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SUPERIOR COURT OF WASHINGTON

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Page 1 of 16

SUPERIOR COURT OF WASHINGTON

COUNTY OF ________________________

In Re the Marriage of: |

____________________ |

Plaintiff |

v. | No. ________________________

____________________ |

Defendant |. Marital Settlement Agreement

______________________________________________________________________

I. THE PARTIES. This Marital Settlement Agreement (“Agreement”) made this

________________, 20____, is an agreement to dissolve the marriage between:

HUSBAND: ____________________________, (“Husband”)

AND

WIFE: ____________________________, (“Wife”).

The terms "Husband" and "Wife" have no correlation to the person's gender and are

solely used to identify the individual to the local court. When mentioned in a singular

version, "Husband" and "Wife," shall be known as a "Spouse," and when mentioned

together, the Husband and Wife shall be known as the "Couple."

II. THE MARRIAGE. The Couple was married on ________________, 20____, in the

City of ________________, State of ________________.

III. ARMED FORCES. The following are current members of the Armed Forces: (check

one)

☐ - None of the Spouses

☐ - Husband

☐ - Wife

☐ - Both Spouses

IV. DATE OF SEPARATION. The date of separation of the Couple was on

________________, 20____.

V. GROUNDS FOR DIVORCE. Irreconcilable differences, the irretrievable breakdown of

the marriage, and incompatibility of temperament have led to the irremediable

breakdown of the marriage with no possibility of reconciliation.

Page 2 of 16

VI. MINOR CHILD(REN) OF THE MARRIAGE. Before or during the course of the

marriage, the Couple recognizes that: (check one)

☐ - There ARE minor children of the Couple. The details related to Child

Support, custody, and any other terms related to the Minor Children are found in

Attachment A.

☐ - There are NO minor children of the Couple.

VII. FINANCIAL DISCLOSURE. The Couple have: (check one)

☐ - ALREADY DISCLOSED to one another their financial disclosures in

accordance with State law.

☐ - WAIVED their right to view each other’s financials along with any other

disclosures, forms, or discovery proceedings as by right under State law.

VIII. SPOUSAL SUPPORT (ALIMONY). The Couple agree that: (check one)

☐ - There SHALL NOT be Spousal Support. Neither Spouse shall be obligated

to pay, provide for, or support one another after the marriage is dissolved

(“Spousal Support”).

☐ - There SHALL BE Spousal Support starting on ________________, 20____.

The ☐ Husband ☐ Wife (“Paying Spouse”) shall pay to ☐ Husband ☐ Wife

(“Receiving Spouse”): (check one)

☐ - In Perpetuity. Payment of $__________________ shall be due on the

____ of each month until either Spouse’s death, the remarriage of the

Receiving Spouse, or modification or termination by further court order,

whichever occurs first (“Spousal Support”).

☐ - Until an End Date. Payment of $__________________ shall be due

on the ____ of each month until _________________, 20____ (“Spousal

Support”).

☐ - On a Payment Schedule found in Attachment B (“Spousal Support”).

IX. CHANGE OF CIRCUMSTANCES. The Couple agrees that: (check one)

☐ - Spousal Support CANNOT Change. No court shall have jurisdiction to

change the Spousal Support payment or non-payment by Husband or Wife to the

other Spouse at any time. This shall be regardless of any change of

circumstances that may arise. If there is Spousal Support, it cannot change

EXCEPT by the Receiving Spouse’s death, remarriage, or termination by further

court order, whichever occurs first, which shall terminate the Spousal Support

payments.

Page 3 of 16

☐ - Spousal Support CAN Change. Spousal Support may be ordered payable

only upon a proper showing in a change of circumstances with either Spouse. A

change of circumstance is limited to: (check all that apply)

☐ - Job Loss

☐ - Injury

☐ - Disability

☐ - Illness/Disease

☐ - Other. _________________________________________________.

X. HEALTH INSURANCE. The Couple agrees that: (check one)

☐ - Each Spouse is responsible for THEIR OWN health insurance.

