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DOMESTIC RELATIONS FORMS Supreme Court
Approved
4A-311 November 1, 2002
4A-311
STATE OF NEW MEXICO
COUNTY OF ____________________________
____________________ JUDICIAL DISTRICT
_____________________________________
Petitioner
v. No. ______________
_____________________________________
Respondent
VERIFIED MARITAL SETTLEMENT AGREEMENT 1
(simple) 2
_________________________ (husband's name) and
_______________________ (wife's name) are married. We agree
to this entire agreement. We will each follow this Agreement
beginning on the day we both sign it. We understand that the
judge may make changes to this agreement and that we must
comply with any changes made.
PROPERTY WE ARE DIVIDING 2
Anything that one of us buys after we have both signed
this agreement will belong only to that person. Any money
that one of us borrows after we have both signed this
agreement will be the debt of, and owed by, that person only.
We understand that this agreement may not bind creditors 3
.
1. Property. We have divided all of our property that we know
about between us. We attach a Property List (Attachment
A) showing property that we are keeping so that we have
a written list of the items we have divided.
(Choose either A or B)
[ ]A. Each of us already has possession of all the
personal property (such as clothing, furniture or
artwork) that we each expect to receive. All
assets that list one of us as owner are in the name
of the person who is entitled to receive them.1
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2DOMESTIC RELATIONS FORMS Supreme Court
Approved
4A-311 November 1, 2002
[ ]B. We will make sure that each of us has our own
property by _______________ (date) .
DEBTS WE ARE DIVIDING 3
1. Debt. Any debt not listed is the responsibility of the
person who created it. Each of us will pay
debts we created before our marriage, unless
we state differently here.
(Choose A or B)
[ ] A.We have no debt from our marriage.
[ ]B.We attach a debt list (Attachment A) showing the
debts we each will pay. 3
2. Credit cards and charge cards 4
. Each of us will turn in
and cancel all joint credit cards or we will have the
credit card company take the other person's name off of
the account.
3. Taxes. Each of us will file separate returns for this tax
year. We will share information necessary to correctly
file our income tax returns. We will get the help we
need to file our taxes. 5
4. Problem with tax returns. If any of our returns that we
filed together are audited or contested, we will meet
to decide what to do. If we cannot decide who pays the
taxes owed or who gets any refund, we will ask a judge
to decide at the time the problem comes up.
5. Legal promise. Each of us makes the following legal
promise: Our debts have been divided in a fair way. I
will pay the debts listed under my name on the debt
list. If I don't, my spouse may be forced to make that
payment. I must pay back my spouse for that payment
and other extra costs, such as lawyer fees, spent by my
spouse because I failed to pay.
OTHER STATEMENTS BY PARTIES1
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3DOMESTIC RELATIONS FORMS Supreme Court
Approved
4A-311 November 1, 2002
1. Good faith disclosure. I, the husband, and I, the wife,
state under oath that we have disclosed all assets and
debts that we are aware of. We discussed and exchanged
documents giving important information about the issues
in this agreement. Each of us has relied on that
information.
2. Documents. We will each sign the documents we need to
divide the property.
3. Future issues. 6
A. Completing the agreement. If:
(1)one of us does not do what we said in this agreement; or
(2)we cannot agree on what this agreement says, either of us
may ask the judge to decide the issue. The
judge may make one party pay costs such as
attorney fees.
B. Things left out of the agreement. If we forgot or failed
to list any property or debt, we will seek the
help we need in order to include the property or
debt in our agreement. 6
4. Final agreement. After signing this agreement, neither of
us can later claim that we agreed to something
different from either
A. what is in this agreement; or
B. a signed written change.
VERIFICATION
When I sign here, I am telling the judge, under oath
and penalty of perjury, that:
I have read this agreement and agree with everything in
it;
I have read the warnings and cautions listed in this
agreement;1
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4DOMESTIC RELATIONS FORMS Supreme Court
Approved
4A-311 November 1, 2002
I have gotten the help I needed before signing this
agreement; and
this document and the statements in it are true and
correct to the best of my knowledge and belief.
I understand that I can be punished both civilly and
criminally if any information in this agreement is false.
__________________________ __________________________
Husband's signature Wife's signature
Address: __________________ Address: _________________
___________________________ __________________________
Telephone:________________ Telephone: _______________
STATE OF NEW MEXICO )
COUNTY OF _____________ ) ss.
Acknowledged, signed and sworn to before me this _____ day
of _____________, _____ by ______________________, the
husband.
________________________________
Notary public
_________________________________
My commission expires: _______________________.
STATE OF NEW MEXICO )
COUNTY OF _____________ ) ss.
Acknowledged, signed and sworn to before me this _____ day
of _____________, _____ by ______________________, the wife.
________________________________
Notary public
My commission expires: _______________________.
ATTACHMENT A
PROPERTY LIST
(Attach separate page if needed.)1
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5DOMESTIC RELATIONS FORMS Supreme Court
Approved
4A-311 November 1, 2002
Each of us lists the property we are keeping so that we
have a written history of the items we have divided. (List
all items over two hundred fifty dollars ($250.00) that you
own such as bank accounts, appliances or furniture. Do not
use this form if you have a retirement account.
Husband Wife
Item Value Item Value
1. __________ _________ ____________ ________
2. __________ _________ ____________ ________
3. __________ _________ ____________ ________
4. __________ _________ ___________ ________1
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6DOMESTIC RELATIONS FORMS Supreme Court
Approved
4A-311 November 1, 2002
DEBT LIST
(Attach separate page if needed.)
Husband's Debt. I, the husband, will pay these debts,
including credit cards:
Creditor and last four numbers of the account 4
Amount
1. __________________________________________ $________
2. __________________________________________ $________
3. __________________________________________ $________
4. __________________________________________ $________
Wife's debt. I, the wife, will pay these debts, including
credit cards:
Creditor and last four numbers of the account 4
Amount
1. __________________________________________ $________
2. __________________________________________ $________
3. __________________________________________ $________
4. __________________________________________ $________
USE NOTES
1.This form becomes part of the order of the court when
the Final Decree of Dissolution of Marriage form
is signed by the judge. Use Domestic Relations
Form 4A-312 instead of this form if:
(a) the parties are going to divide a retirement plan;
(b) the parties jointly own a home, mobile home, car
or other motor vehicle; or
(c) one of the parties will receive spousal support.
2.Do not use this form if either or both of the parties
have a retirement plan that is to be divided, or
if the parties jointly own a home, mobile home,
car or other motor vehicle or if one of the 1
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7DOMESTIC RELATIONS FORMS Supreme Court
Approved
4A-311 November 1, 2002
parties will receive spousal support.
3.This agreement does not affect the rights of
creditors even when approved by the court as part
of the final decree. See an attorney if you have
questions about separate and community debts and
separate and community property.
4.This document is a public document. Do not list the
full account number for any credit card or other
loan information that you would not want to make
public.
5.There can be serious tax consequences resulting from
certain divisions of assets or debts and spousal
support. See a tax professional for questions you
may have.
6.See an attorney if difficult problems arise later.
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