Legal Separation Waiver

LEGAL SEPARATION WAIVER

This Legal Separation Waiver (the "Agreement") is entered into on by and between Party A: whose address is , and Party B: whose address is .

RECITALS

WHEREAS, the Parties were married on and have since separated; and

WHEREAS, the Parties reside in the State of and there is a pending or contemplated legal separation proceeding identified as Case No. ; and

WHEREAS, the Parties desire to settle and finally resolve certain rights and obligations arising from their marital relationship and separation, and to waive certain claims and remedies as set forth herein.

NOW, THEREFORE, in consideration of the mutual covenants and promises contained in this Agreement and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties agree as follows:

1. DEFINITIONS

For purposes of this Agreement: (a) "Claims" means any and all past, present or future actions, causes of action, suits, debts, obligations, liabilities, agreements, promises, demands, rights, damages, losses, costs and expenses (including attorneys' fees) arising out of the marital relationship or separation; (b) "Marital Property" means property acquired by either or both Parties during the marriage, regardless of title; and (c) "Separate Property" means property owned prior to marriage or acquired by gift or inheritance, as properly proven.

2. MUTUAL WAIVER AND RELEASE

Except as expressly provided in this Agreement, each Party, on behalf of himself or herself and his or her heirs, executors, administrators, representatives and assigns, hereby irrevocably and unconditionally waives, releases and forever discharges the other Party and the other Party's agents, heirs, assigns and representatives from any and all Claims of every nature and description, whether known or unknown, suspected or unsuspected, that arise out of or relate to the marital relationship, separation, or division of marital property existing through the Effective Date.

The foregoing mutual waiver and release specifically includes, without limitation, claims for spousal support, alimony, division of marital assets, claims to pensions, retirement benefits, stock options, business interests, and claims for reimbursement or credits except as expressly reserved in Section 2.1 below.

2.1 Reserved Claims

3. CONSIDERATION

In consideration for the mutual waivers and releases set forth herein, the Parties acknowledge the following consideration (check applicable box and describe as needed):

Monetary Payment:

Other Consideration (describe):

4. RELEASE OF CLAIMS

Each Party hereby covenants and agrees not to initiate, maintain, or otherwise assert any Claim released by this Agreement in any judicial, administrative or arbitration proceeding. Each Party shall promptly dismiss with prejudice any pending proceeding based upon any Claim released by this Agreement, and shall execute such documents as are reasonably necessary to effectuate dismissal.

5. REPRESENTATIONS AND WARRANTIES

Each Party represents and warrants that: (a) he or she has had a full and fair opportunity to disclose all material financial information; (b) he or she has the full right, power and authority to enter into and perform this Agreement; (c) this Agreement is executed voluntarily and without coercion; and (d) the execution and performance of this Agreement does not violate any other agreement or court order to which the Party is bound.

Independent Legal Advice: The Parties acknowledge that they have each had the opportunity to seek independent legal advice concerning their rights and the consequences of this Agreement. Attorney for Party A: ; Attorney for Party B:

6. CONFIDENTIALITY

Except as required by law, court order, or as necessary to effectuate the terms of this Agreement, neither Party shall disclose the terms, negotiation or amounts described in this Agreement to any third party. Notwithstanding the foregoing, disclosures to tax advisors, legal counsel, and necessary financial institutions are permitted, provided such recipients agree to maintain the confidentiality of the disclosed information.

7. NOTICES

All notices required or permitted under this Agreement shall be in writing and delivered to the Parties at the addresses set forth below:

8. AMENDMENTS; WAIVER

This Agreement may be amended, modified or supplemented only by a written instrument signed by both Parties. No waiver of any breach of this Agreement shall constitute a waiver of any other breach or failure to perform.

9. GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the State of , without regard to conflict of law principles.

10. ENTIRE AGREEMENT

This Agreement constitutes the entire agreement and understanding between the Parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, representations and understandings, whether written or oral.

11. SEVERABILITY

If any provision of this Agreement is held to be invalid, illegal or unenforceable in any respect, the validity, legality and enforceability of the remaining provisions shall not be affected or impaired, and the Parties shall negotiate in good faith an enforceable provision to replace the invalid provision that most nearly effects the Parties' intent.

12. COUNTERPARTS; ELECTRONIC SIGNATURES

This Agreement may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one agreement. Signatures delivered by electronic means, including scanned or photographic images of signatures, shall be effective for all purposes.

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