AR -DO -2
INSTRUCTIONS
When should this form be used?
This form should be used when the parties desire to enter into a Separation Agreement in
contemplation of an action for dissolution of marriage, which has been filed or will b e filed prior
to the effective date of this Agreement. This form is for married persons with no children
with joint property or debts. This form is state specific for the State of Arkansas.
This form should be completed on your computer, typed or printe d in black ink. Both parties
must sign the Agreement and have their signatures witnessed by a notary public . You may
desire to print and sign duplicate originals so that both parties will have a signed original of the
document.
Transfers of Title to Pr operty
This form may not be sufficient to transfer title to property such as real estate, automobiles and
other property to be divided. These transfers must be done by a deed, bill of sale, title or other
instruction before the ownership is final.
Opportunity to Consult with Attorney
This Agreement provides that you were given an opportunity to consult with an attorney of your
choice prior to execution of the Agreement.
Divorce Proceeding
This form provides that the parties intend to be bound by this Agreement subject to approval by
the appropriate Court. The parties will file and for dissolution of marriage prior to signing this
Agreement, or have pending a divorce action at the time of execution.
Husband Initials:___________ Wife Initials: ___________ Page 1
IN THE CHANCERY COURT OF _________________ __ COUNTY, ARKANSAS
In Re the Marriage of: )
)
____________________________ )
)
) NO. _______________________
v. )
)
____________________________ )
)
MARITAL SEPARATION AND PROPERTY SETTLEMENT AGREEMENT
WITH NO DEPENDENT OR MINOR CHILD(REN)
NOTICE: THIS IS AN IMPORTANT LEGAL AGREEMENT AND HAS
SUBSTANTIAL LEGAL CONSEQUENCES ON YOU, YOUR RIGHTS AND
OBLIGATIONS. YOU ARE ADVISED TO CONSULT AN ATTORNEY FOR
INDEPENDENT LEGAL ADVICE PRIOR TO EXECUTION OF THIS AGREEMENT.
STATE OF ARKANSAS
COUNTY O F _________________
WHEREAS, ____________________________________ (full legal name), hereinafter
referred to as "Wife", and _________________________________ (full legal name), hereinafter
referred to as "Husband", are now married, having been married on the _____ day of
____________, _______, in ______________ County, _________________; and
WHEREAS, the parties were separated on or about the _______ day of
_______________, 20___, while residing in _______________ County, _________________,
and since th at date have been living separate and apart; and
WHEREAS, differences have arisen between the part ies that have resulted in the parties
electing to live separate and apart. The parties make this Agreement to settle once and for all
what the parties owe to each other and what the parties can expect to receive from each other;
and
Husband Initials:___________ Wife Initials: ___________ Page 2
WHEREAS, the parties d esire to make a mutually acceptable settlement of their rights,
liabilities, obligations and property rights arising out of and during the course of their marital
relationship. No reconciliation is contemplated; and
WHEREAS, the parties agree to execute and exchange any papers that might be needed
to complete this Agreement, including deeds, title certificates, bills of sale, etc.; and
WHEREAS, the parties intend that this Agreement shall be binding and effective subject
to approval by the Court in tha t certain action pending in the Chancery Court of
______________ County, Arkansas, Cause Number _______________, which is a divorce
action involving Husband and Wife.
NOW THEREFORE, FOR AND IN CONSIDERATION of the mutual benefits and
advantages accruing t o each party, the undersigned do hereby solemnly covenant, agree and
contract as set forth above and below and being sworn, certify that the all statements contained
herein are true and correct:
SECTION 1.
SEPARATION; RELINQUISHMENT OF MARITAL RIGHTS
The parties shall continue to live separate and apart, free from interference, authority and
control by the other, as if each were sole and unmarried, and each may conduct, carry on and
engage in any employment, business or trade which each shall seem advisab le for their sole and
separate use and benefit, without, and free from any control, restraint or interference by the other
party in all respects as if each were unmarried. Neither of the parties shall molest or annoy the
other or seek to compel the other to cohabit or dwell with the other by any proceedings for
restoration of conjugal rights or otherwise, or exert or demand any right to reside in the home of
the other, if any.
Husband Initials:___________ Wife Initials: ___________ Page 3
SECTION 2.
FINANCIAL DISCLOSURES
By execution of this instrument, each party warrants and represents to the other party
that he or she has fully disclosed their financial status, including their assets and liabilities of all
types and agree that the terms of this Agreement are fair, just, and equitable after consideration
of the f inancial status of the parties.
