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
The parties owned real estate in one or both of their names and agree to award it as follows.
A legal description of the property must be attached. (Attach a copy of the property’s deed or
Each party shall pay and hold the other harmless from any debt owing on real estate he/she
receives unless otherwise stated in this Agreement.
Other debt payment arrangements, including refinancing:
If the real esta te is not in the name of the party to whom it is awarded, the parties shall make
arrangements to transfer the pr o p erty to the proper party as soon as possible.
T it led Vehicle s (select one):
Titled vehicles include boats, trailers, automobiles, motorcycles, trucks, mobile homes, golf carts,
motor scooters, sport utility vehicles (SUV), recreational vehicles (RV), all purpose vehicles (APV).
Provide vehicle model, make, year, and serial number for all titled vehicle(s) that will be transferred.
The parties do not own any titled vehicle(s) in either party’s name.
The titled vehicle(s) has/have already be en di vi ded or tr ans f err ed, includ ing al l rig hts , title and
interest in the vehicle(s) and is/are in the possession of the proper party. The parties are satisfied with
The parties own titled vehicle(s) which has/ha ve not b een di vided or transf er red.
Husband shall receive the following vehicle(s), free and clear of any claims from the Wife:
and Wife shall receive the following vehicle(s), free and clear of any claims of the Husband:
Each party shall pay for and hold the other harmless from any debt owing on the titled vehicle(s)
he/she receives unless otherwise stated in this Agreement.