Georgia Marital Separation Agreement
This Marital Separation Agreement is entered into on this _____ day of __________, 20____, by and between:
Party A:
Name: _______________________________
Address: _____________________________
City/State/Zip: ______________________
Party B:
Name: _______________________________
Address: _____________________________
City/State/Zip: ______________________
This Agreement is governed by the laws of the State of Georgia.
The parties mutually agree as follows:
- Separation: The parties agree to live separately and apart from this date forward.
- Children: The children of the marriage are:
- Name: ___________________ Age: _______________
- Name: ___________________ Age: _______________
- Name: ___________________ Age: _______________
- Custody: The parties agree to the following custody arrangement:
_______________________________________________________
- Child Support: The amount of child support to be paid is:
$____________ per month.
- Division of Property: The parties agree on the following division of property:
_______________________________________________________
- Spousal Support: Party A/Party B agrees to pay spousal support of:
$____________ per month.
- Health Insurance: The parties agree on health insurance coverage for:
_______________________________________________________
- Debt Responsibility: The parties agree to the following arrangements for debts:
_______________________________________________________
- Modification: This Agreement may be modified only in writing and must be signed by both parties.
By signing below, both parties acknowledge that they have read and understood the terms of this Marital Separation Agreement and voluntarily agree to its provisions.
Party A Signature: ____________________________ Date: ____________
Party B Signature: ____________________________ Date: ____________
Witness: ______________________________________ Date: ____________
State of Georgia, County of _____________
Before me, the undersigned notary public, personally appeared Party A and Party B, who acknowledged the execution of this Agreement. Witness my hand and official seal this _____ day of __________, 20____.
__________________________________
Notary Public Signature
My commission expires: ______________