Court of Common Pleas Tuscarawas County, Ohio General Trial Division : : : : : : : : : : : : : : Case No. Judge Separation Agreement (No Minor Children) Name: _______________________________ Address: _____________________________ _____________________________________ Phone: _______________________________ Petitioner 1, and Name: _______________________________ Address: _____________________________ _____________________________________ Phone: _______________________________ Petitioner 2. 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: _________________ ________________________________________. (City) (County, State & Country) 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. C. 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. Revised 2/12/2016 Page 1 of 9 Separation Agreement ­ No Minor Children American LegalNet, Inc. www.FormsWorkFlow.com 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 Petitioner 1's 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 Petitioner 2's 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 owing on real estate they receive. Revised 2/12/2016 Page 2 of 9 Separation Agreement ­ No Minor 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 owing on the motor vehicle(s) 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. Revised 2/12/2016 Page 3 of 9 Separation Agreement ­ No Minor Children American LegalNet, Inc. www.FormsWorkFlow.com  2.4 Bank Accounts (checking, savings, credit union, certificate of deposit)(check all that apply) 2.5 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) _________________ ____________________________________________________________ ___________________________________________________________ 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) 2.6 Pension/Profit Sharing, IRA, 401(k) and/or other Retirement Plans (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. 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: ________________________ ________________