Separation Agreement (General) Template

This Separation Agreement (the “Agreement”) is made as of [Effective Date] by and between:

Spouse/Partner A: [Full Name], address: [Address] (“Party A”)
Spouse/Partner B: [Full Name], address: [Address] (“Party B”)

Marriage/Partnership Date (Optional): [Date]
Separation Date: [Date] (the “Separation Date”)

1. Purpose and Status

1.1 The Parties intend to live separately and to settle their rights and responsibilities during separation.
1.2 This Agreement is intended to be: ☐ temporary ☐ permanent ☐ incorporated into a court order (if filed).
1.3 The Parties acknowledge they are entering this Agreement voluntarily and without coercion.

2. Living Arrangements

2.1 Current residences:

• Party A will live at: [Address]

• Party B will live at: [Address]

2.2 Household Expenses: [Who pays what; mortgage/rent/utilities].

3. Children (If Any)

3.1 Children of the relationship: ☐ None ☐ Yes (list): [Names/DOB].
3.2 Legal Custody/Decision-Making: ☐ joint ☐ Party A ☐ Party B.
3.3 Parenting Time Schedule: [Days/holidays/vacations].
3.4 Child Support: $[Amount] per [month], paid by [Party] to [Party], starting [Date].
3.5 Health Insurance and Expenses: [Coverage + split].
3.6 School and Activities: [Decision process + costs split].

4. Support (Spousal Support/Alimony) (Optional)

4.1 Spousal support: ☐ none ☐ temporary ☐ ongoing.
4.2 Amount: $[Amount] per [month], paid by [Party] to [Party], starting [Date].
4.3 Duration/termination: [End date/conditions].

5. Property Division

5.1 Real Estate: [Home address; who keeps; refinance; sale terms].
5.2 Vehicles: [Who keeps which].
5.3 Bank Accounts/Cash: [Accounts + division].
5.4 Retirement Accounts: [Plans + division; QDRO if needed].
5.5 Personal Property: [Furniture, electronics, valuables].
5.6 Business Interests (If Any): [Describe].

6. Debts and Liabilities

6.1 Debts will be handled as follows:

• Mortgage/loan: [Responsibility]

• Credit cards: [Responsibility]

• Student loans: [Responsibility]

• Taxes: [Responsibility]

• Other: [List]

6.2 Each Party will hold the other harmless from debts assigned to them under this Agreement.

7. Insurance and Benefits (Optional)

7.1 Health insurance: [Coverage].
7.2 Life insurance (optional): [Beneficiaries; obligations].
7.3 Auto/home insurance: [Who maintains].

8. Taxes (Optional)

8.1 Filing status: [Separate/Joint if allowed].
8.2 Dependency exemptions/credits: [Who claims children].
8.3 Tax refunds/liabilities: [Allocation].

9. Dispute Resolution (Optional)

9.1 Disputes will be resolved by: ☐ negotiation ☐ mediation ☐ arbitration ☐ court.
9.2 Attorney fees: ☐ each pays own ☐ prevailing party ☐ as ordered.

10. General Terms

10.1 Full Disclosure: The Parties believe they have disclosed material assets and debts.
10.2 Amendments: Must be in writing and signed by both Parties.
10.3 Governing Law: [State/Country].
10.4 Severability: If part is unenforceable, the rest remains effective.

Signatures

Party A: [Full Name]
Date: [Date]
Signature: ___________________________

Party B: [Full Name]
Date: [Date]
Signature: ___________________________

Witnesses (If Required)

Witness Name: [Name]
Date: [Date]
Signature: ___________________________

Notary / Notarization (Optional)

State of [State]
County of [County]

On [Date], before me, [Notary Name], personally appeared [Party A Name] and [Party B Name], known to me (or satisfactorily proven) to be the persons whose names are subscribed to this Agreement, and acknowledged that they executed it for the purposes stated.

Notary Public Signature: _______________________
My Commission Expires: _______________________
Notary Seal (if applicable): ___________________