
FMLA Request Form Template – Employee Family & Medical Leave Application for HR | PDF and Word
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Create a clear written record of important financial, property, and family arrangements during separation with this comprehensive Marital Separation & Property Settlement Agreement Template.
Designed for married couples who want to document proposed separation terms, this customizable two-page agreement addresses property division, real estate, debts, child custody and parenting time, child support, spousal support, taxes, legal fees, and future divorce proceedings.
The agreement provides fields for the marriage and separation dates and includes an acknowledgment that both spouses have made a full and fair disclosure of their assets and liabilities.
WHAT’S INCLUDED
This Marital Separation & Property Settlement Agreement includes:
• Spouse Information
• Marriage Date & Location
• Separation Date
• Financial Disclosure Acknowledgment
• Primary Residence Information
• Exclusive Occupancy Terms
• Mortgage & Household Expense Responsibilities
• Future Sale of Residence Terms
• Child Information
• Legal Custody
• Physical Custody
• Parenting Time Schedule
• Child Support
• Children's Health Insurance
• Separate Property for Each Spouse
• Joint Debt Allocation
• Indemnification Provision
• Spousal Support / Alimony
• Alimony Waiver Option
• Tax Filing Arrangements
• Attorney Fee Responsibilities
• Future Divorce Decree Provision
• Severability Language
• Spouse Signatures
• Notary Public Acknowledgment
MARRIAGE & SEPARATION INFORMATION
Establish the basic background of the spouses' relationship and separation.
Customize:
✓ Marriage Date
✓ Marriage Location
✓ Separation Date
✓ Spouse Names
✓ Purpose of the Agreement
The agreement states that its purpose is to settle matters involving property division, debts, and child custody and includes an acknowledgment of full and fair asset and liability disclosure.
MARITAL HOME & REAL ESTATE
Clearly document what will happen with the primary residence during and after separation.
The template includes customizable provisions for:
• Property Address
• Exclusive Occupancy
• Mortgage Responsibility
• Property Taxes
• Homeowners Insurance
• Utilities
• Future Sale Date
• Division of Net Sale Proceeds
CHILD CUSTODY & PARENTING TIME
For spouses with minor children, the agreement provides a framework for documenting proposed parenting arrangements.
Sections include:
• Children's Names & Birthdates
• Joint or Sole Legal Custody
• Health, Education & Welfare Decision-Making
• Equal or Primary Physical Custody
• Specific Parenting Time Schedule
The parenting-time section can be customized with specific days, times, weekends, and other arrangements agreed upon by the spouses.
CHILD SUPPORT & HEALTH INSURANCE
Document proposed financial responsibilities for minor children.
Customize:
✓ Parent Paying Child Support
✓ Monthly Child Support Amount
✓ Parent Receiving Support
✓ Support Start Date
✓ Responsibility for Children's Health Insurance
The template currently provides for maintaining health insurance when available through employment at a reasonable cost.
PROPERTY & ASSET DIVISION
Keep a written record of which assets will be assigned to each spouse.
Dedicated sections are provided for listing separate property such as:
• Vehicles
• Bank Accounts
• Retirement Accounts
• Heirlooms
• Other Personal Property
DEBT RESPONSIBILITIES
Clearly identify how joint debts will be handled after separation.
List:
• Creditor Name
• Debt Responsibility
• Spouse Assigned to Each Debt
The agreement also includes an indemnification provision under which each spouse agrees to hold the other harmless from liabilities or expenses associated with debts assigned to them.
SPOUSAL SUPPORT / ALIMONY
Choose between waiving spousal support or documenting an agreed payment arrangement.
The template provides options for:
✓ Mutual Waiver of Alimony
OR
✓ Monthly Spousal Support Payments
When support will be paid, customize:
• Paying Spouse
• Receiving Spouse
• Monthly Amount
• Duration
• Termination Date / Conditions
The included language provides for termination upon death of either spouse, remarriage of the recipient, or another specified date.
TAXES & LEGAL FEES
Document how certain financial matters will be handled during the separation.
The agreement provides a choice for the spouses to indicate whether they intend to file jointly or separately for the current tax year.
It also states that each spouse will be responsible for their own attorney fees and costs associated with the agreement and a subsequent divorce decree.
FUTURE DIVORCE DECREE
The template states that the agreement will be incorporated into a future divorce decree and contains a severability provision stating that if one part is held invalid, the remainder will continue in effect.
Because incorporation into a divorce decree is ultimately subject to applicable law and court procedures, this provision should be reviewed for the spouses' jurisdiction.
SIGNATURES & NOTARIZATION
Complete the agreement with dedicated signature fields for both spouses and a professional Notary Public acknowledgment section.
Includes:
• Spouse 1 Signature & Date
• Spouse 2 Signature & Date
• State
• County
• Acknowledgment Date
• Notary Signature
• Commission Expiration
PERFECT FOR
• Married Couples Separating
• Marital Separation Planning
• Property Settlement Discussions
• Uncontested Separation
• Divorce Preparation
• Property Division
• Debt Division
• Parenting Arrangements
• Child Custody Planning
• Parenting Time Documentation
• Child Support Arrangements
• Spousal Support Arrangements
• Separation Financial Planning
CUSTOMIZABLE FOR YOUR SITUATION
Personalize the agreement with your:
• Spouse Names
• Marriage Information
• Separation Date
• Home Address
• Mortgage Responsibilities
• Property Sale Terms
• Children's Information
• Custody Arrangement
• Parenting Schedule
• Child Support Amount
• Health Insurance Responsibilities
• Individual Assets
• Joint Debts
• Spousal Support Terms
• Tax Filing Arrangement
• State & County
DIGITAL DOWNLOAD
This is a digital product. No physical item will be shipped.
Your purchase includes a customizable 2-page Marital Separation & Property Settlement Agreement in PDF and Word formats.
Download the files, complete the customizable sections based on the spouses' circumstances, and carefully review the entire agreement before signing or submitting it in connection with a legal proceeding.
IMPORTANT FAMILY LAW DISCLAIMER
This template is provided for general informational and document-preparation purposes only. It does not constitute legal, family-law, tax, financial, or custody advice and is not a substitute for advice from a qualified attorney.
Completing or signing this template does not guarantee that a court will approve or enforce its terms. Separation, divorce, marital property, custody, parenting time, child support, spousal support, debt allocation, and tax requirements vary significantly by jurisdiction.
Courts generally retain authority over matters involving minor children, and parents cannot necessarily make child custody or child support provisions binding merely by including them in a private agreement. The template's proposed custody, support, and health-insurance provisions should therefore be reviewed against applicable requirements.
Likewise, assigning a joint debt to one spouse in this agreement does not necessarily release the other spouse from contractual liability to the creditor. The indemnification language addresses responsibility between the spouses but does not, by itself, alter a creditor's rights.
Because this agreement can affect significant rights involving real estate, retirement assets, debts, taxes, child custody, support, and alimony, both spouses should consider obtaining independent legal advice before signing.
Due to the nature of digital products, all sales are final.

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