Person Filing:
Address (if not protected):
City, State, Zip Code:
Telephone:
Email Address:
ATLAS Number:
Lawyer’s Bar Number: Representing Self, without a Lawyer or Attorney for Petitioner OR Respondent
Respondent/ Party B’s Name or Lawyer’s Name:
Address (if not protected):
City, State, Zip Code:
Telephone:
Email Address:
ATLAS Number:
Lawyer’s Bar Number: Representing Self, without a Lawyer or Attorney for Petitioner OR Respo ndent
SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY
Case No.
Petitioner / Party A
ATL AS No.
CONSENT DECREE OF
Respondent / Party B DISSOLUTION OF MARRIAGE
(DIVORCE)
LEGAL SEPARATION
with minor children without minor children
in a Non -Covenant Marriage
THE COURT FINDS:
1. This case has come before this court for a final Decree of Dissolution of Marriage or Legal Separation.
The Court has taken all testimony needed to enter a Decree, or the C ourt has determined testimony is
not needed to enter the Decree.
2. This Court has jurisdiction over the parties under the law .
3. This Court has jurisdiction under A.R.S. § 25- 1031 over the child(ren), if any, in this matter.
4. Where it has the legal power and where it is applicable to the facts of this case, this C ourt has
considered, approved, and made orders relating to issues of spousal maintenance (alimony), the
division of property and/or debts, legal decision -making (legal custody), parenting time, and support of
any minor children.
5. The provisions of this Decree are fair and reasonable under the circumstances and in the best
interests of the minor children, if any, and the division of property and debt is fair and equitable.
6. Arizona Residency . The requirements of A.R.S. § 25-312 for dissolution of marriage, or A.R.S. § 25-
313 for legal separation have been met: If this is an action for legal separation, at the time this action
was filed, Party A and/or Party B was domiciled in Arizona or was stationed in Arizona while a
member of the United States Armed Forces. If this is an action for dissolution of marriage (divorce),
Party A and/or Party B was domiciled or stationed in Arizona for more than 90 days.
` FOR CLERK’S USE ONLY
©Superior Court of Arizona in Maricopa County DR71f - 052417
ALL RIGHTS RESERVED
Page 1 of 16
Case Number ________________
7. Conciliation Court. The provisions relating to the Conciliation Court either do not apply or have been
met.
8. PREGNANCY AND PATERNITY:
[ ] Party A is not pregnant.
[ ] Party A is pregnant and Party B [ ] is [ ] is not a parent of the child.
[ ] Party B is not pregnant.
[ ] Party B is pregnant and Party A [ ] is [ ] is not a parent of the child.
9. Irretrievably Broke n or Separate and Apart. The marriage is irretrievably broken or the parties
desire to live separate and apart.
10. Covenant Marriage. This is a non-covenant marriage.
11. Protective Orders. Following is the effect, if any, of this Consent Decree on any ex isting protective
orders:
12. Community Property and Debt. (Select one.)
[ ] The parties did not acquire any community property or debt during the marriage,
OR
[ ] The parties have agreed to a division of community property and/or debt as evidenced by their
signatures on “ Exhibit A” attached to and incorporated into this Decree. All community
property and debt is divided pursuant to this Decree.
13. Separate Property and Debt:
[ ] The parties did not acquire any separate property or debt during the marriage, OR
[ ] There IS an agreement as to division of separate property and debt; all separate property and
debt is divided pursuant to this Decree.
14. Spousal Maintenance/Support. (Select one.)
[ ] Neither party is entitled to an award of Spousal Maintenance/Support, OR
[ ] A party is entitled to an award of Spousal Maintenance/Support for the reason that:
[ ] Party A, OR [ ] Party B
• lacks enough property, including property given to him or her as part of this divorce or legal
separation, to provide for his or her reasonable needs, and
• is unable to support himself or herself through an appropriate job, or
• he or she is providing the primary care to child(ren) of young age or is of a condition that they
should not be required to look for work outside the home, or
• lacks earning ability necessary to support himself or herself, or
• contributed significantly to the educational opportunities of the other spouse, or
• had a marriage that lasted a long time and is of an age that may severely limit the possibility of
getting a job to support himself or herself,
©Superior Court of Arizona in Maricopa County Page 2 of 16 DR71f - 050217
ALL RIGHTS RESERVED
Case Number ________________
If spousal maintenance is to be awarded, the parties further agree: (Select one.)
