IN THE CIRCUIT COURT OF THE TWELFTH JUDICIAL CIRCUIT WILL COUNTY, ILLINOIS IN RE THE MARRIAGE OF: __________________________________ Plaintiff VS. CASE NO.________________________ Defendant __________________________________ SIMPLIFIED PROCEDURE AGREEMENT AS TO ASSETS AND DEBTS Now Come__________________________,Plaintiff, and______________________________, (Type or Print Plaintiff's Name) (Type of Print Defendant's Name) Defendant, and hereby agree to the following distribution of all marital assets in excess of One Hundred Dollars ($100.00) in value and the following division of all marital debts and liabilities. Marital Assets Description of Assets and Estimated Value (List all marital assets in excess of One Hundred Dollars ($100.00) in value - assets of lower value may be listed.) Party to Receive Assets (Enter name of party [Husband or Wife] who will receive the assets.) 1.________________________________________ 2.________________________________________ 3.________________________________________ 4.________________________________________ 5.________________________________________ 6.________________________________________ 7.________________________________________ 8.________________________________________ 9.________________________________________ 10._______________________________________ 11._______________________________________ 12._______________________________________ 13._______________________________________ 14._______________________________________ 15._______________________________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ 2000 © American LegalNet, Inc. Marital Debts and Liabilities Description of Debt or Liability (List all Marital Debts and Liabilities) Amount (List Total Balance Due) Account Number (List Account Number where Applicable) Party To Pay Debt (Enter name of Party [husband or wife] who will be responsible for paying the Debt or Liability) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ________________________________________ Plaintiff's Signature _______________________________________ Defendant's Signature Subscribed and Sworn to before me this________ day of _______________________, __________ Subscribed and Sworn to before me this_______ day of________________________, _________ _______________________________________ Notary Public (Seal) _______________________________________ Notary Public (Seal) 2000 © American LegalNet, Inc.