SECTION 3.
ASSETS
A. In General . Husband and Wife are in possession of all personal property
belonging to each, and neither makes any claim to any personal property in the possession of the
othe r except as otherwise stated in this Agreement. The parties agree to divide their assets
(everything they own and that is owed to parties) as provided below. Any personal item(s) not
listed below is the property of the party currently in possession of t he item(s). Each party shall
retain as his or her own all of their personal clothing, jewelry and effects.
B. Wife shall receive as her own and Husband shall have no further rights or
responsibilities regarding these assets:
ASSETS: DESCRIPTION OF ITEM(S ) WIFE SHALL RECEIVE
(To avoid confusion at a later date, describe each item as clearly as possible. You do not need to list
account numbers. Where applicable, include whether the name on any title/deed/account described below is
wife’s, husband’s, or bo th.)
Current Fair Market Value
Cash (on hand) $ Cash (in banks/credit unions) Stocks/Bonds Notes (money owed to you in writing) Money owed to you (not evidenced by a note)
Real estate: (Home)
(Other)
Husband Initials:___________ Wife Initials: ___________ Page 4
ASSETS: DESCRIPTION OF ITEM(S ) WIFE SHALL RECEIVE
(To avoid confusion at a later date, describe each item as clearly as possible. You do not need to list
account numbers. Where applicable, include whether the name on any title/deed/account described below is
wife’s, husband’s, or bo th.)
Current Fair Market Value
Business interests $
Automobiles
Boats
Other vehicles
Retirement plans (Profit Sharing, Pension, IRA, 401(k)s, etc.)
Furniture & furnishings in home
Furniture & furnishings elsewhere
Collectibles
Jewelry
Life insurance (cash surrender value)
Sporting and entertainment (T.V., ster eo, etc.) equipment
Other assets
Total Assets to Wife
$
Husband Initials:___________ Wife Initials: ___________ Page 5
C. Husband shall receive as his own and Wife shall have no further rights or
responsibilities regarding these assets:
ASSETS: DESCRIPTION OF ITEM(S) HUSBAND SHALL RECEIVE
(To avoid confusion at a late r date, describe each item as clearly as possible. You do not need to list
account numbers. Where applicable, include whether the name on any title/deed/account described below is
wife’s, husband’s or both.)
Current Fair
Market Value
Cash (on hand)
$
Cash (in banks/credit unions)
Stocks/Bonds
Notes (money owed to you in writing)
Money owed to you (not evidenced by a note)
Real estate: (Home)
(Other)
Business interests
Automobiles
Boats
Other vehicles
Retirement plans (Profit Sharing, Pension, IRA, 401(k)s, etc.)
Furniture & furnishings in home
Furniture & furnishings elsewhere
Collectibles
Jewelry
Husband Initials:___________ Wife Initials: ___________ Page 6
ASSETS: DESCRIPTION OF ITEM(S) HUSBAND SHALL RECEIVE
(To avoid confusion at a late r date, describe each item as clearly as possible. You do not need to list
account numbers. Where applicable, include whether the name on any title/deed/account described below is
wife’s, husband’s or both.)
Current Fair
Market Value
$
Life insurance (cash surrender value)
Sporting and entertainment (T.V., stereo, etc.) equipment
Other assets
Total Assets to Husband
$
D. Contingent Assets and Liabilities shall be divided as follows:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
E. Additional Retirement Account Provisions . The part ies represent that all
retirement and pension types of accounts have been disclosed and agree to the following division
of same:
Retirement Accounts Person to Receive Current Fair
Market Value
Husband Accounts:
Wife Accounts:
Husband Initials:___________ Wife Initials: ___________ Page 7
F. Additional Life Insurance Provisions . The parties agree in reference to their
respective life insurance policies the following (indicate policies, owner, beneficiary):
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
_____________________________________________________ _____________
__________________________________________________________________
__________________________________________________________________
G. Additional Household Furnishing and Effects Provisions. (Select as
appropriate)
The household furnishings and effects of the parties have been mutually divided by
the parties and neither makes claim to any such property in the possession of the other except as
provided above.
Wife agrees that the Husband shall retain all of the household furnishings and effects
presently located on the premises at ________________________________________, excepting
those items already removed by the Wife, or to be removed, with the Husband’s permission,
except as listed and provided above .
