Court of Common Pleas Tuscarawas County, Ohio General Trial Division : : : : : : : : : : : : : : Name: _______________________________ Address: _____________________________ _____________________________________ Phone: _______________________________ Petitioner 1, and Name: _______________________________ Address: _____________________________ _____________________________________ Phone: _______________________________ Petitioner 2. Case No. Judge Separation Agreement (With Minor Children) This Separation Agreement is voluntarily made and entered into by Petitioner 1, _________________________, and by Petitioner 2, ___ , (hereafter called "parties"), who represent the following: A. Date of Marriage: Place of Marriage: _________________________________ (County, State & Country) . (City) B. Differences have arisen between the parties, and they intend to live separate and apart from each other. The parties acknowledge that they are incompatible as marriage partners. By this Agreement, the parties settle, determine and provide for a division of all their property and debts, for spousal support, and for childrelated issues, where applicable. Page 1 of 14 Separation Agreement (with children) American LegalNet, Inc. www.FormsWorkFlow.com C. Revised 2/12/2016 In consideration of the above and the mutual promises and agreements set forth below, the parties state as follows: 1. Separation The parties shall live separate and apart. Each shall be free from harassment by the other. Neither party shall interfere with the activities, personal life, or privacy of the other; nor shall either engage in any course of conduct calculated to restrain, embarrass, injure, or hinder the other in any way. 2. Division of Property All property, real and personal, wherever situated, which the parties own jointly or individually, or in common with each other, shall be divided as follows: 2.1 Real Estate (check all that apply) We have no real estate. Petitioner 1 has real estate that they owned prior to this marriage, or received by inheritance, and Petitioner 2 is waiving their claims to this real estate, now and in the future. The property is located at: ____________________________________________________________ Petitioner 2 has real estate that they owned prior to this marriage, or received by inheritance, and Petitioner 1 is waiving their claims to this real estate, now and in the future. The property is located at: ____________________________________________________________ The parties jointly own real estate and agree to dispose of it as follows: Location: Dispose of as follows: Each party shall pay and hold the other harmless from any debt owed on real estate that they receive. Revised 2/12/2016 Page 2 of 14 Separation Agreement (with children) American LegalNet, Inc. www.FormsWorkFlow.com 2.2 Motor Vehicles (check all that apply) There are no motor vehicles titled in either party's name. Petitioner 1 shall receive, free and clear of any claims of Petitioner 2, all right, title, and interest in the following motor vehicles: VIN VIN Petitioner 2 shall receive, free and clear of any claims of Petitioner 1, all right, title, and interest in the following motor vehicles: VIN VIN Each party shall pay for, and hold the other harmless from, any debt owed on the motor vehicle(s) that they receive. The Clerk of Courts is ordered to transfer any of the motor vehicles listed above if necessary. 2.3 Household Goods and Personal Property (check all that apply) We agree that our household goods and personal property are already divided, and we are satisfied with the division. Petitioner 1 shall receive the following household goods: ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ Petitioner 2 shall receive the following household goods: ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ See the attached list for the division of household goods. 2.4 Bank Accounts (checking, savings, credit union, certificate of deposit) (check all that apply) We agree that our accounts are already divided, and we are satisfied with the division. Petitioner 1 shall receive the following account(s): (list the type of account and the last four digits of each account) ____________________________________________________________ ____________________________________________________________ Page 3 of 14 Separation Agreement (with children) American LegalNet, Inc. www.FormsWorkFlow.com Revised 2/12/2016  2.5 Petitioner 2 shall receive the following account(s): (list the type of account and the last four digits of each account) ____________________________________________________________ ____________________________________________________________ We have no accounts. Stocks and/or Bonds (check all that apply) We agree that all stocks and/or bonds are already divided, and we are satisfied with the division. Petitioner 1 shall receive the following stocks/bonds: ____________________________________________________________ Petitioner 2 shall receive the following stocks/bonds: ____________________________________________________________ ____________________________________________________________ We do not have any stocks/bonds. 2.6 Pension/Profit Sharing, IRA, 401(k) and/or other Retirement Plans (check all that apply) We agree that these assets are already divided, and we are satisfied with the division. Petitioner 1 shall receive the following: ____________________________________________________________ ____________________________________________________________ Petitioner 2 shall receive the following: ____________________________________________________________ ____________________________________________________________ We do not have any of the above. 2.7 Life Insurance (check all that apply) We agree that the cash value of all life insurance policies has already been divided. Petitioner 1 shall receive the following life insurance policies, free and clear of any claims of Petitioner 2: ____________________________________________________________ ____________________________________________________________ Page 4 of 14 Separation Agreement (with children) American LegalNet, Inc. www.FormsWorkFlow.com Revised 2/12/2016  3. Petitioner 2 shall receive the following lif