[ ] Spousal maintenance award shall be modifiable in accordance with Arizona law,
OR
[ ] T hat the circumstances of their futures are unknown, but each desires that the spousal
maintenance awarded by their agreement, not be modifiable in the future for any
reason .
OR
[ ] Neither party is en titled to an award of Spousal Maintenance/Support;
If there are no minor children, check this box and skip to “The Court Orders” section on page 6.
15. [ ] THERE ARE NO MINOR CHILDREN in this marriage, therefore statements numbered 16
through 22 below do not apply.
16. [ ] THIS ORDER APPLIES TO THE FOLLOWING CHILD(REN):
Name Date of Birth
[ ] Same information for additional children listed on attached page made part of this document by
reference.
17. PATERNITY:
[ ] Party A and Party B are the parents of these children born to the parties before the marriage:
Name(s) Date(s) of Birth
18. Parent Information Program.
A. Party A [ ] has attended the Parent Information Program class as evidenced by the
Certificate of Completion in the court file.
OR
Part y A [ ] has not attended the Parent Information Program class and shall be denied any
requested relief to enforce or modify this decree until Party A has completed the class.
B. Part y B [ ] has attended the Parent Information Program class as evidenced by the
Certificate of Completion in the court file.
OR
Part y B [ ] has not attended the Parent Information Program class and shall be denied any
requested relief to enforce or modify this decree until Party B has completed the class.
©Superior Court of Arizona in Maricopa County Page 3 of 16 DR71f - 050217
ALL RIGHTS RESERVED
Case Number ________________
19. Child Support. Child Sup port Guidelines: The required financial factors and any discretionary
adjustment pursuant to the Arizona Child Support Guidelines are as set forth in the Child Support
Worksheet, attached and incorporated herein by reference. The court finds that Party A and Party B
owe a duty to support the child(ren) listed. (Select any that apply.)
[ ] a. Child support has been determined in accordance with the Arizona Child Support
Guidelines.
OR
[ ] b. Application of the Arizona Child Support Guidelines in this case is inappropriate or unjust.
The Court has considered the best interests of the minor child(ren) in determining that a
deviation is appropriate and makes the following findings:
[ ] Application of the guidelines is unjust .
[ ] The parties have signed a written agreement with knowledge of the amount of support
that would have been ordered by the guidelines but for the agreement.
The court makes the following finding regarding the deviation:
[ ] The child support order would have been $ __________
[ ] The child support order after deviation is $__________
[ ] All parties have signed the agreement free of duress and coercion.
[ ] c. Court Approved Discretionary Parenting Time Adjustment or other Adjustments. (The
court must make written findings if any of these adjustments are made):
[ ] d. Ability to Pay. The Court finds that the Party responsible for paying child support has the
ability to pay child support:
[ ] In the amount entered on Line 34 of the Worksheet of $
OR
[ ] In an adjusted amount calculated using the self -support reserve on the Parent’s
Works heet for Child Support Amount of $ .
20. Domestic Violence.
IF there has been domestic violence between the parties AND legal decision -making
(legal custody) is to be shared with or awarded to a parent who has committed
domestic violence, check appropriate box and explain. (A.R.S. § 25 -403.03)
A. Domestic Violence has not occurred between the parties;
OR
B. Domestic Violence has occurred between the parties, but:
1. [ ] it was mutual (committed by both parties) , (see A.R.S. § 25- 403.03 (D) )
OR
©Super ior Court of Arizona in Maricopa County Page 4 of 16 DR71f - 050217
ALL RIGHTS RESERVED
Case Number ________________
2. [ ] it is otherwise still in the best interests of the minor child(ren) to grant joint or
sole legal decision -making (joint or sole legal custody) to a parent who has
committed domestic violence because: (EXPLAIN)
21. Drug Or Alcohol Conviction Within Last Twelve Months:
[ ] Party A has been convicted of driving under the influence of alcohol or drugs, or was
convicted of any drug offense within 12 months of filing the request for legal decision-
making (custody).
