Spousal Consent to __________________________
I, ___________________________, the spouse of ____________________, hereby consent to the terms and conditions set forth in the agreement entitled _________________________________, dated _______________, _____.
I acknowledge having read said __________________________ and understand its terms and the effects thereof, and execute this Spousal Consent freely, under no duress or threat of duress, and with full knowledge that I am not bound or required to execute this Spousal Consent. I declare under penalty of perjury under the laws of the State of ______________________ that the foregoing is true and correct. Signed on this ___ day of ___________, ____, in the County of ___________________, State of ______________________.
______________________________ (Sign Above)
______________________________ (Print Name Above)