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Fill and Sign the This Agreement is Made between the Wife and Form

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Husband Initials: _______ Wife Initials: ______ - 1 - SEPARATION AND PROPERTY SETTLEMENT AGREEMENT This agreement is made between, _______________________ (the Wife), and ______________________ , (the Husband), to settle all financial matters by mutual agreement and having reached this agreement on this date, do execute this instrument as follows: 1. Children. No Children were born unto the parties and wife is not now pregnant. 2. Property. 2.1 The Marital Home. The parties jointly own real estate located at [address] ______________________________ , [state] ____, [zip code] ________ (the House). The Husband/Wife will convey to the Husband/Wife all of his rig ht, title, and interest in the House by quitclaim deed. The Wife/Husband will ha ve all rights to the escrow account. The Husband/Wife will be solely responsible for, and will pay, the mortgage debt on the House as it matures. The Husband/W ife will hold the Husband/Wife harmless from the mortgage debt on the House. The parties do not jointly own a marital home. 2.2 Automobiles. Each party will retain the vehicle or vehicles already owned or leased in his or her sole name and shall hold the other party harmless from any liabil ity arising from indebtedness or lease obligations related to such vehicle(s). Husband shall entitled to the ______________ automobile with VIN __________________________ and make all payments thereon and hold wife harmless for the payment of same. Wife shall convey all interest in said vehicle to Husband. Wife shall entitled to the ______________automobile with VIN _____________________________ and make all payments thereon and hold husband harmless for the payment of same. Wife shall convey all inter est in said vehicle to Husband. Husband Initials: _______ Wife Initials: ______ - 2 - 2.3 Bank Accounts. The joint bank account at ______________ is hereby awarded to the Wife. The Wife will either close this account or have the Husband’s name re moved from it. The joint bank account at ________________ is hereby awarded to the Husband. The Husband will either close this account or have the Wife’s name removed from it. The parties have already agreed on a division of their remaining ban k accounts. Each party will retain sole ownership in the accounts that be ar his or her name. 2.4 Other Personal Property. The Husband and the Wife have agreed to an equitable division of thei r personal property. All other items of personal or real property currently in the Husband’ s name or belonging solely to him (except as specifically described in this Agreement), including without limitation cash, bank accounts, clothing, clothing access ories, jewelry, securities, retirement plans, business interests, partnerships, ins urance policies, and books, music, art, tools, equipment, and intellectual property, shal l be his sole property, and the Wife hereby renounces any interest that she may have therein. All other items of personal or real property currently in the Wife’s name or belonging solely to her (except as specifically described in this Ag reement), including without limitation cash, bank accounts, clothing, clothing access ories, jewelry, securities, retirement plans, business interests, partnerships, ins urance policies, and books, music, art, tools, equipment, and intellectual property, shal l be her sole property, and the Husband hereby renounces any interest that he m ay have therein. 3. Marital Obligations. Each party will be responsible for the debts incurred in that party’s so le name and will hold the other party harmless from any liability arising from said indebtedness. Husband shall be responsible for the following joint debts of the parties an d hold wife harmless for the payment of same: (a) (b) Husband Initials: _______ Wife Initials: ______ - 3 - (c) (d) Wife shall be responsible for the following joint debts and hold the Husband ha rmless for the payment of same: (a) (b) (c) (d) Other: 4. Alimony. Both the Husband and the Wife waive any and all right to receive periodic alimony, past, present and future. 5. Miscellaneous. 5.1 Taxes. Each party will each prepare and file separate federal and state tax returns for year __________ , at each party’s sole expense. Each party will pay his or her own deficiency; if any, and each party will retain his or her own refund(s), if any. The parties agree that the Wife provided the funds to pay the property taxes and mortgage interest on the House during _______________ and that she is entitled to deduct these expenses on her ______________ income tax return. The parties agree that the Husband provided the funds to pay the property taxes and mortgage interest on the House during ______________ and that he is entitled to deduct these expenses on his _______________ income tax return. Any tax refund which has not been received for the year ________ shall be the property of Husband, Wife, divided equally between Husband and wife. 5.2 Execution. Each party shall execute any and all documents necessary to ef fectuate the terms of this agreement including, but not limited to, deeds, bills of sale, certificates of Husband Initials: _______ Wife Initials: ______ - 4 - title, tax forms, real estate contracts, and the like. If this Agre ement requires the Husband or the Wife to accomplish an act but doesn’t state a time li mit for completion, the act will be completed within 60 days after the divorce is effecti ve. 5.3 Wife’s Name. The Wife’s maiden name, ______________________ , will be restored to her. No restoration of maiden name is sought. 5.4 Costs. Each party shall pay his or her respective attorney, if any. ______________________ shall pay court costs. 5.5 Law This agreement shall be controlled by the laws of the State of Maine. THE PARTIES HAVE EXECUTED THIS AGREEMENT to be effective on the date the divorce is effective. __________________________________ Wife __________________________________ Husband Husband Initials: _______ Wife Initials: ______ - 5 - STATE OF MAINE COUNTY OF _________________ The foregoing instrument was acknowledged before me this _____________________ (date) by _________________________________________ (name of person acknowledged). __________________________ Notary Public Printed Name: _____________________ My Commission Expires: ___________________ STATE OF MAINE COUNTY OF _________________ The foregoing instrument was acknowledged before me this _____________________ (date) by _________________________________________ (name of person acknowledged). __________________________ Notary Public Printed Name: _____________________ My Commission Expires: ___________________

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