Fillable Printable Marital Dissolution Agreement - Tennessee
Fillable Printable Marital Dissolution Agreement - Tennessee
Marital Dissolution Agreement - Tennessee
HUSBAND: Initials _______________ Date Signed WIFE: Initials ______________ Date Signed ______
August 2012 (FORM 5) Divorce Agreement Page 1
Approved by the Tennessee Supreme Court
To request an ADA accommodation, please contact Dart Gore at 880-3309.
IN THE ____________ CIRCUIT COURT FOR DAVIDSON COUNTY, TENNESSEE
Plaintiff [NAME (First, Middle, Last) OF SPOUSE FILING THE DIVORCE]
vs.
Docket No:
Defendant [NAME (First, Middle, Last) OF THE OTHER SPOUSE]
Divorce Agreement
[Marital Dissolution Agreement]
This form explains how you and your spouse will divide your property and debts.
You must file this form with your Complaint for Divorce (FORM 1).
We say that:
We are the Wife and Husband listed above. We are filing a Complaint for Divorce in the county and Court
listed above because we can no longer get along as Husband and Wife. We understand our marriage rights
and duties and want to get an agreed divorce.
We agree on everything in the Complaint for Divorce. The Complaint for Divorce does not have to be served
and there is no need to file an Answer.
Each of us has read this whole Divorce Agreement and agree it is fair. We understand that it will become part
of our Final Decree of Divorce.
No one made us sign this Agreement. We will sign any other papers needed to carry out this Agreement.
Children:
My spouse and I have no children together who are under 18, in high school, or disabled. Children together
means children we had together who were born before our marriage AND any and all children born or adopted
during our marriage.
The Wife is not pregnant.
Real Property (house, land, or mobile homes that are permanently attached to the ground):
Neither spouse owns real property.
Other Assets (business or retirement accounts):
Neither spouse owns a business or has a retirement account.
HUSBAND: Initials _______________ Date Signed WIFE: Initials ______________ Date Signed ______
August 2012 (FORM 5) Divorce Agreement Page 2
Approved by the Tennessee Supreme Court
To request an ADA accommodation, please contact Dart Gore at 880-3309.
Husband’s Personal Property:
The Husband will own the following property:
a. Vehicles (cars, motorcycles, trucks, boats, etc.)
Vehicle 1
Year
Make
Model
VIN #
Vehicle 2
Year
Make
Model
VIN #
Vehicle 3
Year
Make
Model
VIN #
Vehicle 4
Year
Make
Model
VIN #
b. Other personal property (bank accounts, cash, furniture, jewelry, etc.) – NOT houses or land:
Describe:
c. All personal property currently in the possession of the Husband is his as follows:
Wife’s Personal Property:
The Wife will own the following property:
a. Vehicles (cars, motorcycles, trucks, boats etc.)
Vehicle 1
Year
Make
Model
VIN #
Vehicle 2
Year
Make
Model
VIN #
Vehicle 3
Year
Make
Model
VIN #
Vehicle 4
Year
Make
Model
VIN #
b. Other personal property (bank accounts, cash, furniture, jewelry, etc.) – NOT houses or land:
Describe:
c. All personal property currently in the possession of the Wife is hers as follows:
[IF YOU NEED MORE LINES, COPY THIS PAGE AND MAKE SURE IT IS INCLUDED WHEN YOU FILE THIS FORM.]
HUSBAND: Initials _______________ Date Signed WIFE: Initials ______________ Date Signed ______
August 2012 (FORM 5) Divorce Agreement Page 3
Approved by the Tennessee Supreme Court
To request an ADA accommodation, please contact Dart Gore at 880-3309.
Debts Husband Will Pay:
Husband will pay all debts he has made since the date of separation, and will pay for the following debts:
LIST ALL LOANS, CREDIT CARDS,
CASH ADVANCE DEBTS, ETC.
NAME OF CREDITOR
(person or company you owe)
AMOUNT STILL OWED
1.
$
2.
$
3.
$
4.
$
Debts Wife Will Pay:
Wife will pay all debts she has made since the date of separation, and will pay for the following debts:
LIST ALL LOANS, CREDIT CARDS,
CASH ADVANCE DEBTS, ETC.
NAME OF CREDITOR
(person or company you owe)
AMOUNT STILL OWED
1.
$
2.
$
3.
$
4.
$
[IF YOU NEED MORE LINES, COPY THIS PAGE AND MAKE SURE IT IS INCLUDED WHEN YOU FILE THIS FORM.]