[ ] Party B has been convicted of driving under the influence of alcohol or drugs, or was
convicted of any drug offense within 12 months of filing the request for legal decision-
making (custody).
[ ] The legal decision- making (custody) and/or parenting time arrangement ordered by this
Court appropriately protects the minor child(ren).
22. Legal Decision -Making Authority (Legal Custody) for Minor Child(ren): (Check/complete only if
joint legal decision- making (joint legal custody) is ordered.)
[ ] The legal decision- making authority (legal custody) order or agreement is in the best
interests of the minor child(ren) for the following reasons: (List the reasons.)
REASONS:
23. Supervised Or No Parenting Time:
(Check and complete only if supervised or no parenting time is ordered.)
[ ] NO Parenting Time or [ ] Supervised Parenting Time with [ ] Party A [ ] Party B ,
is in the best interests of the minor child(ren), for the following r easons:
(IF supervised) Name of supervisor:
The cost of supervised parenting time will be paid by the: [ ] The party being supervised ,
[ ] The party having legal decision-making , OR
[ ] Shared equally by the parties
Restrictions on parenting time (if applicable):
©Super ior Court of Arizona in Maricopa County Page 5 of 16 DR71f - 050217
ALL RIGHTS RESERVED
Case Number ________________
THE COURT ORDERS:
1. LEGAL SEPARATION OR DISSOLUTION OF MARRIAGE (“Divorce”).
THE PARTIES ARE LEGALLY SEPARATED.
MARRIAGE IS DISSOLVED: The marriage of the parties is dissolved and the parties are
restored to the legal status of single persons.
2. NAME RESTORATION : (I n a divorce case IF one or both parties changed their last names as a result of
the marriage, either spouse may (optionally) have his/her name legally restored to a pre- marital last
name.)
Party A 's name is restored to __________________________ __. (Put only the last name here.)
Party B 's name is restored to ________________________ ____. (Put only the las t name here.)
3. ENFORCEMENT OF TEMPORARY ORDERS:
All obligations ordered to be paid by the parties in Temporary Orders dated (fill in dates of ALL
temporary orders here)
are satisfied in full.
OR
Judgment is awarded against the party with the obligation up to the amount due and owing
as of the date of this Decree, with the highest legal interest allowed by law, for the
total amount of $ .
4. CHILDREN.
DOES NOT APPLY. THERE ARE NO MINOR CHILDREN IN THIS MARRIAGE .
(Skip to number “ 10” on page 9) , OR
YES, THERE ARE minor children in this marriage, and the following issues apply.
5. PREGNANCY AND PATERNITY
A. PREGNANCY:
A child who is common to the parties is expected to be born (Date).
The orders below as to legal decision-making (legal custody ), parenting time, child
support, and medical insurance/expenses do not include this child; the court reserves
jurisdiction to address these issues regarding this child when the child is born.
CHILDREN: This Decree includes all minor children common to the parties as follows:
NAME(S) OF CHILD(REN) Date of Birth
(Month/Day/Year)
OR
©Super ior Court of Arizona in Maricopa County Page 6 of 16 DR71f - 050217
ALL RIGHTS RESERVED
Case Number ________________
B. PATERNITY/MATERNITY
Minor Children to whom this decree does not apply : It is ordered that:
Party A, OR Party B has no legal obligation or right to the minor child(ren) born during the
marriage but not common to the marriage. This Decree DOES NOT include the minor children
common to the parties as follows:
NAME(S) OF CHILD(REN) Date of Birth
(Month/Day/Year)
Child expected to be born this date:
BIRTH CERTIFICATE(S): for any above-named minor child(ren) born in the state of Arizona, the
Clerk of Court shall forward a copy of this order to the State Office of Vital Records, which is
ORDERED TO AMEND the birth certificate(s) as follows: (List full name of the party as appears
on the party’s Social Security card or other government issued official document and as should
appear on the children’s birth certificate(s))
A. Add the name: (List one name only) as a parent on the above- named
minor child(ren)'s birth certificate(s) if no name is already listed.
