1 LEGAL SEPARATION SETTLEMENT AGREEMENT

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10 Case No. ________________________
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I, NAME OF HUSBAND, Husband and I, NAME OF WIFE, Wife, agree as
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follows:
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1. GENERALLY: We were married on DATE OF MARRIAGE and separated on
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15 DATE OF SEPARATION. The length of marriage was LIST NUMBER of years and LIST

16 NUMBER months. We make this agreement with reference to the following facts.
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A. Children: There are no minor children of this marriage. Or if you have minor
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children state, There are ___________ minor children of this marriage, namely, FULL
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NAME and DATE OF BIRTH.
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21 B. Unhappy and irreconcilable differences have arisen between us which have

22 caused the irremediable breakdown of our marriage.

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C. We now intend by this agreement, to make a final and complete settlement of all
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our rights and obligations concerning support and division of property.
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28 LEGAL SEPARATION SETTLEMENT AGREEMENT
 1 2. SEPARATION: We agree to live separately and apart, and, except for the duties
2 and obligations imposed and assumed under this agreement, each shall be as free from
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interference and control of the other as fully as if he or she were single.
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3. CHILD CUSTODY AND VISITATION: Husband and Wife shall share Joint
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Legal and Physical Custody of the minor children of the parties, the scheduling of the times

7 when the minor children shall be in the custody and control of either party shall be as follows:

8 A. In odd-numbered years commencing in 20__, the entirety of the Christmas school

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holidays from noon on the first Saturday following the last day of school to noon on the day
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before school resumes in January, in even-numbered years commencing in 20__, from noon on
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December 26 to noon on the day before school resumes in January.
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13 B. The entirety of the spring school holidays from noon on the first Saturday

14 following the last day of school to noon on the day before school resumes.
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C. The first six weeks of the summer school vacation between noon on the Sunday
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following the last day of school in the spring semester to noon Saturday of the sixth week
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thereafter.
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19 D. Alternate holidays weekends commencing with Columbus Day 20__ upon one

20 weeks prior notice to the Petitioner (such alternating holiday weekends to not include Easter, the
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Fourth of July, Labor Day, Christmas or New Years). For the purposes of this subparagraph
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holiday weekends are defined as three to five day periods including a Saturday and Sunday
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and a legal holiday recognized and celebrated by the school in which the children are enrolled.
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25 Father may have visitation at other reasonable times upon 48 hours notice. All visitation under

26 this subparagraph shall be exercised within 200 miles of the childrens primary residence and the
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28 LEGAL SEPARATION SETTLEMENT AGREEMENT
 1 exchange shall take place at an agreed upon location in or near ___________. The provisions of
2 this subparagraph are entirely optional for the Respondent and his failure to request visitation
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under this subparagraph shall not be considered by any Court in any future modification
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proceeding.
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E. The exchange of the children for all visitation other than that set forth in the

7 preceding subparagraph shall take place by appointment of the parties at an agreed upon location

8 midway between the parties residences if the transportation is to be by private motor vehicle. If
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the parties are unable to agree upon the location, Respondent will pick up the children at
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Petitioners residence to commence his custodial periods, and Petitioner will pick up the children
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at Respondents residence to commence her custodial periods.
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13 F. Respondent shall not use or be under the influence of any intoxicating substance

14 within 12 hours before or during any visitation period. Respondent shall not subject the children
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to the effects of second-hand tobacco smoke while in his residence or vehicle.
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separation-agreement-for-california
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28 LEGAL SEPARATION SETTLEMENT AGREEMENT