SE PA RATIO N A ND C H IL D C UST O DY AND P R O PE R TY S E TTLEM EN T A G REEM EN T W HER EA S, __________ _________, here in afte r re fe rre d to as "W if e ", an d
__ _______ _________ _ , h ere in afte r r e fe rre d t o a s " H usb an d", a re n ow m arrie d ; a n dW HER EA S, t h e p artie s w ere s e p ara te d o n o r a b out t h e _ ___ d ay o f _ __________, 2 0___, i n
_________ __ C ounty , M is sis sip pi, a n d s in ce t h at d ate h av e b een l iv in g s e p ara te a n d a p art; a n dW HER EA S, th e p artie s a re s e p ara te d a n d n ow liv in g s e p ara te a n d a p art a n d d esir e to m ak e
a m utu ally a ccep ta b le s e ttle m en t o f t h eir r ig hts , l ia b ilitie s, o blig atio ns a n d p ro perty r ig hts a ris in g o ut
of a n d d u rin g t h e c o urs e o f t h eir m arita l r e la tio nsh ip . N o r e co ncilia tio n i s c o nte m pla te d .N OW T H ER EFO RE, F O R A ND IN C O NSID ER A TIO N O F th e m utu al ben efits an d
ad van ta g es accru in g to each party , th e unders ig ned do here b y so le m nly co ven an t, ag re e an d
co ntr a ct a s f o llo w s:1 . CH IL D C U ST O DY : Husb an d an d W if e w ere m arrie d on th e ____ day of
_ ________ __, 2 0___ , a n d d urin g th e c o urs e o f th e m arria g e, _ ___ c h ild (re n ) w ere b orn , n am ely
___________________, born on th e ____ day of ___________, 20___, an d
___________________, b orn o n th e _ ___ d ay o f _ __________, 2 0___. B oth H usb an d a n d
Wif e a re p ro per p ers o ns to h av e th e p erm an en t le g al a n d p hysic al c u sto dy, c are a n d c o ntr o l o f th e
min or c h ild re n o f th e p artie s. H ow ev er, W if e s h all h av e th e p erm an en t p hysic al a n d le g al c u sto dy,
ca re a n d c o ntr o l o f th e m in or c h ild re n o f th e p artie s, su bje ct to H usb an d's re aso nab le v is ita tio n
rig hts a s p ro vid ed in th is A gre em en t. " P hysic al C usto dy" o f th e c h ild re n b y W if e m ean s th at th e
ch ild re n sh all re sid e w ith a n d sh all b e u nder th e c are a n d su perv is io n o f W if e , su bje ct o nly to
Husb an d's v is ita tio n r ig hts , a n d o th er r ig hts s ta te d h ere in .
B oth H usb an d a n d W if e s h all h av e jo in t le g al c u sto dy o f th e m in or c h ild re n o f th e p artie s.
"J o in t L eg al C usto dy" m ean s th at H usb an d a n d W if e sh all sh are th e d ecis io n-m ak in g rig hts , th e
re sp onsib ilitie s a n d th e a u th ority re la tin g to th e h ealth , e d ucatio n a n d w elf a re o f th e c h ild re n , a n d
sh all, th ere fo re , m ak e jo in t d ecis io n s c o ncern in g th e c h ild re n ’s h ealth , e d ucatio n a n d w elf a re . B oth
Husb an d a n d W if e s h all e x ch an ge in fo rm atio n c o ncern in g th e h ealth , e d ucatio n a n d w elf a re o f th e
min or ch ild re n , an d sh all co nfe r w ith o ne an oth er in th e ex erc is e o f d ecis io n- m ak in g rig hts ,
re sp onsib ilitie s a n d a u th ority . H usb an d a n d W if e s h all h av e e q ual a ccess to a ll m ed ic al, d en ta l a n d
sch ool re co rd s c o ncern in g th e m in or c h ild re n . ___________________ sh all b e e n title d to c la im
child re n a s d ep en den ts f o r F ed era l a n d S ta te I n co m e T ax .2. VIS IT A TIO N R IG H TS O F H USB A ND: H usb an d s h all h av e r e aso nab le v is ita tio n
rig hts w it h th e m in or c h ild (re n ) o f th e p artie s a n d, s p ecif ic ally , s h all b e e n title d to v is ita tio n o n th e
fir s t a n d t h ir d w eek en ds o f e ach m onth b eg in nin g F rid ay e v en in g a t 6 :0 0 p .m . u ntil S unday e v en in g
at 6 :0 0 p .m .; to v is it w ith th e m in or c h ild re n o f th e p artie s o n C hris tm as E ve f ro m 1 0:0 0 p .m . u ntil
De cem ber 3 1, a t 6 :0 0 p .m .; a lte rn atin g h olid ay s, n am ely N ew Y ear's D ay , L ab or D ay , T han ksg iv in g
Day , E aste r, M em oria l D ay a n d J u ly 4 th , b eg in nin g w ith E aste r, 2 0____; th e c h ild re n 's b ir th day s a t
su ch tim e a s m ay b e r e aso nab le ; F ath ers D ay ; a n d to v is it w ith th e c h ild re n f o r f o ur ( 4 ) f u ll w eek s
du rin g th e s u m mer h olid ay s f ro m s c h ool. H usb an d s h all a ls o h av e v is ita tio n r ig hts w ith th e m in or
ch ild re n o f t h e p artie s a t s u ch r e aso nab le t im es a s m ay b e a g re ed u pon b y t h e p artie s h ere to .
