Marriage Separation Affidavit

I. Parties Involved in the Separation

I, John Michael Doe, born on January 5, 1980, and I, Jane Elizabeth Doe, born on February 15, 1982, affirm that we were married on March 10, 2005, and have decided to live separately as of June 15, 2050. This affidavit is submitted to legally document the date of our separation.

---

II. Separation Details

The separation between the undersigned occurred on June 15, 2050. The parties have not cohabited since that date and have no intention to reconcile in the foreseeable future.

Separation Date	Spouse 1 Address	Spouse 2 Address	Current Status
June 15, 2050	1234 Elm Street, Springfield, IL	5678 Oak Avenue, Springfield, IL	Separation in Effect

---

III. Use and Purpose of the Affidavit

This affidavit may be used for the following purposes:

1. Divorce Proceedings: To demonstrate the date of separation in the divorce filing.

2. Child Custody/Support: To provide evidence of living arrangements for child custody and support determinations.

3. Financial Adjustments: To modify financial arrangements, such as insurance coverage or tax filings.

---

IV. Declaration

I, John Michael Doe, and I, Jane Elizabeth Doe, solemnly affirm that the contents of this affidavit are true to the best of our knowledge. We understand that this affidavit may be used for legal purposes and may be submitted to relevant authorities as necessary.

Signed:
John Michael Doe
Date: June 18, 2050

Jane Elizabeth Doe
Date: June 18, 2050

Prepared by: [YOUR NAME]
[YOUR EMAIL]

Affidavit Templates @ Template.net