Husband agrees that the Wife shall retain all of the household furnishings and effects
presently located on t he premises at _________________________________________,
excepting those items already removed by the Husband, or to be removed, with the Wife's
permission, and except listed and provided above.
H. Additional Marital Home Provisions .
The marital home o f the parties shall be:
i) Occupied by ( ) Husband ( ) Wife.
ii) Titled in the name of ( ) Husband ( ) Wife.
The expenses of the marital home are and shall be paid as follows:
i) ( ) Wife ( ) Husband shall pay the mortgage payments. This
obligation terminates ____________________________________________________________.
Husband Initials:___________ Wife Initials: ___________ Page 8
ii) ( ) Wife ( ) Husband shall pay the utilities and other expenses in
connection with the upkeep and maintenanc e of the home. This obligation terminates
_____________________________________________________________________________.
iii) ( ) Wife ( ) Husband shall pay all taxes, insurance and assessments. This
obligation terminates _____________________________________________________
______________________________________________________________________.
I. Additional Provisions or explanations: ____________________________________
______________________________________________________________________
______________________________________________________________________
____________________________________________________________ __________
SECTION 4.
DEBTS, LIABILITIES AND EXPENSES
A. Except as otherwise provided herein each party agrees to pay their respective
individual debts.
B. Division of Liabilities/Debts. The parties divide their liabilities (everything they
owe) as follows:
Wife shall pay as her own the following and will not at any time ask Husband to pay
these debts/bills:
LIABILITIES: DESCRIPTION OF DEBT(S) TO BE PAID BY WIFE
(To avoid confusion at a later date, describe each item as clearly as possible. You do not
need to list account numbers. Where applicable, include whether the name on any mortgage, note,
or account described below is wife’s, husband’s, or both.)
Monthly
Payment
Current
Amount Owed
Mortgages on real estate: (Home)
$
$
(Other)
Charge/credit card accounts
Auto loan
Husband Initials:___________ Wife Initials: ___________ Page 9
LIABILITIES: DESCRIPTION OF DEBT(S) TO BE PAID BY WIFE
(To avoid confusion at a later date, describe each item as clearly as possible. You do not
need to list account numbers. Where applicable, include whether the name on any mortgage, note,
or account described below is wife’s, husband’s, or both.)
Monthly
Payment
Current
Amount Owed
Auto loan $ $
Bank/credit union loans
Money you owe (not evidenced by a note)
Judgme nts
Other
Total Debts to Be Paid by Wife
$
$
C. Husband shall pay as his own the following and will not at any time ask Wife to
pay these debts/bills:
LIABILITIES: DESCRIPTION OF DEBT(S) TO BE PAID BY HUSBAND
(To avoid confusion at a later date, describe each item as clearly as possible. You do not
need to list account numbers. Where applicable, include whether the name on any mortgage, note
or account described below is wife’s, husband’s, or both.)
Monthly
Payment
Current
Amount Owed
Mortgages on real estate: (Home)
$
$
(Other)
Charge/credit card accounts
Auto loan
Auto loan
Husband Initials:___________ Wife Initials: ___________ Page 10
LIABILITIES: DESCRIPTION OF DEBT(S) TO BE PAID BY HUSBAND
(To avoid confusion at a later date, describe each item as clearly as possible. You do not
need to list account numbers. Where applicable, include whether the name on any mortgage, note
or account described below is wife’s, husband’s, or both.)
Monthly
Payment
Current
Amount Owed
Bank/credit union loans
Money you owe (not evidenced by a note)
Judgments
Other
Total Debts to Be Paid by Husband
$
$
SECTION 5.
FUTURE EARNINGS AND ACQUISITIONS
All income, earnings, or other property received or acquired by either party to this
Agreement on or after the date of execution of this Agreement shall be the sole and separate
property of the receiving or acquiring party. Each party, as of the effective date of this
Agreement, does hereby an d forever waive, release, and relinquish all right, title, and interest in
all such income, earnings and other property except as necessary to collect any sums due
hereunder in the event of default.
SECTION 6.
SPOUSAL SUPPORT (ALIMONY)
[ one only]
_________ 1. In consideration of the provisions contained herein for the respective
benefits of the parties and other good and valuable considerations, the parties hereto mutually
waive any and all claim or right to temporary or permanent alimony, maintena nce or support,
whether past, present or future. Thus, each of the parties forever give up any right to spousal
Husband Initials:___________ Wife Initials: ___________ Page 11
support (alimony) that they may have from the other.
