Whereas the above named petitioner has commenced a proceeding for dissolution form
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- 1 - STATE OF MINNESOTA DISTRICT COURT COUNTY OF JUDICIAL DISTRICT FAMILY COURT DIVISION In Re the Marriage of: Court File No. , Petitioner, MARRIAGE DISSOLUTION
AGREEMENT AND , Respondent,
WHER EA S, t h e a b o ve-n am ed P etitio ner h as c o m men ced a p ro ceed in g f o r d is so lu tio n
again st t h e a b ove-n am ed R esp onden t a n d t h is p ro ceed in g i s n ow p en din g b efo re t h e a b ove-n am ed
Court.W HER EA S, b oth o f t h e p artie s c o nsid er i t i n t h eir b est i n te re sts t o a g re e u pon a ll m atte rs
with r e sp ect t o t h e d iv is io n o f p ro perty , s p ousa l m ain te n an ce ( a lim ony) a n d a ll o th er m atte rs a t i s su e
be tw een t h em .W HER EA S, P etitio ner a n d R esp onden t h av e a d vis e d e ach o th er a s t o t h e e x te n t, n atu re a n d
am ount o f t h eir p ro perty , i n co m e a n d i n deb te d ness, a n d e ach i s r e ly in g o n t h is d is c lo su re i n e n te rin g
in to t h is a g re em en t; a n dW HER EA S, P etitio ner a n d R esp onden t a re e ach r e p re se n te d b y s e p ara te l e g al c o unse l w ho
hav e a d v is e d t h em d urin g t h e c o urs e o f t h is p ro ceed in g.N OW , T H ER EFO RE, I T I S H ER EB Y S T IP U LA TED A ND A GREED b y a n d b etw een t h e
pa rtie s t h at i f u pon t h e t r ia l o f t h e a b ove e n title d m atte r a s a d efa u lt c ase t h e C ourt s h all d is so lv e t h e
ma rria g e o f t h e p artie s a n d u tiliz e t h e f o llo w in g p ro vis io ns a s a p art o f t h e J u dgm en t a n d D ecre e t o
- 2 -
be e n te re d t h ere in i f t h e s a m e b e a g re eab le t o a n d a p pro v ed b y t h e C ourt. 1 . Defa u lt . T he R esp onden t h ere b y a ck now le d ges t h at s h e h as b een s e rv ed w ith a
S um mons a n d P etitio n i n t h e a b ove-e n title d m atte r a n d t h at t h e R esp onden t e x pre ssly w aiv es h er
rig ht t o i n te rp ose a n A nsw er a n d C ounte r P etitio n i n t h is p ro ceed in g a n d
ag re es t o a llo w t h e a b ove e n title d m atte r t o p ro ceed b y d efa u lt w ith out f u rth er n otic e t o t h e
Re sp ond en t. 2 . Adm in is tr a tiv e H ea rin g. T hat t h e p artie s m ay s u bm it t h e m atte r f o r a n
ad m in is tr a tiv e h earin g w hic h w ill f a cilita te e n tr y o f t h e J u dgm en t a n d D ecre e w ith out a n a p peara n ce
by e ith er o f t h e p artie s.
3 . Milit a ry S er v ic e. T he p artie s a ck now le d ge t h at n eith er p arty h ere to i s i n t h e
M ilita ry S erv ic e o f t h e U nite d S ta te s o f A m eric a.
4 . Waiv er o f S p ou sa l M ain te n an ce. E ach o f t h e p artie s e x pre ssly w aiv e t h eir c la im s
a g ain st e ach o th er f o r a n y s p ousa l m ain te n an ce, t e m pora ry o r p erm an en t.
5 . Pro p erty S ettle m en t. T he p artie s a g re e t o d iv id e t h e m arita l a n d n on-m arita l a sse ts
a s f o llo w s:
a . Perso n al P ro p erty a n d H ou se h old G ood s. T he p artie s a g re e t h at e ach
sh all h av e t h e s o le t itle a n d u se o f t h e p ers o nal p ro perty , h ouse h old g oods,
fu rn itu re a n d e q uip m en t p re se n tly i n t h eir r e sp ectiv e p osse ssio n a s o f t h e
da te t h is M arria g e T erm in atio n A gre em en t i s s ig ned .
