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 5 of 13
The parties shall make arrangements to trans fer possession o f th e household goods and personal
property to the proper party as soon as pos sible.
D.
Financial Accounts (select one):
Financial accounts include checking, savings, certificates of deposit, money market accounts, medical or
health savings accounts, education or college saving plans (for example, 529 Plan) and trusts.
1.
The parties do not have any financial accounts.
2.
The parties have financial accounts and agree the accounts are alre ady div id ed and in the
name of the proper party . The parties are satisfied with the division.
3.
The parties have financial accounts which are not divided.
Husband shall receive the following:
Institution
Current Name(s) on Account
Type of Account
check ing saving
other:
check ing saving
other:
check ing saving
other:
and Wife shall receive the following:
Institution
Current Name(s) on Account
Type of Account
check ing saving
other:
check ing saving
other:
check ing saving
other:
4.
Each party shall pay for and hold the other harmless from any debt owing on the financi al acc ounts
he/she receives unless otherwise stated in this Agreement.
5.
Other arrangements regarding financial accounts:
The parties shall make arrangem ents to transfer the financial accounts to the proper party as
soon as possi b le.
Page 5/13
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