B. Name Change: (Optional) The name(s) of the minor child(ren) for whom paternity/maternity has
been established above shall be changed as follows:
Current Legal Name New Name (optional)
_______________________________________ ____________________________________
_______________________________________ ____________________________________
_______________________________________ ____________________________________
_______________________________________ ____________________________________
6. LEGAL DECISION -MAKING (Legal Custody):
Award legal decision-making concerning the child(ren) as follows:
SOLE LEGAL DECISI ON-MAKING (sole legal custody) to: Party A Party B - OR
JOINT LEGAL DECISION -MAKING (joint legal custody) to BOTH PARENTS.
BOTH Party A and Party B agree to act as joint legal decision -ma kers of the minor children,
pursuant to A.R.S. § 25- 403, as set forth in the Parenting Plan attached. There have been no
significant acts of domestic violence, as defined by Arizona law, A.R.S. § 13- 3601, by either parent or
it is in the best interests of the minor child(ren) to award joint legal decision-making despite any
violence that occurred.
©Super ior Court of Arizona in Maricopa County Page 7 of 16 DR71f - 050217
ALL RIGHTS RESERVED
Case Number ________________
The court adopts the terms of the Joint Legal Decision-Making Agreement/Parenting Plan describing
the legal decision -making and parenting time agreement between the parties. By attaching the Joint
Legal Decision -Making Agreement/Parenting Plan to the Decree, the Agreement becomes part of the
Decree and carries the same legal weight as the Decree.
7. PRIMARY RESIDENCE and PARENTING TIME :
A. PRIMARY RESIDEN CE:
Party A ’s home as primary residence for following named child(ren):
Party B ’s home as primary residence for following named child(ren):
B. SUBJECT TO PARENTING TIME AS FOLLOWS:
REASONABLE parenting time rights to the non -primary residential parent as
described in the Parenting Plan attached as Exhibit B and made a part of this
decree,
OR
NO PARENTING TIME RIGHTS to Party A OR Party B ,
OR
SUPERVISED PARENTING TIME to Party A OR Party B according to
the terms of the Parenting Plan attached as Exhibit B and made part of this
Decree. Par enting time may only take place in the presence of another person,
named below or otherwise approved by the court.
(IF supervised) Name of person to supervise (Optional):
The cost of supervised parenting time (if applicable) shall be paid by the:
[ ] paid by the party being supervised.
[ ] paid by the party having legal decision- making.
[ ] shared equally by the parties.
Parenting time shall be restricted as follows: (if applicable):
8 . CHILD SUPPORT :
Party A OR Party B shall pay child support to the other party in the amount of $ _______ per
month, beginning THE FIRST DAY OF THE MONTH following the date this Decree is signed by the
judge until further order of the court.
• Child Support is based on the information in the Parent’s Worksheet for Child Support . Amount
attached to and made part of this decree by reference.
• All child support payments shall be made by Income Withholding Order (if applicable) through the
Support Payment Clearinghouse , PO Box 52107, Phoenix, Arizona 85072- 7107, and must
include the statutory fee by the Income Withholding Order signed this date.
• Payments will be in equal installments made on the 1 st and 15 th of each month.
©Super ior Court of Arizona in Maricopa County Page 8 of 16 DR71f - 050217
ALL RIGHTS RESERVED
Case Number ________________
The Child Support Order is attached hereto and incorporated by reference.
This Court cannot make a legal order, without personal service of the Petition,, with respect to issues
of child support, or medical, dental and vision care insurance for the minor child(ren). The court
reserves jurisdiction to enter further orders at such time as the Court acquires personal jurisdiction
over responding party .
9. MEDICAL, DENTAL, VISION CARE FOR MINOR CHILDREN
A. INSURANCE .
Party A is responsible for providing: medical dental vision care insurance.
Party B is responsible for providing: medical dental vi sion care insurance .
Medical, dental, and vision care insurance, payments and expenses are based on the information
in the Parent’s W orksheet for Child Support attached and made part of this decree by reference.
The party ordered to pay must keep the other party informed of the insurance company name,
address and telephone number, and must give the other party the documents necessary to submit
insurance claims.
