Free Simple Affidavit of Separation Template

Simple Affidavit of Separation

I. Introduction

This Simple Affidavit of Separation is prepared to formally document the separation between Jasen Gaylord and Winona Harvey. The following details outline the separation, providing clarity for legal, financial, and other relevant purposes.

II. Parties Involved and Date of Separation

This affidavit confirms that the individuals named below have separated as of May 15, 2050. The relationship has been formally ended, and both parties are no longer residing together.

Party Name

Address

Date of Separation

Jasen Gaylord

Colorado Springs, CO 80901

May 15, 2050

Winona Harvey

Plano, TX 75023

May 15, 2050

III. Legal and Financial Impact

This separation is being documented for the following reasons:

  1. To notify Envexa of the change in relationship status.

  2. To update personal and financial records with NamorCo Bank, particularly for insurance, tax filings, and other benefits.

  3. To inform the appropriate legal authorities regarding the change in relationship status for potential custody or support matters.

IV. Conclusion

The separation as outlined in this affidavit is intended to serve as a formal declaration of the end of the relationship. Both parties acknowledge and confirm the accuracy of this document. For further legal action or assistance, this affidavit may be presented to the appropriate authorities or organizations.

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

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