DEKALB COUNTY SUPERIOR COURT STATE OF GEORGIA , Civil Action Plaintiff, vs. , Defendant. Case Number SETTLEMENT AGREEMENT WITH MINOR CHILDREN This is an agreement between "Wife") and They have The parties are married but are currently separated; and minor children together, who are listed below: Year of Birth Child's Name (referred to here as (referred to here as "Husband"). The parties want to settle between themselves all questions of custody, visitation, child support, insurance, alimony, division of property, debts and all other rights and obligations arising out of their marital relationship; THEREFORE, in consideration of the mutual promises and declarations in this agreement, the parties agree as follows: 1. SEPARATION. The parties shall continue to live apart and each one shall be free from all interference and control by the other, as fully as if unmarried, and each may reside at such places as he or she may choose. Wife (initials) Husband (initials) Page 1 of 10 American LegalNet, Inc. www.FormsWorkFlow.com Settlement Agreement With Children (after 2006) -- rev. approved 11/16/06 - Tech. Rev. 10-2015 Provided by the DeKalb County Superior Court and the Atlanta Legal Aid Society 2. CUSTODY [Check and complete only one of these, either (a) or (b). Do not check both (a) and (b).] (If you want a custody arrangement that is not shown here, you should consult an attorney for appropriate language to use in place of this section.) G (a) The G (b) The shall have sole custody of the children. shall have physical custody of the children, and the parties shall have joint legal custody of them. The parties shall consult each other and try to reach a joint decision on all major issues concerning the children's education, health care and religious upbringing. However, if the parties are not able to reach a joint decision concerning one of these major issues, then the parent with physical custody shall make the final decision on the issue. 3. VISITATION The shall have the right of reasonable visitation with the minor children, at any time by mutual consent of the parties, provided that the beginning and ending times of the visitation have been put into writing and signed by both parties before the start of the visitation. In arranging visitation, the parties shall take into consideration the requirements of the children's school work, their activities, and child care arrangements. (a) (b) (c) (d) If the parties cannot agree on specific visitation, the shall have the right to visitation according to the schedule attached to this Settlement Agreement as "Exhibit A." The visiting parent shall notify the other parent at least 24 hours in advance of any scheduled visitation if he/she does not intend to exercise that visitation opportunity. The visiting parent shall arrive to pick up the children for visitation within the scheduled time, or shall lose that visitation opportunity. Unless otherwise agreed by the parties in writing, the drop-off and pick-up for visitation shall be at 4. OTHER PARENTAL RIGHTS The parties acknowledge that the children have two parents who love them and want to be involved in their upbringing. The parties agree that the welfare of the children is most important and each agrees to encourage a feeling of affection and respect between the children and the other parent. Neither party shall involve the children in actions or communications which would endanger the children's opinion of the other party. . minutes of Wife (initials) Husband (initials) Page 2 of 10 American LegalNet, Inc. www.FormsWorkFlow.com Settlement Agreement With Children (after 2006) -- rev. approved 11/16/06 - Tech. Rev. 10-2015 Provided by the DeKalb County Superior Court and the Atlanta Legal Aid Society (a) Addresses and Telephone Numbers -- The parties agree to provide each other with their current home address and telephone number, as well as a telephone number to call in case of emergency; they also agree to notify each other of any change in the address or telephone numbers, at least 30 days prior to the change. (b) Telephone Communication -- Neither party shall do anything to interfere with the children communicating with the other party. Each party shall have the right to call and talk to the children when they are in the care of the other party, up to one time each day, at the expense of the calling parent. Calls shall be made between the hours of a.m. and p.m. (c) School Information -- The parties agree that it is in the best interest of the children that both parents should participate in the children's educational activities to the fullest extent possible. Therefore, both parties shall have equal access to the school records of the children, and both shall have the right to be provided information concerning the children's progress in school. (d) Health Information -- Each party shall be entitled to complete, detailed information from any physician, dentist or other health care provider attending any of the children. Each party shall notify the other of the children's major illnesses and medical treatments. 5. CHILD SUPPORT, HEALTH INSURANCE & HEALTH CARE EXPENSES The parties have completed the Child Support Order Addendum, Child Support Worksheet, and the appropriate schedules. They have been attached to, and are made a part of, this agreement. 6. LIFE INSURANCE FOR THE BENEFIT OF THE CHILDREN [Check and complete either (a), (b) or (c). Do not check more than one.] G (a) The children depend on the of at least $ Five of this Agreement. for financial support, and therefore the agrees to maintain a policy of insurance on his/her life, with a face amount , for the benefit of the minor children. The policy shall be maintained for so long as at least one of the children is a minor or is otherwise entitled to support under Paragraph G (b) The children depend on both of the parties for financial support, and therefore each party agrees to maintain a policy of insurance on his/her life, with a face amount of at least $ for the benefit of the minor children. The policy shall be maintained for so long as at least one of the children is a minor or is otherwise entitled to support under the Child Support Order Addendum. , Wife (initials) Husband (initials) Page 3 of 10 American LegalNet, Inc. www.FormsWorkFlow.com Settlement Agreement With Children (after 2006) -- rev. approved 11/16/06 - Tech. Rev. 10-2015 Provided by the DeKalb County Superior Court and the Atlanta Legal Aid Society G (c)