I. Introduction

This Affidavit is made this [DAY] of [MONTH], [YEAR], by [AFFIANT NAME], residing at [AFFIANT ADDRESS]. The purpose of this Affidavit is to declare the terms of the property settlement agreed upon between [AFFIANT NAME] and [OTHER PARTY NAME] regarding the division of property and assets.

II. Declaration

I, [AFFIANT NAME], under oath, hereby affirm and declare the following:

Identification of Parties:

• Affiant Name: [AFFIANT NAME]

• Other Party Name: [OTHER PARTY NAME]

• Relationship between Parties: [RELATIONSHIP DESCRIPTION], currently in the process of [DIVORCE/DISSOLUTION/OTHER].

Description of Property and Assets:

• Real Property: Located at [PROPERTY ADDRESS], legally described as [LEGAL DESCRIPTION OF PROPERTY].

• Personal Property: Includes [LIST MAJOR ITEMS SUCH AS VEHICLES, JEWELRY, FURNITURE, ETC.].

• Financial Assets: Comprising bank accounts, stocks, bonds, and retirement accounts, details of which are listed below:

  • Bank Accounts: [ACCOUNT NUMBERS AND BANK NAMES]

  • Stocks and Bonds: [DETAILS OF SECURITIES]

  • Retirement Accounts: [ACCOUNT TYPES AND INSTITUTION NAMES]

Terms of Settlement:

• Division of Real Property: [AFFIANT NAME] shall retain ownership of [ASSETS], and [OTHER PARTY NAME] shall receive [ASSETS].

• Division of Personal Property: The personal properties listed above are to be divided as follows: [DIVISION DETAILS].

• Division of Financial Assets: Each party shall retain or receive assets as described, ensuring an equitable distribution.

Acknowledgment of Agreement:

I affirm that the division of property and assets as described above has been mutually agreed upon by both parties without duress or undue influence. All decisions were made with full consent and understanding of their implications.

III. Legal Declaration

• State of Jurisdiction: This Affidavit is subject to the laws of the State of [STATE].

• Oath and Affirmation: I declare under penalty of perjury under the laws of the State of [STATE] that the foregoing is true and correct to the best of my knowledge.

IV. Signature

[AFFIANT NAME]
[DATE]

[NOTARY PUBLIC NAME]
[EXPIRATION DATE]

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