Separation Agreement - Supreme Court - Ohio
Supreme Court of Ohio
Uniform Dom estic Relations Form – 16
S E P ARAT I O N AG R E E M E N T
Approved under Ohio Civil Rule 84
Effecti ve Date: 7/1/2013
Page 2 of 13
5.
Each party has had the opp ort unity to value and verify all marital property, separate property, and
debts.
6.
A party ’s willful f ai lure to disclose may result in the Court awarding the other party three times the
value of the property, assets, income, or expenses that were not disclosed by the other party.
7.
This Agreement addresses spousal support, property, and debt division.
8.
This written Agreement is the complete agreement of the parties.
9.
There are no other representations, agreements, statements, or prior writings that shall have any
effect on this Agreement.
10.
Each party fully understands the Agreement and has knowingly and voluntarily signed the
Agreement.
11.
No change to the terms of this Agreement shall be valid unless in writing and knowingly and
voluntarily signed by both parties.
The parties agree as follows:
FIRST: SEPARATION
The parties shall live separate and apart. Neither party shall interfere with the activities, personal life, or
privacy of the other; harass the other, nor enga ge in a n y conduct calculated to restrain, embarrass, injure,
or hinder the other in any way.
SECOND: PROPERTY
Marital property as defined in R.C. 3105.171 is property owned by either or both spouses and property
in which eit her spo us e has an interest in t he proper ty. Sep arate property as defined in R.C. 3105.171
is real or personal property that w as inherited, acquired by one spouse prior to the date of marriage,
acquired after a dec ree of legal separ ati on under R.C. 3107 . 17, exclud ed b y a va lid ant enu pti al agre ement,
compensation for personal injury, except for loss of marital earnings and compensation for expenses paid
from marital assets, or any gift of property that was given to only one spouse. If separate property is
involved, the owner should consider consulting an attorney. The party not receiving the separate property
waives all interest in the property .
A.
Real Estate (select one):
Real estate includes lands, mortgaged properties, buildings, fixtures attached to buildings, attached
structures (for example, garage, in-ground pool), condominiums, time shares, mobile homes, natural
condition stakes (for example, gas, oil, mineral rights, existing soil, i nc ludin g trees and lan ds c ape), and
inheritance rights in real estate. The property’s legal description is on the deed or mortgage papers.
1.
The parties do not own any real estate.
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