b. Ban k A cco u nts , S to ck s, B on ds, P en sio n a n d L if e I n su ra n ce . T he p artie s
a g re e t h at e ach s h all h av e t h e s o le t itle a n d u se o f w hate v er b an k a cco unts ,
st o ck s, b onds, s a v in gs a cco unts , p en sio ns, l if e i n su ra n ce p olic ie s w ith a n y
cash v alu e t h ere o n, a n d a n y o th er a sse ts w hic h a re h eld i n t h eir n am e o r f o r
th eir b en efit a s o f t h e d ate o f t h is M arria g e T erm in atio n A gre em en t.
c . Moto r V eh ic le s. T he P etitio ner s h all b e a w ard ed a ll r ig ht, t itle a n d i n te re st
i n a n d t o t h e 2 0_ __ e n title d t o t h e e x clu siv e t itle a n d p osse ssio n o f t h e
au to m obile o f t h e p artie s, a n d t h e s h all b e e n title d t o t h e e x clu siv e t itle a n d
po sse ssio n o f t h e a u to m obile o f t h e p artie s.
- 3 -
6. Deb ts . T he P etitio ner/R esp onden t a g re es t o b e r e sp onsib le f o r a n d s h all a ssu m e t h e
o b lig atio n o f a ll o f t h e d eb ts o f t h e p artie s i n cu rre d p rio r t o . A ny d eb t i n cu rre d a fte r s a id d ate s h all
be s o le ly t h e o blig atio n o f t h e p arty i n cu rrin g t h e s a m e.
T here a re n o j o in t m arita l d eb ts . T he p artie s a g re e t h at e ach o f t h em s h all b e
in div id ually l ia b le f o r a n y d eb t i n cu rre d i n t h eir n am e o r f o r t h eir b eh alf . T he p artie s a g re e t o
indem nif y a n d h old e ach o th er h arm le ss f ro m a n y p ay m en t o n t h e o th er's d eb ts , i n clu din g a n y
reaso nab le a tto rn ey 's f e es o r c o sts i n cu rre d b y e ith er p arty i n s e cu rin g s a id i n dem nif ic atio n. 7. Hara ssm en t. T he P etitio ner a n d t h e R esp onden t a n d t h eir a g en ts a n d s e rv an ts a g re e
to b e e n jo in ed a n d r e str a in ed f ro m d oin g, o r a tte m ptin g t o d o, a n y a ct o f i n ju rin g, m altr e atin g,
vi lif y in g o r h ara ssin g t h e a d vers e p arty e ith er i n p ers o n o r b y t h e t e le p hone.
8 . Atto rn ey 's F ees a n d C osts . A s a n d f o r c o sts h ere in , t h e D efe n den t a g re es t o p ay t o
th e _ _________ a t t h e o ffic e o f _ ____________'s a tto rn ey t h e s u m o f $ ____________.
E ach o f t h e p artie s s h all b e r e sp onsib le f o r h is o r h er o w n a tto rn ey 's f e es, c o sts a n d
dis b urs e m en ts i n cu rre d i n t h is p ro ceed in g. 9. Cap it a l G ain s T ax . The p artie s a re n otif ie d t h at i n co m e t a x l a w s r e g ard in g t h e
c a p ita l g ain s t a x m ay a p ply t o t h e s a le o f a p rin cip al r e sid en ce. T his i n clu des, b ut i s n ot l im ite d t o ,
th e e x clu sio n a v aila b le o n t h e s a le o f a p rin cip al r e sid en ce f o r t h ose o ver a c erta in a g e u nder S ectio n
12 1 o f t h e I n te rn al R ev en ue C ode o f 1 986, o r o th er a p p lic ab le l a w . U nle ss o th erw is e s p ecif ic ally
sta te d , t h e p arty w ho r e ceiv es t h e p rin cip al r e sid en ce i s e n title d t o h av e t h e f ir s t c h oic e i n e x erc is in g
th is o ffs e t. T he p artie s m ay w is h t o c o nsu lt w ith a n a tto rn ey a n d/o r a cco unta n t c o ncern in g t h e
ap plic ab le l a w s.
