Indiana Marital Separation Agreement Template
This Marital Separation Agreement is entered into as of this ____ day of __________, 20____, by and between:
Spouse 1: ______________________
Address: ___________________________
City: _____________________________
State: IN Zip: ______________
Spouse 2: ______________________
Address: ___________________________
City: _____________________________
State: IN Zip: ______________
Both parties are legally married but wish to separate and formalize their agreement regarding their rights and responsibilities during this separation. This Agreement is intended to comply with the laws of the State of Indiana.
1. Date of Separation
The parties agree that their date of separation shall be __________, 20____.
2. Custody of Children
The parties have the following children:
- Child 1: _____________________________
- Child 2: _____________________________
- Child 3: _____________________________
The parties agree as follows regarding custody and visitation:
- Custody arrangement: ________________________________________
- Visitation schedule: ________________________________________
3. Child Support
Spouse 1 agrees to pay the amount of $________ per month as child support, beginning on __________, 20____.
4. Division of Property
Property and assets shall be divided as follows:
- Spouse 1 shall receive: ___________________________________
- Spouse 2 shall receive: ___________________________________
5. Debt Responsibility
The parties agree to divide debts as follows:
- Spouse 1 shall be responsible for: _________________________
- Spouse 2 shall be responsible for: _________________________
6. Health Insurance
The parties agree that health insurance coverage for the children shall be maintained as follows:
- Coverage will be provided by: _____________________________
7. Modification of Agreement
This Agreement may be modified only in writing, signed by both parties.
8. Governing Law
This Agreement shall be governed by the laws of the State of Indiana.
IN WITNESS WHEREOF, the undersigned have executed this Marital Separation Agreement as of the date first above written.
_________________________
Signature of Spouse 1
_________________________
Signature of Spouse 2