Free Notary Affidavit of Separation Layout Template
Notary Affidavit of Separation Layout
I. Introduction
This Notary Affidavit of Separation is prepared to formally acknowledge the separation between John Doe and Jane Smith. The affidavit serves as a sworn statement regarding the date and terms of their separation, which may be required for legal, financial, or personal purposes.
II. Details of Separation
This section outlines the essential information regarding the parties involved and the terms of their separation.
Details |
Party 1 |
Party 2 |
---|---|---|
Full Name |
John Doe |
Jane Smith |
Date of Separation |
January 15, 2050 |
January 15, 2050 |
Address After Separation |
123 Oak Street, Springfield |
456 Maple Avenue, Springfield |
The separation took effect on January 15, 2050. Both parties have mutually agreed to this date as the official beginning of their separation. Each party has made independent living arrangements as stated above.
III. Legal and Financial Impact
This section provides the legal and financial context related to the separation, including potential changes in tax filing, asset division, and financial responsibilities.
Both parties acknowledge that the date of separation may impact their eligibility for joint tax filings, joint bank account management, and other financial responsibilities. This affidavit may be used to notify relevant institutions, including tax authorities and financial entities, of the change in status.
Institution |
Action Required |
Deadline |
---|---|---|
Tax Authorities |
Update marital status |
February 15, 2050 |
Bank Institutions |
Close joint accounts |
March 1, 2050 |
IV. Conclusion
This affidavit is signed voluntarily by both parties and will be notarized to confirm the authenticity of the statements herein. The undersigned parties declare that all information is accurate and truthful to the best of their knowledge.
Signed on January 15, 2050 by:
John Doe
Jane Smith
Notary Public
Date: January 15, 2050