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 AgreementPage 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 spousewill divide your property and debts.
You must file this form with your Complaint for Divorce (FORM 1).
We say that:
We are the Wifeand Husbandlisted above. We are filing aComplaint for Divorcein the countyand Court
listed abovebecause we can no longer get along as Husbandand Wife. We understand our marriage rights
and duties and want to get an agreed divorce.
We agree on everything intheComplaint for Divorce.The Complaint for Divorcedoes not have to be served
and there is no need to file anAnswer.
Each of us has read this whole Divorce Agreementand 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 carryout this Agreement.
Children:
My spouse and I have nochildren together who areunder 18, in high school,or disabled. Children together
means children we had togetherwho were born before our marriage ANDany 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 tothe ground):
Neither spouse owns real property.
Other Assets (business or retirementaccounts):
Neither spouse owns a business or has a retirement account.
HUSBAND: Initials_______________Date Signed WIFE: Initials ______________ Date Signed ______
August 2012(FORM 5) Divorce AgreementPage 2
Approved by the Tennessee Supreme Court
To request an ADA accommodation, please contact Dart Gore at 880-3309.
Husband’s Personal Property:
The Husbandwill 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.)–NOThouses or land:
Describe:
c.All personal property currently in the possession of the Husbandis his as follows:
Wife’sPersonalProperty:
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.)–NOThouses 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 AgreementPage 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. TheHusband agrees to pay all the debts listed under“Debts
Husband Will Pay.”TheWife agrees topayallthe debts listedunder “Debts Wife Will Pay.”TheWifewillnot tryto
make the Husbandpay her debts. The Husband will not try to make the Wife pay his debts. Creditors will try to collect
from bothspouses. Bothspouses understandthis.A creditor mayget onespouseto paytheotherspouse’s debt. If
thathappens, thespousewho is supposed topaythe debtwillpaythe otherspouse back. Theywillpay back any
payments and reasonablelawyer’s fees the spouse made. They will pay back anycosts of trying to stop a creditor from
collecting the debt.
HUSBAND: Initials_______________Date Signed WIFE: Initials ______________ Date Signed ______
August 2012(FORM 5) Divorce AgreementPage 4
Approved by the Tennessee Supreme Court
To request an ADA accommodation, please contact Dart Gore at 880-3309.
Alimony(checkone):
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 alimonywill be(check one):
Weekly
Monthly
Annually
If alimony is sought, we agree that the alimony (checkall 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 alimonyremarries.
Will end when the one receiving the alimony finishes school or on(date),
whichever date comes first.
Important:Both spouses understand there maybetax consequencestothe agreed upon alimony and we have put
our initials at the bottomof 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). [Ifyou do, you cannot use these forms]
Name Change:
Checkbelow to change a spouse’s name backto the name used before this marriage. A government agencyor
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 Costswill be paid by(check one):
Husband
Wife
Husband and Wifewill each pay half
Other (explain):
HUSBAND: Initials_______________Date Signed WIFE: Initials ______________ Date Signed ______
August 2012(FORM 5) Divorce AgreementPage 5
Approved by the Tennessee Supreme Court
To request an ADA accommodation, please contact Dart Gore at 880-3309.
Notice!
Husbandand Wifeunderstand that the Final Decree of Divorce does not necessarily affect the abilityof a creditor to
proceed against a party ora party’sproperty, even though the partyis not responsible under theterms ofthe 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 thatthe Final Decree does not protect you against creditors. They maytryto collect fromyou, even if
your spouse is responsible for the debt. It may be best to cancel, close, or freeze anyaccounts you have together.
Entire Agreement
This document states everything the HusbandandWifehave agreed to.They bothgive up anylegal claimsthey
have against each other. Any other agreements made between themthat are not included in this Agreementareno
longer valid – nor can theymake each other live up toany agreements that are not included in this document.
Warning – Changes(Modifications)
After thedivorce is final, the spouses maylater want to change or delete parts of this Agreement. Changes must be
put in writing and filedwith the CourtClerk, and then be approved by the Judge. Youmaywant to talkto 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 formis
true.
I have revealed to myspouse all propertyandall
debts that I know about and have not kept any
propertyor debts a secret from myspouse 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 knowthat Tennessee has laws against lying on
purpose (perjury). I swear that:
As far as I know, the information on thisformis
true.
I have revealed to my spouse all property and all
debts that I know about and have not kept any
propertyor debts a secret frommyspouse 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)
