Fill and Sign the Domestic Partnership Document Form

Domestic Partnership Agreement Domestic Partnership Agreement made on the ____________________ (date) , between ________________________ (Name of First Partner) of ______________________ _______________________________________________________ (street address, city, county, state, zip code) , and ______________________ (Name of Second Partner) , of ____________________________________________________________________________ (street address, city, county, state, zip code). We, the undersigned _____________________ (Name of First Partner) and _____________________ (Name of Second Partner) , do hereby attest to and agree to the following: 1. We are both at least 18 years old and mentally competent to consent to a civil contract; and we are not acting under force or duress. 2. We are engaged in a committed relationship of mutual caring and support and are jointly responsible for our common welfare. 3. We are jointly responsible for our assets and debts as provided by applicable law. 4. Neither of us is married to or legally separated from any other person and neither of us is engaged in another domestic partnership. 5. All property earned or accumulated prior to this date absolutely belongs to the person who earned or accumulated it and cannot be transferred to the other except in writing. Attached hereto as Exhibit A and incorporated herein by reference is a list of the major items of property we own separately. 6. All income earned by either of us while we are living together and all property accumulated from that income belongs in equal shares to both of us and should we separate, all accumulated property shall be divided equally. 7. Should either of us receive real or personal property by gift or inheritance, the property belongs absolutely to the person receiving the gift of inheritance and cannot be transferred to the other except by writing. 8. We agree that neither of us has any rights to, or financial interest in, any separate real property of the other, whether obtained before or after the date of this contract, unless that right or interest is in writing. 9. Either one of us may terminate this contract by giving the other a (e.g., two) _____ week written notice. If one partner is contemplating terminating the relationship we agree that at least one joint counseling session held by a qualified counselor will be scheduled if either one of us requests it. 10. In the event we separate, all jointly owned property shall be divided equally and neither of us shall have any claim for support or for any other money or property from the other. 11. Any dispute under this Agreement shall be required to be resolved by binding arbitration of the parties hereto. If the parties cannot agree on an arbitrator, each party shall select one arbitrator and both arbitrators shall then select a third. The third arbitrator so selected shall arbitrate said dispute. The arbitration shall be governed by the rules of the American Arbitration Association then in force and effect. 12. The invalidity of any portion of this Agreement will not and shall not be deemed to affect the validity of any other provision. If any provision of this Agreement is held to be invalid, the parties agree that the remaining provisions shall be deemed to be in full force and effect as if they had been executed by both parties subsequent to the expungement of the invalid provision. 13. The failure of either party to this Agreement to insist upon the performance of any of the terms and conditions of this Agreement, or the waiver of any breach of any of the terms and conditions of this Agreement, shall not be construed as subsequently waiving any such terms and conditions, but the same shall continue and remain in full force and effect as if no such forbearance or waiver had occurred. 14. This Agreement shall be governed by, construed, and enforced in accordance with the laws of the State of _______________. 15. Any notice provided for or concerning this Agreement shall be in writing and shall be deemed sufficiently given when sent by certified or registered mail if sent to the respective address of each party as set forth at the beginning of this Agreement. 16. This Agreement shall constitute the entire agreement between the parties and any prior understanding or representation of any kind preceding the date of this Agreement shall not be binding upon either party except to the extent incorporated in this Agreement. 17. Any modification of this Agreement or additional obligation assumed by either party in connection with this Agreement shall be binding only if placed in writing and signed by each party or an authorized representative of each party. WITNESS our signatures as of the day and date first above stated. ________________________ _________________________ (P rinted name) (P rinted name) ________________________ _________________________ (Signature of First Partner) (Signature of Second Partner) (Acknowledgment form may vary by state) State ______________ County of _______________ Personally appeared before me, the undersigned authority in and for the said county and state, on this _____ day of _______________, 20____, within my jurisdiction, the within named, ___________________________ (Name of First Partner) , who acknowledged that he executed the above and fore going instrument. _____________________ NOTARY PUBLIC My Commission expires: ______________________ State ______________ County of _______________ Personally appeared before me, the undersigned authority in and for the said county and state, on this _____ day of ____________, 20____, within my jurisdiction, the within named, ___________________________ (Name of Second Partner) , who acknowledged that he executed the above and fore going instrument. _____________________ NOTARY PUBLIC My Commission expires: ______________________