New York Marital Separation Agreement
This Marital Separation Agreement ("Agreement") is made and entered into this ____ day of __________, 20____, by and between:
Party A: ______________________________
Address: __________________________________
Email: ____________________________________
Phone: ____________________________________
Party B: ______________________________
Address: __________________________________
Email: ____________________________________
Phone: ____________________________________
The parties hereby acknowledge the following facts:
- The parties were legally married on __________, 20____, in __________.
- As of the date of this Agreement, the parties are no longer living together.
The following terms are agreed upon by both parties:
- Separation: The parties agree to live separately and apart from one another.
- Division of Property: The parties agree to the division of marital property as follows:
- Party A shall receive: ____________________________________________.
- Party B shall receive: ____________________________________________.
- Debt Responsibility: The parties agree to be responsible for the following debts:
- Party A shall pay: ______________________________________________.
- Party B shall pay: ______________________________________________.
- Child Custody and Support: The parties agree on the following terms for any minor children:
- Custody shall be shared/joint/sole between: ________________________.
- Child support payment will be: _______________________________________.
- Health Insurance: The parties will maintain or arrange for health insurance coverage for minor children as follows: __________________________________.
Both parties agree to follow this Agreement and understand that it is made in accordance with the laws of the State of New York.
This Agreement may be executed in counterparts. A copy of a signed Agreement is considered valid and binding.
IN WITNESS WHEREOF, the parties have executed this Agreement as of the date first above written.
Party A Signature: ________________________ Date: ____________
Party B Signature: ________________________ Date: ____________