__________ 2. ( ) Husband ( ) Wife agrees to pay spousal support (alimony) in the
am ount of $ ___________ every ( ) week ( ) other week ( ) month, beginning
_____________________ {date} and continuing until ______________________________
{date or event}.
Explain type of alimony (temporary, permanent, rehabilitative, and/or lump sum) and any
other specifics:
[ if applies]
( ) Life insurance in the amount of $ to secure the above support, will be
provided by the obligor.
SECTION 7.
MUTUAL INDEMNITY
The parties agree in regard to the payment of debts and other liabilities as stated in this
that each shall indemnify and hold harmless the other for the payment of same.
SECTION 8.
INCOME TAXES
With respect to any earlier year in which the parties filed joint Federal and State Income
Tax Returns, each party agrees to indemnify the other for any income tax liability, penalty or
deficiency associated with his or her income and shall hold the other party harmless therefor.
The parties shall file separately for the year _______ and each year thereafter.
( ) Husband ( ) Wife shall be ( ) allowed ( ) not allowed to claim the alimony paid
hereunder as a deduction for income tax purposes.
The Parties acknowledge that they have been advised that there may be certain tax
consequences pertaining to this Agreement and have been directed and advised to obtain
independent tax advice from qualified tax accountants or tax counsel prior to signing this
Agreement, and that each party has had an opportunity to do so.
Husband Initials:___________ Wife Initials: ___________ Page 12
SECTION 9.
ADDITIONAL OR FURTHER DOCUMENTS; COOPERATION
Each party agrees that he or she will sign and execute any further or additional
documents as may be necessary to put into effect the intended purposes hereof. Each party shall
execute, acknowl edge and deliver to the other party any and all instruments and assurances that
the other party may reasonably require or find convenient, expedient, or businesslike for the
purpose of giving full force and effect to the provisions of this Agreement, speci fically including
any deeds, affidavits, tax forms or other instruments required of one party to the other in order to
pass good or merchantable title to any property owned by either party during the marital
relationship. Based on the division of property as set out above, the additional documents
required include, but are not limited to the following: (List)
i) _______________________________________________________________
ii) _______________________________________________________________
iii) ______________________________________________________________
iv) ______________________________________________________________
SECTION 10.
DIVORCE
It is agreed and understood that this Agreement finally settles all rights of the parties and
the property jointly or individually owned by the parties, and that this Agreement shall be
incorporated into judgment of the Chancery Court of _____________ County, Arkansas, Cause
Number _______________. The parties agree that this Agreement shall be mad e a part of a
final decree or judgment and such decree or judgment shall not conflict with the terms hereof
except to the extent disapproved by the Court. The parties agree that each mutually submits to
the personal jurisdiction of the Chancery Court of __________ County, Arkansas, so that said
Court has the power to decide any and all matters and questions concerning the dissolution of
the parties’ marriage, and the division of the parties’ property and debts.
Husband Initials:___________ Wife Initials: ___________ Page 13
SECTION 11.
MODIFICATION
This Agreement shall stop and preclude either party from making other or further
demands and claims upon the other, not included herein, except that such legal action may be
taken by either party as is necessary to enforce or modify the terms and provisions hereof, exce pt
that the Property Settlement provision shall not be subject to modification.
SECTION 12.
ABSENCE OF DURESS OR UNDUE INFLUENCE
The parties agree and state that each has freely and voluntarily entered into this
Agreement. This Agreement was executed free of any duress, coercion, collusion, or undue
influence. In some instances, the Agreement represents a compromise of disputed issues;
however, both parties believe that its terms and conditions are fair and reasonable.
SECT ION 13.
RELEASE, WAIVER, BINDING EFFECT, AND ESTATES
Except as otherwise provided for in this Agreement, each party shall be divested of and
each party waives, renounces and gives up all right, title and interest in and to the property
awarded to the othe r. All property and money received and retained by the parties shall be the
separate property of the respective party, except as is specifically stated herein.
Except for those rights and obligations contained in this Agreement, or arising therefrom
by op eration of law, both parties do hereby release and forever discharge the other party from
all actions, causes of actions, claims and demands whatsoever, known and unknown, suspected
and unsuspected, apparent now or hereafter. It is the specific Agreement a nd purpose of this
paragraph to release and discharge any and all claims and causes of actions of any kind or
nature whatsoever whether specifically mentioned or not, which may exist or might be claimed
to exist at or prior to the date of this Agreement; a nd, both parties specifically waive any claim
or right to assert that any cause of action or alleged cause of action or claim or demand has
been, through oversight or error or intentionally or unintentionally, omitted from this release
and Agreement.
