roof is prepared to confirm the separation between Lowell Quizon and Emie Howell while they continue to reside in the same household. This affidavit may be required for legal or financial purposes.

II. Separation Details

The undersigned, Lowell Quizon and Emie Howell, have been separated since June 15, 2050 but are still residing at the same residential address. Despite living under the same roof, both parties affirm that they are no longer maintaining a marital relationship and have taken steps to live separately within the household.

The parties live in separate rooms and do not share intimate, financial, or household responsibilities. Each person maintains their own personal and financial autonomy.

Name

Date of Separation

Current Residence

Lowell Quizon

June 15, 2050

Richmond, VA 23218

Emie Howell

June 15, 2050

Albuquerque, NM 87101

III. Use Cases of the Affidavit

This affidavit is being provided to support several legal, financial, and personal matters, including:

  1. Divorce or Legal Separation Proceedings – To verify the separation for court purposes, enabling either party to proceed with divorce filings.

  2. Tax Filing – To confirm the separation under one roof for tax purposes, including eligibility for tax exemptions or credits.

  3. Social Security or Welfare Benefits – To verify that both parties are separated for the purpose of qualifying for applicable government benefits.

  4. Housing or Loan Applications – To support any claims or applications for loans or housing that require proof of separation under one roof.

IV. Conclusion

By signing below, both parties confirm the accuracy of the information provided in this affidavit and affirm that the separation under one roof is in effect as of June 15, 2050. This affidavit is executed voluntarily and for the purpose of assisting with ongoing legal or financial matters.

Prepared by:
[YOUR NAME]
[YOUR EMAIL]

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