B. NON -COVERED EXPENSES.
Party A is ordered to pay __________ %, AND Party B is ordered to pay ________ % of all
reasonable uncovered and/or uninsured medical, dental, vision care, prescription and other health
care charges for the minor child(ren), including co- payments.
10. SPOUSAL MAINTENANCE/SUPPORT:
A. Neither party shall pay spousal maintenance/support (alimony) to the other party,
OR
Party A OR Party B is ordered to pay to the other party the sum of $ per
month in spousal maintenance/support BEGINNING THE FIR ST DAY OF THE MONTH
after this Decree is signed.
• Each payment shall be made by the first day of each month after that and shall continue
until
the receiving party is remarried or deceased OR until
(date)
• All payments shall be made through the Support Payment Clearinghouse, PO Box 52107,
Phoenix, Arizona 85072- 7107 by Income Withholding Order , until all required payments
have been made under this Decree.
• Payments made shall be included in receiving spouse’s taxable income and is tax
deductible from the paying spouse’s income as required by law. Spousal
main tenance/support payments end when the receiving party is remarried or deceased
unless specified otherwise above .
B. In accordance with the parties’ agreements,
The spousal maintenance award shall be modifiable in accordance with Arizona law,
OR
The spousal maintenance award shall NOT be modifiable for any reason.
©Super ior Court of Arizona in Maricopa County Page 9 of 16 DR71f - 050217
ALL RIGHTS RESERVED
Case Number ________________
11. PROPERTY and DEBTS: (Select any that apply.)
A. Party A is ordered to pay all community debts unknown to Party B , AND
Party B is ordered to pay all community debts unknown to Party A , AND
Each party is ordered to pay his or her community debts from the following
date:________________.
B. Each party is assigned his or her separate property and Part y A must pay his /her
separate debt, and Party B must pay his/her separate debt.
C. Other orders and relief relating to property or debt are contained in Exhibit A, which is
attached and incorporated into this Decree.
D. This Decree can be used as a transfer of title and can be recorded. Parties shall sign all
documents necessary to complete all transfer of title ordered in this Decree, such as motor
vehicles, houses, and financial institution accounts. The parties shall transfer all real and
personal property as described in Exhibit A to the other party on or before
by 5:00 p.m.
If the party required to transfer the property has not transferred the property to the party entitled
to receive the property on or before the date and time listed above, the party entitled to receive
the property is entitled upon application to a Writ of Assistance or Writ of Execution to be issued
by the Clerk of the Court commanding the sheriff to put him or her in possession of the property.
Other orders and relief relating to property or debt, if any, are contained in “Exhibit A”, which is
attached and incorporated into this Decree.
12. TAX RETURNS
Each party shall give the other party all necessary documentation to file all tax returns.
For previous calendar years, pursuant to IRS rules and regulations, the parties will file:
J oint federal and state income tax returns and hold each other harmless from half of all
additional income taxes if any and other costs, and each will share equally in any refunds, OR
Separate federal and state income tax returns , AND
This calendar year and continuing thereafter, each party will file separate federal and state
income tax returns.
13. FINANCIAL INFORMATION EXCHANGES: In cases in which child support or spousal
maintenance are ordered, then until such time as those would end under the orders in this Consent
Decree, the parties shall exchange financial information (tax returns, spousal affidavits, ear ning
statements and/or other related financial statements) every 24 months or as follows:
14. TAX EXEMPTION:
DOES NOT APPLY. THERE ARE NO MINOR CHILDREN IN THIS MARRIAGE;
OR
©Super ior Court of Arizona in Maricopa County Page 10 of 16 DR71f - 050217
ALL RIGHTS RESERVED
Case Number ________________
APPLIES. THERE ARE MINOR CHILDREN IN THIS MARRIAGE . The parties shall claim
as income tax dependency exemptions on federal and state tax returns as follows. A party
required to pay child support is only entitled to claim (a) minor child(ren) as an income tax
dependency exemption if that parent has paid all of the child support due and owing for the year
that party is entitled to the exemption:
Parent entitled to claim Name of child Tax year
Party A Party B
Party A Party B
Party A Party B
Party A Party B
15.QUALIFIED DOMESTIC RELATIONS ORDER (QDRO).