Husband Initials:___________ Wife Initials: ___________ Page 14
The p arties shall refrain from, release and relinquish any and all claims that he or she
may have had, may now have, or may hereafter acquire to share in any capacity or to any extent
whatsoever, in the estate of the other, whether by way of statutory allowance , heirship,
homestead rights, or election to take against or under the other party’s Last Will and Testament.
It is the intent of the parties that neither shall be a beneficiary or recipient of property of the
other by Will or intestate succession from and after the date of this Agreement and expressly
waive and reliquinsh any such right regardless of whether the Will of the other has been
changed to delete the gift to her or him and regardless of whether one party shall die prior to the
entry of a final ju dgment of divorce.
SECTION 14.
ENFORCEMENT
This Agreement may be enforced by actions and proceedings for Contempt of Court, or
attachment and garnishment, for s pecific performance, or any other remedy legally available to
either Husband or Wife, for the enforcement of the provisions and covenants of this Agreement.
SECTION 15.
BANKRUPTCY
To the extent of any obligation contained herein is discharged in bankrupt cy and the non -
bankrupt party is held liable for said debt, the non -bankrupt party shall have the right to petition
a court of competent jurisdiction for spousal support in an amount sufficient to cover any
amounts so discharged.
SECTION 16.
ENTIRE AGREEME NT
This Agreement constitutes the entire Agreement between the parties and each party
acknowledges that there are no further agreements not expressly included herein and that this
Agreement may be modified, altered, or amended only in writing, duly signed and notarized by
each in the form of this original.
Husband Initials:___________ Wife Initials: ___________ Page 15
SECTION 17.
FULLY READ AND UNDERSTAND; INFORMED CONSENT
Each party represents and acknowledges that he or she has fully read this Agreement,
consulted with each other, carefully consid ered same, and have signed and executed same after
such consultation, that the signing of this Agreement is free and voluntary without force or
collusion by either party or any third party, and that each party signed same with the full
knowledge of said pa rty's rights, obligations, and responsibilities. Each party agrees that they
have had a reasonable opportunity to consult with an attorney of their choice in the negotiation
and preparation of this document, and regarding any divorce proceeding.
SECTION 18.
SEVERABILITY
If any portion of the Agreement shall be held to be void, voidable or unenforceable for
any reason, then all the remaining parts or portions shall be construed, implemented and
administered as if such void, voidable or unenforceab le portion did not appear herein.
SECTION 19.
CONTROLLING LAW
This Agreement shall be governed, enforced and interpreted according to the laws of the
State of Arkansas.
SECTION 20.
EFFECTIVE DATE; HEIRS AND ASSIGNS
This Agreement shall be binding upon the parties and their legal representatives,
successor, heirs and assigns, subject only to approval by the Court in which divorce proceedings
are instituted or pending.
EXECUTED AND AGREED ON THE DATES SET FORTH BELOW. I certify that I
have been open and honest in entering into this Settlement Agreement. I am satisfied with this
Agreement and intend to be bound by it.
Dated:
Husband Initials:___________ Wife Initials: ___________ Page 16
Signature of Wife
Printed Name: _____________________________
Address: __________________________________
City, State, Zip:
Telephone Number:
Fax Number:
Dated:
Signature of Husband
Printed Name:
Address:
City, State, Zip:
Telephone Number:
Fax Number:
STATE OF ARKANSAS
COUNTY OF _________________
On this the _______ day of ________________, 20____, before me, ______________________,
the undersigned officer, personally appeared ________________________________________,
known to me (or satisfactorily proven) to be the person whose name is/are subscri bed to the
within instrument and acknowledged that he/she/they executed the same for the purposes therein
contained.
In witness whereof I hereunto set my hand and official seal.
_________________________________
Notary Public
Printed Name: _____________________
My Commission Expires: _________________
STATE OF ARKANSAS
COUNTY OF _________________
On this the _______ day of ________________, 20____, before me, ___ ___________________,
the undersigned officer, personally appeared ________________________________________,
known to me (or satisfactorily proven) to be the person whose name is/are subscribed to the
within instrument and acknowledged that he/she/they exec uted the same for the purposes therein
contained.
In witness whereof I hereunto set my hand and official seal.
_________________________________
Notary Public
Printed Name: _____________________
My Commission Expires: _________________