Indiana Marital Separation Agreement
This Marital Separation Agreement is made on this ___ day of __________, 20___, by and between:
Party A: ____________________________
Address: _______________________________
City, State, Zip: _______________________
Party B: ____________________________
Address: _______________________________
City, State, Zip: _______________________
In accordance with the laws of the State of Indiana, the parties hereby agree to the following terms regarding their separation:
- Separation Date: The parties agree that their separation shall commence on the ___ day of __________, 20___.
- Property Division: The parties shall divide their 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 be responsible for: _______________________________
- Party B shall be responsible for: _______________________________
- Child Custody and Support: If applicable, the parties agree to the following arrangements regarding their children:
- Custody shall be granted to: __________________________________
- Child support payments shall be: _____________________________
- Health Insurance: The parties agree on the following health insurance arrangements:
- Party A shall maintain coverage for: __________________________
- Party B shall maintain coverage for: __________________________
- Miscellaneous Provisions: The parties agree to the following additional terms:
- ______________________________________________________________
- ______________________________________________________________
This agreement represents the entire understanding between the parties. Any amendments must be in writing and signed by both parties.
IN WITNESS WHEREOF, the parties have executed this Marital Separation Agreement on the day and year first above written.
______________________________
Party A Signature
______________________________
Party B Signature
______________________________
Date