3 . CH IL D S U PPO RT: H usb an d s h all p ay u nto W if e th e s u m o f $ _ _____ p er m onth
per c h ild a s c h ild s u pport fo r th e c h ild re n o f th e p artie s h ere to . T he c h ild s u pport p ay m en t s h all
be g in o n th e f ir s t d ay o f th e m onth im med ia te ly f o llo w in g th e m onth in w hic h th is A gre em en t w as
ex ecu te d b y b oth H usb an d a n d W if e , a n d s h all th ere afte r b e p ay ab le b y th e f if th ( 5 th ) d ay o f e ach
month , u n til t h e c h ild re n b eco m e s e lf -s u pportiv e, e m an cip ate d , m arrie d o r a n a d ult. H usb an d an d W if e sh all be eq ually re sp onsib le fo r th e ch ild re n 's health , den ta l an d
ho sp ita liz atio n ex pen se s, to th e ex te n t n ot co vere d b y in su ra n ce. Husb an d sh all p ro vid e an d
main ta in a p olic y o f m ed ic al, h ea lth a n d h osp ita liz atio n in su ra n ce o n th e m in or c h ild re n o f th e
pa rtie s, a n d W if e s h all m ain ta in a p olic y o f d en ta l i n su ra n ce o n t h e c h ild re n o f t h e p artie s. H usb an d
an d W if e s h all b e e q ually r e sp onsib le f o r th e c h ild re n 's c o lle g e e d ucatio n, in clu din g tu itio n, liv in g
expen se s, tr a v el e x pen se s, a n d a n y o th er e x pen se s re aso nab le re la tin g to th eir c o lle g e e d ucatio n,
sh ould t h ey d esir e t o a tte n d c o lle g e w hile u nm arrie d . 4 . PR O PE R TY S E TT L EM EN T: H usb an d a n d W if e a re in p osse ssio n o f a ll p ers o nal
p ro perty b elo ngin g to e ach , a n d n eith er m ak es a n y c la im to a n y p ers o nal p ro perty in th e p osse ssio n
of t h e o th er, e x cep t a s s ta te d b elo w .
W if e s h all b e e n title d to th e e x clu siv e u se a n d p osse ssio n o f th e m arita l re sid en ce o f th e
pa rtie s l o cate d a t _ ______________ _______________________________________________. 5 . LEG AL REPR ESE N TA TIO N DIS C LO SU RE: Each party ag re es th at
___________________ has only re p re se n te d th e ___________________ in th e
neg otia tio n an d p re p ara tio n o f th is d ocu m en t, an d re g ard in g an y d iv orc e p ro ceed in g, an d th at
___________________ h as c o nsu lte d , o r h ad o p portu nity to c o nsu lt, w ith a n y a tto rn ey o f
his /h er c h oic e. E ach a g re es t o p ay t h eir r e sp ectiv e a tto rn ey s f o r h is o r h er s e rv ic es.6 . FU RTH ER D OCU M EN TS: E ach p arty a g re es th at h e o r s h e w ill s ig n a n d e x ecu te
an y fu rth er o r a d ditio nal d ocu m en ts a s m ay b e n ecessa ry to p ut in to e ffe ct th e in te n ded p urp ose s
he re o f.
7 . EN TIR E A GREEM EN T: T his A gre em en t c o n stitu te s t h e e n tir e a g re em en t b etw een
th e p artie s a n d e ach p arty a ck now le d ges t h at t h ere a re n o f u rth er a g re em en ts n ot e x pre ssly i n clu ded
here in a n d th at th is A gre em en t m ay b e m odif ie d , a lte re d , o r a m en ded o nly in w ritin g, d uly s ig ned
an d n ota riz ed b y e ach i n t h e f o rm o f t h is o rig in al.
