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Shared by: Casey Beldon
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Empire State Legal Forms, Inc. SEPARATION AGREEMENT Sample form- this form is not a substitute for the advise of an attorney; provisions not applicable for all situations Separation agreements are important legal documents with significant consequences. If you should have questions relating to the application of the law to your particular circumstances, you should seek the assistance and advice of an attorney. Not all provisions contained herein may be applicable to your situation. This Separation Agreement, (the “Agreement”) is made and entered into at New York, New York, this day of , 200 , between , ("Husband”) and (“Wife”) both of whom represent and agree as follows: WHEREAS, the parties hereto are Husband and Wife, having married on and WHEREAS, there were namely: “Children”); and WHEREAS, wife is not now pregnant with a child of the marriage; and WHEREAS, unfortunate differences have arisen between the parties rendering it impracticable for them to continue to live together, and the have separated as of and apart for life; and WHEREAS, Husband has employed and has the benefit of counsel and advice of attorney and the Wife has employed and had the benefit of counsel and advice of negotiation and execution of this Agreement; and WHEREAS, without any collusion or coercion, the parties mutually consider it to be in their best interests to settle between themselves all of the issues arising out of their marriage, including, but not limited to a division of their property, the payment of their debts and obligations, spousal support and the like, and to forever settle all of the other rights growing out of their marriage of every kind, nature and description, which either party now has or may hereafter claim to have against the other, including but not limited to all rights as his and intend to thereafter live separate , born ( and ) children born the issue of the parties marriage, , born (hereinafter jointly referred to as the in ; as her attorney in the 1

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