MARITAL SETTLEMENT AGREEMENT In re Marriage of: ______________________________Case Number: ___________________ 1. We have the following minor child or children: Name: DOB: Name: DOB: Name: DOB: Name: DOB: To list any other minor children, attach form MC-020 or attach a sheet of paper and write Additional Minor Children with name and date of birth of each child. Check here if you attach another page 2. Custody of and visitation with the children shall be awarded as set forth on the attached Child Custody and Visitation Order Attachment-Judicial Council Form (FL-341) OR mediation agreement. 3. Child support for the minor children shall be ordered as set forth on the attached: Child Support Information and Order Attachment-Judicial Council Form (FL-342) OR Child support is payable through Department of Child Support Services (see attached notice from DCSS). 4. Health insurance coverage shall be maintained and health care expenses paid as set forth on the attached: Child Support Information and Order Attachment-Judicial Council Form (FL-342). 5. Regarding spousal support (choose only one): Each party waives the right to receive spousal support, and requests that the court terminate jurisdiction to award future spousal support to the other party. Spousal support is ordered as set forth in the attached Spousal, Partner, or Family Support Order Attachment-Judicial Council Form (FL-343). Petitioner/Respondent (choose one) shall pay to Petitioner / Respondent (choose one) as and for spousal support the sum of $______ per month, commencing _______and continuing until______. If no termination date is specified, said support shall continue until the death of either party, remarriage of the supported party, or further order of the court. 6. The division of community and separate property assets and debts is set forth on the attached: Property Order Attachment to Judgment-Judicial Council Form (FL-345) OR There is no property or debt to be divided. Other: Form Approved for Optional Use Page 1 of 2 FL-11 (Adopted 1/1/11) American LegalNet, Inc. www.FormsWorkFlow.com Case Number: ___________________ MARITAL SETTLEMENT AGREEMENT 7. The parties stipulate this cause may be tried as an uncontested matter. Each party enters into this waiver knowingly, intelligently and voluntarily, and understands that this waiver does not limit the legal disclosure obligations of the parties. 8. Each party declares that they have completed and served on the other party a Preliminary Declaration of Disclosure -Judicial Council Form (FL-140) in compliance with Family Code section 2104. Service of the Final Declaration of Disclosure is waived under Family Law Code 9. Section 2105 (d). Each of us declares under penalty of perjury under the laws of the State of California that the information contained in these paragraph(s) 7,8,& 9, are true and correct. 10. Pursuant to Government Code § 70671, no filing fee shall be required because it is intended that this marital settlement agreement shall be incorporated into the decree of dissolution of marriage. Dated: Petitioner Dated: Respondent (Notarization required if Response not filed.) NOTARY ACKNOWLEDGMENT STATE OF CALIFORNIA COUNTY OF (specify): ___________________________________ On (date): _________________________ before me (name and title):_________________ personally appeared name: ___________________________________________________, who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her authorized capacity, and that by his/her signature on the instrument the person, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing is true and correct. WITNESS my hand and official seal. (NOTARY SEAL) ______________________________ Signature of Notary Public Form Approved for Optional Use FL-11 (Adopted 1/1/11) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com