8 . FU LLY R EA D A N D U NDER ST A ND: E ach p arty re p re se n ts a n d a ck now le d ges
th at h e o r s h e h as f u lly r e ad th is A gre em en t, c o nsu lte d w ith e ach o th er, c are fu lly c o nsid ere d s a m e,
an d hav e sig ned an d ex ecu te d sa m e afte r su ch co nsu lta tio n, an d afte r co nsu ltin g w ith th eir
re sp ectiv e atto rn ey s, th at th e sig n in g o f th is A gre em en t is fre e an d v olu nta ry w ith out fo rc e o r
co llu sio n b y e it h er p arty o r a n y t h ir d p arty , a n d t h at e ach p arty s ig ned s a m e w ith t h e f u ll k now le d ge
of s a id p arty 's r ig hts , o blig atio ns, a n d r e sp onsib ilitie s.
9 . MODIF IC A TIO N: This A gre em en t sh all esto p an d p re clu de eith er p arty fro m
m ak in g o th er o r fu rth er d em an ds a n d c la im s u pon th e o th er, n ot in clu ded h ere in , e x cep t th at s u ch
leg al actio n m ay b e ta k en b y eith er p arty as is n ecessa ry to en fo rc e o r m odif y th e te rm s an d
pro vis io ns h ere o f, e x cep t t h at t h e P ro perty S ettle m en t p ro vis io n s h all n ot b e s u bje ct t o m odif ic atio n.
10 . SU BSE Q UEN T D IV ORCE: I t i s a g re ed a n d u n ders to od t h at t h is A gre em en t f in ally
se ttle s a ll r ig hts o f th e p artie s a n d th e p ro perty jo in tly o r in div id ually o w ned b y th e p artie s, a n d th at
th is A gre e m en t, a n d th e e n fo rc eab ility th ere o f, is n ot c o ntin gen t u pon e ith er p arty o r b oth p artie s
be in g g ra n te d a d iv orc e o n a n y g ro u nds. H ow ev er, i f e ith er o r b oth p artie s a re g ra n te d a d iv orc e o n
any g ro und s, t h e p artie s a g re e t h at t h is A gre em en t s h all b e m ad e a p art t h ere o f a n d t h at s u ch d ecre e
or j u dgm en t s h all n ot c o nflic t w ith t h e t e rm s h ere o f.
1 1 . CO NTR O LLIN G LA W : This A gre em en t sh all be govern ed , en fo rc ed an d
in te rp re te d a cco rd in g t o t h e l a w s o f t h e S ta te o f M is sis sip pi.
1 2 . EFFE C TIV E D ATE: T his A gre em en t s h all n o t b e e n fo rc eab le u ntil d uly e x ecu te d
by b oth H usb an d a n d W if e .
1 3 . HEIR S A ND A SS IG NS: This A gre em en t sh all be bin din g upon th e heir s ,
ad m in is tr a to rs , e sta te a n d a ssig ns o f t h e p artie s.IN W IT N ESS W HER EO F, H usb an d h as ex ecu te d th is A gre em en t o n th e _ ___ d ay o f
__ _______ __, 2 0___ , a n d W if e h as e x ecu te d th is A gre em en t o n th e _ ___ d ay o f _ __________,
20 ___. _ _________________________H usb an d’s s ig natu re_ _________________________W if e ’s s ig natu re
ST A TE O F M IS SIS SIP PIC O UNTY O F _ __________ __________
P E R SO NALLY a p peare d b efo re m e, th e u nders ig ned a u th ority in a n d fo r th e c o unty a n d
sta te a fo re sa id , th e w ith n am ed _ __ ______________, w ho, b ein g b y m e f ir s t d uly s w orn , s ta te s o n
her o ath th at th e m atte rs an d fa c ts se t fo rth in th e ab ove an d fo re g oin g S ep ara tio n an d C hild
Custo dy a n d P ro perty S ettle m en t A gre em en t a re t r u e a n d c o rre ct a s t h ere in s ta te d .
__________________________H usb an d’s s ig natu re
G IV EN UNDER M Y HAND AND OFFIC IA L SE A L, th is th e ______ day of
__ _____ ____________, 2 0 ___.
__________________________N OTA RY P U BLIC M Y C O M MIS SIO N E X PIR ES:__ _____ _______________S T A TE O F M IS SIS SIP PIC O UNTY O F _ __________
P E R SO NALLY a p p eare d b efo re m e, th e u nders ig ned a u th ority in a n d fo r th e c o unty a n d
sta te a fo re sa id , th e w ith in n am ed _________________, who, b ein g b y m e f ir s t d uly s w orn , s ta te s
on h is o ath th at th e m atte rs a n d fa cts s e t fo rth in th e a b ove a n d fo re g oin g S ep ara tio n a n d C hild
Custo dy a n d P ro perty S ettle m en t A gre em en t a re t r u e a n d c o rre ct a s t h ere in s ta te d . __________________________
W if e ’s s ig natu re
G IV EN UNDER M Y HAND AND OFFIC IA L SE A L, th is th e ____ day of
__ _____ _________, 2 0___ .
__________________________N OTA RY P U BLIC M Y C O M MIS SIO N E X PIR ES:__ _____ ______________