New York Prenuptial Agreement with Financial Statements

PREMARITAL AGREEMENT

Read Before Signing: Important Notice

Each party to this agreement agrees that they have had an opportunity to consult with an attorney of their choice licensed to practice law in their state of residence (not the same attorney) and that have fully read, understand and agree to the terms of this agreement. Each party further agrees that they are not acting under duress or undue influence in executing this agreement and that execution of same is done freely and voluntarily.

This agreement, made this day of , 20 , between of ("first party or Wife"), and of ("second party or Husband"),

W I T N E S S E T H

WHEREAS, Husband (check all that apply):

has previously been married;

has a child or children;

has not been married; and

Wife (check all that apply):

has previously been married;

has a child or children;

has not been married.

The parties desire to enter into this agreement prior to their contemplated marriage.

WHEREAS, the parties hereto have accumulated separate estates; and

WHEREAS, the parties are about to contract marriage and execute this agreement in contemplation of marriage to be effective upon their marriage in accordance with the laws of the State of New York, including any Uniform Premarital Agreement Act, or other applicable laws, adopted by the State of New York; and

WHEREAS, the parties desire to enter into an agreement regarding certain properties, responsibilities, duties and obligations including but not limited to any interest, present or future, legal or equitable, vested or contingent, in real or personal property, including income and earnings; and

(3) (check One)

The parties have each executed a Last Will and Testament, copies of which are attached hereto as Exhibits and . The parties agree that these Wills are in conformity with the provisions of this agreement...
Initials if Selected:

OR

The parties shall not change their existing Will, if any, or make a new Will at this time, but any new Will executed shall be in conformance with the provisions of this agreement.
Initials if Selected:

(11) Not applicable or The parties further agree that in the event of divorce, the following additional provisions shall apply notwithstanding the other provisions of this agreement:

(a) The Wife shall be entitled to receive property of Husband described as follows:

(b) The Husband shall be entitled to receive property of Wife described as follows:

(c) The following property shall be sold and the proceeds, less expenses divided equally between the parties:

(d) The Husband shall pay a lump sum settlement to Wife described as follows:

(e) The Wife shall pay a lump sum settlement to Husband described as follows:

(f) The marital domicile shall be:

(g) Both parties waive the right to alimony and property settlement, except as otherwise provided herein.

(18) Each party further agrees and affirms as follows:

(a) That the party did execute the agreement voluntarily; and

(b) That this agreement is not unconscionable when it was executed; and

(c) Both parties were provided prior to execution of this agreement a fair and reasonable disclosure of the property or financial obligations of the other party;

(d) That he and she did have, or reasonably could not have had, an adequate knowledge of the property or financial obligations of the other party.

The parties hereby execute this agreement in several counterparts, any executed copy of which shall be considered for all purposes as an original, on the day and year above written.

Approved:

Attorney for First Party:

Attorney for Second Party:

Note: This agreement must be executed before a notary public.

Certificate of Acknowledgment

State of New York ) ss.:

County of )

On the day of in the year before me, the undersigned, personally appeared , personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument...

Notary Public, State of

Printed Name:

Commission Expires:

State of New York ) ss.:

County of )

On the day of in the year before me, the undersigned, personally appeared , personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument...

Notary Public, State of

Printed Name:

Commission Expires:

Financial Statement Disclosure Information

This financial statement disclosure is for use in connection with a premarital agreement and should be completed accurately and completely. This statement should contain a full disclosure of all your assets and liabilities. You should initial each page and sign the last page. Your prospective spouse should also sign the last page acknowledging receipt.

Both persons must complete a separate financial statement and provide it to the other party. Two forms are enclosed, one for each party.

Personal Financial Disclosure Statement

To: Date:

Individual Information

Name:

Address:

City: State: Zip

Occupation:

Phone:

Current Assets / Current Liabilities

Cash on Hand or in Banks Notes Payable (Secured)

Other Cash: Notes Payable (Unsecured)

Real Estate (other than residence) Real Estate Mortgages Payable

Residence Auto Loans

Motor Vehicles Unpaid Taxes and Interest

US Government Securities Due to Brokers

Non-Marketable Securities Open Accounts

Stocks Credit Cards (List)

Other Personal Property Visa

Life Insurance Cash Value

Business IRA

Notes Receivable

Other Assets:

Personal IRA

Antiques

Partnership Assets Residential Mortgage

Total Liabilities

TOTAL OF ALL ASSETS

LESS TOTAL OF ALL LIABILITIES

NET WORTH

Total Assets

Individual Income Information (Annual)

Salary

Bonus

Commissions

Dividends

Rental Income

Other Income (List):

Total Income

Contingent Liabilities

Guarantor, Co-maker

Lease or Contracts

Legal Claims

Other:

Schedules

SCHEDULE “A” REAL ESTATE

Description of Real Estate Cost Market Value Date Acquired

SCHEDULE “B” MOTOR VEHICLES

Description of Motor Vehicles Cost Value

SCHEDULE “C” U.S. GOVERNMENT SECURITIES

Description of Stock or Bond Date Acquired Par Value Market Value

SCHEDULE “D” NON MARKETABLE SECURITIES

Description Date Acquired Par Value Market Value

SCHEDULE “E” STOCKS

Company Shares Date Acquired Par Value Market Value

SCHEDULE “F” NOTES PAYABLE SECURED

Description Date Balance Payment (m/yr)

SCHEDULE “G” NOTES PAYABLE UNSECURED

Description Date Balance Payment (m/yr)

SCHEDULE “H” REAL ESTATE MORTGAGES

Description Date Balance Payment (m/yr)

SCHEDULE “I” AUTO LOANS

Description Date Balance Payment (m/yr)

Certification to Financial Statement

I certify this Statement to be true and correct as of the date indicated; that this financial statement is a full and fair disclosure of my assets; and that I provided a true and correct copy of this financial statement to on .

I acknowledge receipt of this financial statement and disclosure.