1 0. Dis c lo su re. T he p artie s a g re e t h at e ach o f t h em h as m ad e a f u ll a n d f a ir d is c lo su re
o f a ll a sse ts a n d l ia b ilitie s o f w hic h t h ey h av e k now le d g e o r w hic h a re i n t h eir p osse ssio n. T he
pa rtie s f u rth er a ck now le d ge t h at t h is M arria g e T erm in atio n A gre em en t i s b ase d u pon s a id f u ll a n d
fair d is c lo su re a n d t h at e ach o f t h e p artie s h as n ot w ith held f ro m d is c lo su re i n fo rm atio n w hic h
wo uld m ate ria lly e ffe ct t h e d is tr ib utio n b etw een t h e p artie s.
1 1. Sig n in g D ocu m en ts . E ach o f t h e p artie s s h all s ig n w hate v er d ocu m en ts a re
- 4 -
necessa ry t o t r a n sfe r t itle o f t h e a sse ts a s d iv id ed h ere in , a n d s h all d o s o i m med ia te ly u pon e n tr y o f
th e J u dgm en t a n d D ecre e. 1 2. Rele a se o f A tto rn ey s. T he p artie s a g re e t h at u pon s e rv ic e o f t h e J u dgm en t a n d
D ecre e, e ach o f t h eir a tto rn ey s s h all b e r e le ase d f ro m c o ntin ued r e p re se n ta tio n o f t h em i n
connectio n w it h t h is p ro cee d in g.
13. Serv ic e o f P ro cess. T he p artie s c o nse n t a n d a g re e t h at s e rv ic e o f a c o py o f t h e
Ju dgm en t a n d D ecre e u pon t h e a tto rn ey f o r o ne o f t h e p artie s b y t h e a tto rn ey f o r t h e o th er p arty b y
U.S . M ail s h all c o nstitu te d u e a n d p ro per s e rv ic e o f t h e J u dgm en t a n d D ecre e u pon t h em a n d p ro of
th ere o f f o r a ll p urp ose s.
IS F U RTH ER S T IP U LA TED A ND A GREED b etw een t h e p artie s t h at t h ey s u bm it
th em se lv es t o t h e j u ris d ic tio n o f t h e a b ove C ourt f o r t h e p urp ose o f t h is p ro ceed in g a n d t h at t h e
pro vis io ns c o n ta in ed h ere in m ay b e e m bodie d i n a n y J u dgm en t a n d D ecre e e n te re d h ere in .IT I S F U RTH ER S T IP U LA TED A ND A GREED t h at t h is M arria g e T erm in atio n
Ag re em en t s h all n ot b e b in d in g u pon t h e p artie s h ere to u nle ss t h e t e rm s o f t h is M arria g e
Term in atio n A gre em en t s h all b e s u bm itte d t o t h e a b ove-n am ed C ourt a n d i n a ll t h in gs a p pro ved b y
said C ourt a n d u nle ss a d is so lu tio n b e g ra n te d a n d t h e J u dgm en t a n d D ecre e o f d is so lu tio n o f t h e
ma rria g e i n co rp ora te s t h e t e rm s a n d p ro vis io ns o f t h is M arria g e T erm in atio n A gre em en t.I T I S F U RTH ER S T IP U LA TED A ND A GREED b etw een t h e p artie s t h at t h e f o re g oin g
pro vis io ns c o n stitu te f u ll a n d c o m ple te d is p ositio n a n d s e ttle m en t o f a ll q uestio ns a n d i s su es o f
pr o perty d iv is io n, s p ousa l m ain te n an ce ( a lim ony), a tto rn ey 's f e es a n d c o sts , a n d a ll o th er p ro perty
an d i s s u es e x is tin g b etw een t h e p artie s, a n d e x cep t a s s e t f o rth h ere in , n eith er p arty s h all h av e a n y
fu rth er c la im o f a n y k in d o r c h ara cte r a g ain st t h e o th er p arty a ris in g o ut o f t h e m arita l r e la tio nsh ip
of t h e p artie s.
D ate d t h is _ _____ d ay o f _ _________, 2 0______. _ _ _____ _______________ ______________ _______________________________P etitio ner Resp onden t
- 5 - __ _____ _______________ _____ ____________________________A tto rn ey f o r P etitio ner Atto rn ey f o r R esp onden t(A ddre ss)(C ity , S ta te , Z ip )(T ele p hone N um ber)( A tto rn ey R eg . N o.: )_ _ _____ _______________ ______ ____________________________A tto rn ey f o r P etitio ner Atto rn ey f o r R esp onden t (A ddre ss )( C ity , S ta te , Z ip )(T ele p hone N um ber)(A tto rn ey R eg . N o.: )
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