We Both Agree on How to Divide the Debts
(Hold Harmless Provision)
Both spouses agree to divide their debts as listed above. The Husband agrees to pay all the debts listed under “Debts
Husband Will Pay.” The Wife agrees to pay all the debts listed under “Debts Wife Will Pay.” The Wife will not try to
make the Husband pay her debts. The Husband will not try to make the Wife pay his debts. Creditors will try to collect
from both spouses. Both spouses understand this. A creditor may get one spouse to pay the other spouse’s debt. If
that happens, the spouse who is supposed to pay the debt will pay the other spouse back. They will pay back any
payments and reasonable lawyer’s fees the spouse made. They will pay back any costs of trying to stop a creditor from
collecting the debt.
HUSBAND: Initials _______________ Date Signed WIFE: Initials ______________ Date Signed ______
August 2012 (FORM 5) Divorce Agreement Page 4
Approved by the Tennessee Supreme Court
To request an ADA accommodation, please contact Dart Gore at 880-3309.
Alimony (check one):
Neither spouse wants alimony.
(Check one): Wife Husband agrees to pay (amount): $
until (date or action that ends alimony):
If alimony is sought, we agree that the alimony will be (check one):
Weekly
Monthly
Annually
If alimony is sought, we agree that the alimony (check all the blocks that apply to your agreement):
Can be modified upon changes in our lives.
Will end when the one paying the alimony dies.
Will end when the one who receives the alimony dies.
Will end when the one paying the alimony remarries.
Will end when the one receiving the alimony remarries.
Will end when the one receiving the alimony finishes school or on (date) ,
whichever date comes first.
Important: Both spouses understand there may be tax consequences to the agreed upon alimony and we have put
our initials at the bottom of this page acknowledging there can be tax consequences and that we are responsible for
knowing, understanding and accepting these consequences.
Cannot Own Retirement Accounts, Businesses, and/or Real Property:
Neither spouse has an IRS-qualified pension or retirement plan. [If you do, you cannot use these forms]
Neither spouse owns a business. [If you do, you cannot use these forms]
Neither spouse has real property (house or land). [If you do, you cannot use these forms]
Name Change:
Check below to change a spouse’s name back to the name used before this marriage. A government agency or
other institution may need proof of this name change. If so, give them a filed copy of this form.
Wife
First Middle Last
Husband
First Middle Last
Court Costs will be paid by (check one):
Husband
Wife
Husband and Wife will each pay half
Other (explain):
HUSBAND: Initials _______________ Date Signed WIFE: Initials ______________ Date Signed ______
August 2012 (FORM 5) Divorce Agreement Page 5
Approved by the Tennessee Supreme Court
To request an ADA accommodation, please contact Dart Gore at 880-3309.
Notice!
Husband and Wife understand that the Final Decree of Divorce does not necessarily affect the ability of a creditor to
proceed against a party or a party’s property, even though the party is not responsible under the terms of the Final
Decree for an account, any debt associated with an account, or any debt. It may be in a party’s best interest to
cancel, close, or freeze any jointly-held accounts (T.C.A., §36-4-134).
This means that the Final Decree does not protect you against creditors. They may try to collect from you, even if
your spouse is responsible for the debt. It may be best to cancel, close, or freeze any accounts you have together.
Entire Agreement
This document states everything the Husband and Wife have agreed to. They both give up any legal claims they
have against each other. Any other agreements made between them that are not included in this Agreement are no
longer valid – nor can they make each other live up to any agreements that are not included in this document.
Warning – Changes (Modifications)
After the divorce is final, the spouses may later want to change or delete parts of this Agreement. Changes must be
put in writing and filed with the Court Clerk, and then be approved by the Judge. You may want to talk to an attorney
before doing this.
Read below – but only sign in front of a Notary.
You may sign at a different time than your spouse.
Husband
I know that Tennessee has laws against lying on
purpose (perjury). I swear that:
As far as I know, the information on this form is
true.
I have revealed to my spouse all property and all
debts that I know about and have not kept any
property or debts a secret from my spouse before I
signed this Agreement.
This is everything we have agreed to.
Any agreements we have that are not listed above
are no longer any good.
SWORN to and subscribed before me on (date):
Signed at (city):
State of Tennessee, County of
By (Husband):
________________________________________________
Signature of Notary Public, State of Tennessee
My commission expires: ____________________________
(Notary’s seal)
Read below – but only sign in front of a Notary.
You may sign at a different time than your spouse.
Wife
I know that Tennessee has laws against lying on
purpose (perjury). I swear that:
As far as I know, the information on this form is
true.
I have revealed to my spouse all property and all
debts that I know about and have not kept any
property or debts a secret from my spouse before I
signed this Agreement.
This is everything we have agreed to.
Any agreements we have that are not listed above
are no longer any good.
SWORN to and subscribed before me on (date):
Signed at (city):
State of Tennessee, County of
By (Wife):
________________________________________________
Signature of Notary Public, State of Tennessee
My commission expires: ____________________________
(Notary’s seal)