A QDRO is not necessary;
A QDRO is submitted herewith, OR
A QDRO will be submitted to the court as soon as practicable as or not later than _____________
(DATE).
The Court shall retain jurisdiction over the subject matter of the QDRO.
16.OTHER ORDERS. (List any other orders.)
17. FINAL APPEALABLE ORDER . Pursuant to Rule 81, Arizona Rules of Family Law Procedure,
this final judgment/decree is settled, approved and signed by the court and shall be entered by the
clerk.
Date Judicial Officer
SIGNATURES OF BOTH PARTIES UNDER OATH OR AFFIRMATION
By signing below, in the presence of a Deputy Clerk of Court or Notary Public, I swear or affirm that
everything in this document is true and correct to the best of my knowledge, information and belief,
including the following:
1.NO
N-COVENANT MARRIAGE . We do not have a covenant marriage.
2.RI
GHT TO TRIAL IS WAI VED. I understand that by signing this Consent Decree, I am waiving my
right to a trial before a judge.
3. NO
DURESS OR COERCION. COMPLETE AGREEMENT . I am not under any force, threats,
duress, coercion, or undue influence from anyone, including the other party, to sign this Consent
Decree. This Decree with any attachments that I have signed is our full agreement. I have not agreed
to something different from what is stated in writing in the Decree.
©Super ior Court of Arizona in Maricopa County Page 11 of 16 DR71f - 050217
ALL RIGHTS RESERVED
Case Number ________________
4. LEGAL ADVICE. I understand that even if I am representing myself without an attorney, I have the
right to be represented by an attorney. I have the right to call an attorney and get legal advice before I
sign this Consent Decree.
5. IRRETRIEVABLY BROKEN MARRIAGE . I agree that our marriage is irretrievably broken. There is
no reasonable prospect of reconciliation [or we desire to live separate and apart if this is a Legal
Separation case].
6. DIVISION OF PROPERTY . The agreement about division of property and debt attached as “ Exhibit
A ”, signed by both parties and made part of this document by reference, is fair and equitable .
SIGNATURES
Party A ’s Signature Party B ’s Signature
STATE OF
COUNTY OF
Subscribed and sworn to or affirmed before me this:
(date)
By .
Deputy Clerk or Notary Public
( Notary seal)
STATE OF
COUNTY OF
Subscribed and sworn to or affirmed before me this:
(date)
By .
Deputy Clerk or Notary Public
( Notary seal)
If either party is represented by an attorney or if the Attorney General’s Division of Child
Support Enforcement (DCSE) is involved in this case, the attorney(s) and a representative of
DCSE must also sign below.
ATTORNEY SIGNA TURES (if applicable)
If either party is represented by an attorney, the attorney must sign:
_________________________
_________________________________________
Date Approved by Party A 's Attorney
_________________________
__________ _______________________________
Date Approved by Party B 's Attorney
If the Attorney General’s Office (the “AG”), Division of Child Support Enforcement (DCSE) is involved
in this case, a representative of that agency must approve the child support amount and sign below:
The approval of the AG’s office as to child support provisions contained in this document is
indicated by my signature below:
Signature of Attorney General / DCSE Representative Date
©Super ior Court of Arizona in Maricopa County Page 12 of 16 DR71f - 050217
ALL RIGHTS RESERVED
Case Number ________________
EXHIBIT A: PROPERTY AND DEBTS
(Refer to section “E” in instructions)
1.
DIVISION OF COMMUNITY PROPERTY (property acquired during the marriage)
Award each party the personal property in his/her possession.
Community property is awarded to each party as follows:
2. LIST OF COMMUNITY PROPERTY (Be very specific in your description of the property.)
AW ARD TO
Household Furniture and Appliances (Be specific)
Party A Party B
Party A Party B
Video: TV / DVD / DVR / VCR, etc. (Be specifi c)
Audio: Stereo/ Radio (Household or Portable) (Be specific)
Computers and Related Equipment (Be specific)
Motor Vehicles (Be specific)
1. Year, Make, Model:
Last 4 digits of VIN #
2. Year, Make, Model:
Last 4 digits of VIN #
3. Year, Make, Model:
Last 4 digits of VIN #
Page 13 of 16
©Super ior Court of Arizona in Maricopa County DR71f - 050217
ALL RIGHTS RESERVED
Case Number ________________
AW ARD TO
COMMUNITY PROPERTY - continued (Be specific) Party A Party B
Cash, bonds of $ ______________________________________
Other:
Other:
Other:
Other:
Other:
Continues on attached p age(s).
3. DIVISION OF RETIREMENT, PENSION, DEFERRED COMPENSATION WARNING. You should see a lawyer about your retirement, pension, deferred compensation,
401k plans and/or benefits. If you do not see a lawyer regarding these assets, you risk losing
any interest you have in these plans and/or benefits. There are certain documents the plan
administrator must have. Only a lawyer can help you prepare these documents.
Neither party has a retirement, pension, deferred compensation, 401K Plan and/or benefits.
OR
Award each party his/her interest in any and all retirement benefits, pension plans, or other
deferred compensation described as:
OR
Each party W AIVES AND GIVES UP his/her interest in any and all retirement benefits,
pension plans, or other deferred compensation of the other party:
4.
DIVISION OF REAL PROPERTY (Land and Buildings) Section A is for one piece of property.
Section B is for another, separate property.
A. Real property located at (address) .
The legal description of this property, as quoted from the DEED to the property* is:
* If you do not provide a correct legal description, you may have to come back to court to
amend the Decree to include the correct legal description.
The real property (“A”) described above is awarded as the sole and separate property of:
Party A or Party B
OR
Shall be sold and the proceeds divided as follows:
% or $ to Party A
% or $ to Party B
Page 1 4 of 16
©Super ior Court of Arizona in Maricopa County DR71f - 050217
ALL RIGHTS RESERVED
Case Number ________________
B. Real property located at (address) .
The legal description of this property, as quoted from the DEED to the property * is:
* If you do not provide a correct legal description, you may have to come back to court to
amend the Decree to include the correct legal description.
The real property (“B”) described above is awarded as the sole and separate property of:
Party A or Party B
OR
Shall be sold and the proceeds divided as follows :
% or $ to Party A
% or $ to Party B
Continues on attached page(s).
5. DIVISION OF COMMUNITY DEBT (Debts incurred during the marriage) (You should see a lawyer
about how to divide secured and unsecured debts.)
Community debts shall be divided as follows: Amount to
be paid by
Party A
Amount to
be paid by
Party B
Creditor Name Amount Owed
a.
$
$ $
b. $ $ $
c. $ $ $
d. $ $ $
e. $ $ $
f. $ $ $
g. $ $ $
h. $ $ $
i. $ $ $
Continues on attached page.
6. Any debts or obligations incurred by either party before the date of separation, that are not
identified in the list above or attached, shall be paid by the party who incurred the debt or
obligation and that party shall indemnify and hold the other party harmless from such debts.
Page 15 of 16
©Super ior Court of Arizona in Maricopa County DR71f - 050217
ALL RIGHTS RESERVED
Case Number ________________
7. SEPARATE PROPERTY . (Property acquired before t he marriage or by gift or bequest to one party.)
Property recognized as the separate property of Party A or Party B , is assigned below:
Description Value To Party A To Party B
$
$
$
$
$
$
$
8. SEPARATE DEBT : (Debt acquired before the marriage.)
Debt recognized as the separate debt of Party A or Party B , is assigned below:
Creditor Name
Debt
Amount
Party A
Pays
Party B
Pays
$
$
$
$
$
$
Continued on attached page.
SI GNATURE OF BOTH PARTIES (for Consent Decree)
This “Exhibit A” represents the agreement of the parties as to the division of property and debt. The
terms of the agreement are fair and equitable and have been reached free of coercion, duress, or threat
of force.
By signing below, each of us states to the court under penalty of perjury that we have read and
understand this document, and that the information contained in the document is true and correct to
the best of our individual knowledge and belief.
Party A ’s Signature Date
Party B ’s Signature Date
If either party is represented by an attorney, the attorney(s) must sign:
Party A ’s Attorney Date Party B ’s Attorney Date
Page 16 of 16
©Super ior Court of Arizona in Maricopa County DR71f - 050217
ALL RIGHTS RESERVED
