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Sample Letter of Affidavit of Separation

Sample Letter of Affidavit of Separation in Word, Google Docs, PDF

Download this Sample Letter of Affidavit of Separation Design in Word, Google Docs, PDF Format. Easily Editable, Printable, Downloadable.

AFFIDAVIT OF MARITAL SEPARATION

APPLICANT INFORMATION

My name is: Alexander Rusell
My address is: 1324 Bow Ridge Street, Tampa, Florida
My contact information is: 234-193-2891
I have read the application and believe that there is no possibility of reconciliation between parties.

APPLICANT 2 INFORMATION

My name is: Jessica Rusell
My address is: 1839 Old Street, Tampa, Florida 38941
My contact information is: 250-725-8775
I have read the application and believe that there is no possibility of reconciliation between parties.

CUSTODY INFORMATION

Children of the marriage: Yes
Name(s) and Age:
Kurt Rusell; born on July 8, 2030; age 4
Aliyah Rusell; born on February 1, 2034 and; age 1

Custody Information:
Alexander Rusell, father will have custody of the children under the separation agreement dated April 10, 2040.
Amount of child support per child will be $2,000 in recognition of his higher income and the equal sharing of parenting time.

We affirm that the facts set out in this affidavit are true and correct to the best of our knowledge.

Signature *

Name *

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Sworn before me at Tampa, Florida on the 30th day of April 2040.

Signature *

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Expiry of Commission: April 29, 2050.

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