Child Custody Agreement

SEPARATION AND CHILD CUSTODY AND PROPERTY SETTLEMENT AGREEMENT

WHEREAS, , hereinafter referred to as "Wife", and , hereinafter referred to as "Husband", are now married; and

WHEREAS, the parties were separated on or about in County, , and since that date have been living separate and apart; and

WHEREAS, the parties are separated and now living separate and apart and desire 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.

NOW THEREFORE, FOR AND IN CONSIDERATION OF the mutual benefits and advantages accruing to each party, the undersigned do hereby solemnly covenant, agree and contract as follows:

1. CHILD CUSTODY: Husband and Wife were married on , and during the course of the marriage, child(ren) were born, namely , born , and , born . Both Husband and Wife are proper persons to have the permanent legal and physical custody, care and control of the minor children of the parties. However, Wife shall have the permanent physical and legal custody, care and control of the minor children of the parties, subject to Husband's reasonable visitation rights as provided in this Agreement. "Physical Custody" of the children by Wife means that the children shall reside with and shall be under the care and supervision of Wife, subject only to Husband's visitation rights, and other rights stated herein.

Both Husband and Wife shall have joint legal custody of the minor children of the parties. "Joint Legal Custody" means that Husband and Wife shall share the decision-making rights, the responsibilities and the authority relating to the health, education and welfare of the children, and shall, therefore, make joint decisions concerning the children's health, education and welfare. Both Husband and Wife shall exchange information concerning the health, education and welfare of the minor children, and shall confer with one another in the exercise of decision-making rights, responsibilities and authority. Husband and Wife shall have equal access to all medical, dental and school records concerning the minor children. shall be entitled to claim children as dependents for Federal and State Income Tax.

2. VISITATION RIGHTS OF HUSBAND: Husband shall have reasonable visitation rights with the minor child(ren) of the parties and, specifically, shall be entitled to visitation on the first and third weekends of each month beginning evening at a.m./p.m. until at a.m./p.m.; to visit with the minor children of the parties on from a.m./p.m. until , at a.m./p.m.; alternating holidays, namely New Year's Day, Labor Day, Thanksgiving Day, Easter, Memorial Day and July 4th, beginning with ; the children's birthdays at such time as may be reasonable; Fathers Day; and to visit with the children for weeks during the summer holidays from school. Husband shall also have visitation rights with the minor children of the parties at such reasonable times as may be agreed upon by the parties hereto.

3. CHILD SUPPORT: Husband shall pay unto Wife the sum of $ per month per child as child support for the children of the parties hereto. The child support payment shall begin on the first day of the month immediately following the month in which this Agreement was executed by both Husband and Wife, and shall thereafter be payable by the day of each month, until the children become self-supportive, emancipated, married or an adult.

Husband and Wife shall be equally responsible for the children's health, dental and hospitalization expenses, to the extent not covered by insurance. Husband shall provide and maintain a policy of medical, health and hospitalization insurance on the minor children of the parties, and Wife shall maintain a policy of dental insurance on the children of the parties. Husband and Wife shall be equally responsible for the children's college education, including tuition, living expenses, travel expenses, and any other expenses reasonable relating to their college education, should they desire to attend college while unmarried.

4. PROPERTY SETTLEMENT: 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 other, except as stated below. Wife shall be entitled to the exclusive use and possession of the marital residence of the parties located at .

5. LEGAL REPRESENTATION DISCLOSURE: Each party agrees that has only represented the in the negotiation and preparation of this document, and regarding any divorce proceeding, and that has consulted, or had opportunity to consult, with any attorney of his/her choice. Each agrees to pay their respective attorneys for his or her services.

6. FURTHER DOCUMENTS: 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.

7. ENTIRE AGREEMENT: 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.

8. FULLY READ AND UNDERSTAND: Each party represents and acknowledges that he or she has fully read this Agreement, consulted with each other, carefully considered same, and have signed and executed same after such consultation, and after consulting with their respective attorneys, 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 party's rights, obligations, and responsibilities.

9. MODIFICATION: This Agreement shall estop 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, except that the Property Settlement provision shall not be subject to modification.

10. SUBSEQUENT 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, and the enforceability thereof, is not contingent upon either party or both parties being granted a divorce on any grounds. However, if either or both parties are granted a divorce on any grounds, the parties agree that this Agreement shall be made a part thereof and that such decree or judgment shall not conflict with the terms hereof.

11. CONTROLLING LAW: This Agreement shall be governed, enforced and interpreted according to the laws of the State of .

12. EFFECTIVE DATE: This Agreement shall not be enforceable until duly executed by both Husband and Wife.

13. HEIRS AND ASSIGNS: This Agreement shall be binding upon the heirs, administrators, estate and assigns of the parties.

IN WITNESS WHEREOF, Husband has executed this Agreement on the day of , 20, and Wife has executed this Agreement on the day of , 20.

STATE OF

COUNTY OF

PERSONALLY appeared before me, the undersigned authority in and for the county and state aforesaid, the with named , who, being by me first duly sworn, states on her oath that the matters and facts set forth in the above and foregoing Separation and Child Custody and Property Settlement Agreement are true and correct as therein stated and that she signed, delivered, and examined the same.

GIVEN UNDER MY HAND AND OFFICIAL SEAL, this the day of , 20.

NOTARY PUBLIC

MY COMMISSION EXPIRES:

PERSONALLY appeared before me, the undersigned authority in and for the county and state aforesaid, the with named , who, being by me first duly sworn, states on her oath that the matters and facts set forth in the above and foregoing Separation and Child Custody and Property Settlement Agreement are true and correct as therein stated and that she signed, delivered, and examined the same.

GIVEN UNDER MY HAND AND OFFICIAL SEAL, this the day of , 20.

NOTARY PUBLIC

MY COMMISSION EXPIRES: