NOTICE: THIS DOCUMENT CONTAINS SENSITIVE DATA.
Page 1 of 8 FM-D
ivA-201 Final Decree of Divorce [SET A] (Rev. 01-2 016)
Final Decree of Divorce
A hearing took place on ____________________________ . Date
There was no jury . Neither the husband nor wife asked for a jury .
1.Appearances
Petitioner
The Petitioner’s name is: _______________________________________________ _______________.
F irst Middle Last
The Petitioner is the: (Check one box.) Husband. Wife.
(Check one box.)
The Petitioner was present , representing him/herself, and announced ready for trial .
The Petitioner was present , representing him/herself, and agreed to the terms of this Final Decree of
Divorce
(called “Decree throughout this document) .
The Petitioner was not present but has signed on page 8 agreeing to the terms of this Decree.
Respondent
The Respondent’s name is: _______________________________________ _____________________.
F irst Middle Last
The Respondent is the: (Check one box.) Husband. Wife.
(Check one box.)
The Respondent was present , representing him/herself, and announced ready for trial .
The Respondent was present , representing him/herself, and agreed to the terms of this Decree.
The Respondent was not present, but filed an Answer or Waiver of Service and has signed on page
8 agreeing to the terms of this Decree.
The Respondent was not present, but filed a Global Waiver that waived Respondent’s right to notice
of this hearing and did not otherwise appear.
The Respondent was not present, but was served and has defaulted. The Petitioner has filed a
Certificate of Last Known Address and a Military Status Affidavit.
2. Record (The Court fills out this section.)
A Court reporter recorded today’s hearing.
A Court report er did not record today’s hearing because the parties agreed not to make a record.
A Statement of the Evidence was signed by the Court.
Cause Number :
IN THE MATTER OF THE MARRIAGE OF
Petitioner:
In the ______________ (Court Number)
District Court
County Court at Law
County, Texas
Print first, middle and last name of the spouse filing for divorce.
And
Respondent: Print first, middle and last name of other spouse.
Page 2 of 8 FM-D
ivA-201 Final Decree of Divorce [SET A] (Rev. 01-2 016)
3.Jurisdiction
The Court heard evidence and finds that it has jurisdiction over this case and the parties, that the
residency and notice requirements have been met, and the Petition for Divorce meets all legal
requirements. The Court fu rther finds that :
(Check one box.)
it has been at least 60 days since the Petition for Divorce was filed .
the 60 day waiting period is not required because: (Check one box.)
Petitioner has an active Protective Order under Title 4 of the Texas Family Code, or an active
magistrate’s order for emergency protection under Article 17.292 of the Texas Code of Criminal
Procedure against Respondent because Respondent committed family violence during the
marriage.
Respondent has a final conviction or has received deferred adjudication for a crime involving
family violence against Petitioner or a member of Petitioner’s household.
4.Divorce
IT IS ORDERED t hat the Petitioner and the Respondent are divorced.
5.Children
5A. No Children Together
The Court finds that the Husband and W ife do not have any biological or adopted children together, who
are under 18 years old or over 18 years old and still in high school.
5B. Wife Not Pregnant
The Court finds that the W ife is not pregnant.
5C. Did the Wife have a Child with Another Man while Married to the Husband?
(Check one box .)
The Court finds that the Wife did not have children with another man while married to the Husband.
The Court finds that the Wife did have a child/children with another man while married to the
Husband. All of the children born during the marriage that are not the husband’s adopted or
biological children are named below:
Child’s name Sex Date of Birth
1
2
3
4
5
If the Wife had a child with another man while married to the husband , check one box below and attach copy of
court order or Acknowledgement and Denial of Paternity for each child.
T he Court further finds that paternity of each child listed above has been established,
A court order has established that another man is the biological father and/or the Husband is not
the biological father of the child /ren listed above. A copy of the court order is attached to this
Decree as Exhibit ___.
A n Acknowledgement of Paternit y was signed by the biological father and a Denial of Paternity
was signed by the Husband for the child/ren listed above. A copy of each Acknowledgment and
Denial of Paternity is attached to this Decree as Exhibit (s) ________.
Page 3 of 8 FM-D
ivA-201 Final Decree of Divorce [SET A] (Rev. 01-2 016)
6.Property and Debt (Fill in all lines. If there is no property to declare in a particular category, write “none”.)
The Court finds that the following is a just and right division of the parties’ property and debt.
6A. Husband’s Separate Property
The Court confirms that the Husband owns the following property as his separate property:
1. House or Land located at: __________________________________________________________
Street Address C ity State Zip
Husband owned this property before marriage.
Husband received this property as a gift or inheritance.
2.Cars, trucks, motorcycles or other vehicles Husband owned these vehicles before marriage or
received them as a gift or inheritance during the marriage:
Year Make Model Vehicle Identification No. [VIN]
3. Other Money or Property Confirmed as Husband’s Separate Property
Husband owned the following money or property before the marriage or
inherited or received t he
money or property as a gift during the marriage:
Husband received the following money recovery for personal injuries that occurred during the
marriage that is not for lost wages or medical expenses:
6B. Husband’s Community Property
The Court ORDERS that the Husband is awarded the following community property as his sole and
separate property and W ife is divested of (loses) a ll right , title, interest and claim in and to that property .
Wife is ORDERED to sign any deeds or documents needed to transfer any property listed below to the
Husband. Husband is responsible for preparing the documents .
1.All property in Husband’s care, custody or control, or in Husband’s name, that this Decree does not
give to the W ife.
2. House or land loc ated at:
Street Address City State Zip
Legal Description:
Note: The legal description is on the deed you received when you became an owner of the house or land. It is
also available at the county clerk’s office in the county where the house or land is located. Do NOT use the legal
description listed on your property tax bill because it is usually incomplete. IT IS VERY IMPORTANT THAT THIS
INFORMATION IS CORRECT. If y ou are not absolutely sure, talk to a lawyer.
3.All cash and money in any bank or other financial institution listed in Husband’s name alone .
4.A
ny insurance policy that covers Husband’s life.
5. Husband’s cars, trucks, motorcycles or other vehicles listed below :
Year Make Model Vehicle Identification No. [VIN]
6.Husband will also keep the following property:
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ivA-201 Final Decree of Divorce [SET A] (Rev. 01-2 016)
6C. Wife’s Separate Property
The Court confirms that Wife owns the following property as her separate property:
1. House or Land located at:
__________________________________________________________________________
Street Address City State Zip
Wife owned this property before marriage.
Wife received this property as a gift or inheritance.
2.Cars, trucks, motorcycles or other vehicles W ife owned these vehicles before marriage or
received them as a gift or inheritance during the marriage:
Year Make Model Vehicle Identification No. [VIN]
3. Other Money or Property Confirmed as Wife’s Separate Property
Wife owned the following money or personal property before the marriage or
inherited or received t he
money or property as a gift during the marriage:
Wife received the following money recovery for personal injuries that occurred during the marriage
that was not for lost wages or medical expenses:
6D. Wife’s Community Property
The Court ORDERS that the W ife is awarded the following property as her sole and separate property
and Husband is divested of ( loses) a ll right , title , interest and claim in and to that property . Husband is
ORDERED to sign any deeds or documents needed to transfer any property listed below to the W ife.
Wife is responsible for preparing the documents .
1.All property in W ife’s care, c ustody or control, or in W ife’s name, that this Decree does not give to the
Husband.
2. House or land located at:
Street Address City State Zip
Legal Description:
Note: The legal description is on the deed you received when you became an owner of the house or land. It is
also available at the county clerk’s office in the county where the house or land is located. Do NOT use the legal
description listed on your property tax bill because it is usually incomplete. IT IS VERY IMPORTANT THAT THIS
INFORMATION IS CORRECT. If you are not absolutely sure, talk to a lawyer.
3.All cash and money in any bank or other financi al institution listed in W ife’s name alone .
4.A
ny insu rance policy that covers Wife’s life.
5. Wife ’s cars, trucks, motorcycles or other vehicles listed below :
Year Make Model Vehicle Identification No. [VIN]
6.Wife will also keep the following property:
Page 5 of 8 FM-D
ivA-201 Final Decree of Divorce [SET A] (Rev. 01-2 016)
6E. Retirement Funds in Husband’s Name
(For example: pension, retirement, 401(k), 403(b), employee stock ownership, profit sharing, thrift, Keogh, and stock
option plans, as well as individual retirement accounts (IRAs), annuities and variable annuity life insurance benefi ts.)
T
he Court makes the following orders regarding retirement funds in Husband’s name.
(Check 6E(1) or 6E(2) .)
6E(1) Husband is awarded 100% of all retirement funds in Husband’s name alone, including but not
limited to all rights to any pension, retirement, military retirement, 401(k), 403(b), employee
stock ownership, profit sharing, thrift, Keogh, and stock option plans in Husband’s name
alone, along with 100% of any individual retirement accounts (IRAs), annuities, and variable
annuity life insurance in Husband’s name alone.
6E(2) The following retirement funds in Husband’s name are divided between Husband and Wife:
(It is very important to list the exact name and account number of any retirement fund being divided by the Court. )
Formal Name of Retirement Fund Account Number
T he Court ORDERS that the portion of each retirement fund listed above accrued between
the date of the marriage _ ____/_____/________ and the date this Final Decree of Divorce is
signed by the Court:
(Check one.)
is awarded 50% to Husband and 50% to Wife and as more specifically described in
the Qualified Domestic Relations Order signed by the Court .
is awarded ______% to Husband and ______% to W ife and as more specifically
described in the Qualified Domestic Relations Order signed by the Court .
is awarded $ __________________ to Wife and the remainder to Husband and as
more specifically described in the Qualified Domestic Relations Order signed by
the Court .
other:
The Court ORDERS that Husband is awarded all retirement funds in Husband’s name alone
that are not specifically awarded to Wife above.
A Qualified Domestic Relations Order was signed by the Court on the same day this
Final Decree of Divorce was signed by the Court.
The Court checks this box, if applicable.
Page 6 of 8 FM-D
ivA-201 Final Decree of Divorce [SET A] (Rev. 01-2 016)
6F. Retirement Funds in Wife’s Name
(For example: pension, retirement, 401(k), 403(b), employee stock ownership, profit sharing, thrift, Keogh, and stock
option plans, as well as individual retirement accounts (IRAs), annuities and variable annuity life insurance benefits.)
T
he Court makes the following orders regarding retirement funds in W ife’s name.
(Check 6F(1) or 6F(2) .)
6F(1) Wife is awarded 100% of all retirement funds in W ife’s name alone, including all rights to any
pension, retirement, military retirement, 401(k), 403(b), employee stock ownership, profit
sharing, thrift, Keogh, and stock option plans in W ife ’s name alone, along with 100% of any
individual retirement accounts (IRAs), annuities, and variable annuity life insurance in W ife’s
name alone.
6F(2) T he following retirement funds in W ife’s name are divided between Husband and Wife:
(It is very important to list the exact name and account number of any retirement fund being divided by the Court. )
Formal Name of Retirement Fund Account Number
T he Court ORDERS that the portion of each retirement fund listed above accrued between
the date of the marriage _ ____/_____/_ _______ and the date this Final Decree of Divorce is
signed by the Court:
(Check one.)
is awarded 50% to W ife and 50% to Husband and as more specifically described in
the Qualified Domestic Relations Order signed by the Court.
is awarded ______% to Wife and __ ____% to Husband and as more specifically
described in the Qualified Domestic Relations Order signed by the Court.
is awarded $ __________________ to Husband and the remainder to Wife and as
more specifically described in the Qualified Domestic Relations Order signed by
the Court.
other:
The Court ORDERS that Wife is awarded all retirement funds in Wife’s name alone that are
not specifically awarded to Husband above.
A Qualified Domestic Relations Order was signed by the Court on the same day this
Final Decree of Divorce was signed by the Court.
The Court checks this box, if applicable .
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ivA-201 Final Decree of Divorce [SET A] (Rev. 01-2 016)
6G. Debts to Husband
The Court ORDERS Husband to pay the debt s listed below:
1. All debts, taxes, bills, liens, and other charges, past, present and future, that are in Husband’s nam
e
al
one unless this Decree requires otherwise.
2. Any debt Husband incurred after separation. Date of separation: ____________________________.
Month Day Year
3.The balance due on any loan or mortgage for the real property (house or land) that this Decree gives
to Husband alone.
4. The balance due on any loan for any vehicles that this Decree gives to Husband alone.
5. All other debts listed below, which are not in Husband’s name alone:
(such as credit cards, student loans,
medical bills, income taxes)
6H. Debts to Wife
The Court ORDERS W ife to pay the debts listed below:
1. All debts, taxes, bills, liens, and other charges, present and future, that are in W ife’s name alone
unless this Decree requires otherwise.
2. Any debt Wife incurred after separation. Date of separation: ________________________________.
M onth Day Year
3.The balance due on any loan or mortgage for the real property that this Decree gives to W ife alone.
4. The balance due on any loan for any vehicles that this Decree gives to W ife alone.
5. All other debts listed below, which are not in Wife’s name alone:
(such as credit cards, student loans,
medical bills, income taxes)
7 . Muniment of Title
This Decree shall serve as a muniment of title to transfer ownership of all property awarded to any party
in this Final Decree of Divorce.
(A “muniment of title” creates an official record of ownership transfer.)
8.N
ame Change
The Court ORDERS the name of the: (Check all boxes that apply.)
Husband changed back to a name used before marriage, as it appears below:
____ ____________________________________________________________________________ F irst Middle Last
Wife changed back to a name used before marriage, as it appears below:
____ ____________________________________________________________________________ F irst Middle Last
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ivA-201 Final Decree of Divorce [SET A] (Rev. 01-2 016)
9.Court Costs
The costs of court shall be paid by the spouse who incurred them to the extent the party is required to pay
such costs. A spouse who filed an Affidavit of Indigency or Declaration of Indigency that was not
successfully contested is not required to pay court costs.
10. Other Orders
The court has the right to make other orders, if needed, to clarify or enforce the orders above.
11. Final Orders
Any orders requested that do not appear above are denied. This Decree is a final judgment that disposes
of all claims and all parties and is appealable.
Date of Judgment Judge’s Signature
Judge’s Printed Name
By signing below, the Petitioner agrees to the
form and substance of this Final Decree of
Divorce . B
y signing below, the Respondent agrees to the
form and substance of this Final Decree of
Divorce .
( ) ( )
Petitioner’s Signature Phone number Respondent’s Signature Phone number
Petitioner’s Name (print) Date Respondent’s Name (print) Date
Mailing
Address: Mailing
Address :
Email: Email:
Fax#: (if available) Fax#: (if available)