☐ - Health insurance IS PROVIDED by ☐ Husband ☐ Wife (“Health Insurance

Paying Spouse”) to ☐ Husband ☐ Wife (“Health Insurance Receiving Spouse”).

Health insurance shall include: (check all that apply)

☐ - Medical

☐ - Dental

☐ - Vision Care

☐ - Other. _________________________________________________.

To facilitate the use of such coverage for the Health Insurance Receiving Spouse, the

Health Insurance Paying Spouse shall cooperate fully and in a timely manner, including,

but not limited to, obtaining and providing all necessary insurance cards and claim

forms, completing and submitting all necessary documents, and delivering all insurance

payments.

XI. MARITAL HOME. At the time of writing this Agreement, the Couple: (check one)

☐ - DO NOT own a home, either separately or jointly.

☐ - OWN a home, either separately or jointly, at the property address of:

_____________________________________________ (“Marital Home”).

The Marital Home is currently owned by: (check one)

☐ - Husband

☐ - Wife

☐ - Both Spouses

The following currently lives at the Marital Home: (check one)

☐ - Husband

☐ - Wife

☐ - Both Spouses

The Marital Home shall be: (check one)

☐ - Placed for sale as part of this Agreement.

Page 4 of 16

☐ - Not placed for sale.

XII. HUSBAND’S PROPERTY. It is declared by the Couple that, under this Agreement,

the Husband shall be the owner of the following assets and property:

______________________________________________________________________

(continued on Attachment C if required, incorporated herein by reference)

XIII. WIFE’S PROPERTY. It is declared by the Couple that, under this Agreement, the

Wife shall be the owner of the following assets and property:

______________________________________________________________________

(continued on Attachment D if required, incorporated herein by reference)

XIV. PAYMENT TO BALANCE DIVISION. To achieve an equal division of the property,

the Couple agree that: (check one)

☐ - There SHALL BE a cash payment in the amount of $__________________

from the ☐ Husband ☐ Wife to the ☐ Husband ☐ Wife. Payment must be made

on or before ________________, 20____. If payment is late, interest shall

accrue on the outstanding amount due, from the due date, at the maximum rate

under State law or ten percent (10%) per annum, whichever is greater.

☐ - There SHALL NOT be a payment from one Spouse to the other. The Couple

agrees that a split of the assets and property was fair and divided in good faith.

XV. HUSBAND’S LIABILITIES. It is declared by the Couple that, under this Agreement,

the Husband shall accept liability for the following:

______________________________________________________________________

(continued on Attachment E if required, incorporated herein by reference)

XVI. WIFE’S LIABILITIES. It is declared by the Couple that, under this Agreement, the

Wife shall accept liability for the following:

______________________________________________________________________

(continued on Attachment F if required, incorporated herein by reference)

XVII. RETIREMENT BENEFITS. Due to either investment or employment during the

marriage, either the Husband or Wife: (check one)

☐ - DO NOT have retirement plans.

☐ - HAVE retirement plans. The Couple has the following retirement plans:

_______________________________________________ (“Retirement Plans”).

Page 5 of 16

Upon signing this Agreement, the Retirement Plans shall be owned by:

(check one)

☐ - Husband

☐ - Wife

☐ - Both Spouses

☐ - Other. _________________________________________________.

XVIII. LEGAL NAME CHANGE. After the dissolution of marriage: (check one)

☐ - NEITHER Spouse will be changing their name.

☐ - The following WILL BE changing their name: (check all that apply)

☐ - Husband to ____________________________.

☐ - Wife to ____________________________.

XIX. OTHER PROPERTY PROVISION. All income, earnings, assets, or other property

acquired by either Spouse after the date of this Agreement shall be the separate

property of the Spouse acquiring them, and each Spouse disclaims and waives any and

all rights and interest in each asset acquired by the other after that date.

XX. FULL DISCLOSURE OF ASSETS. Each Spouse warrants to the other that they do

not have any knowledge of any assets other than those disclosed in accordance with

Section VII. If the Spouses have waived their rights to financial disclosures, then this

Section shall not apply to this Agreement. If either Spouse has any knowledge of any

asset other than those disclosed in accordance with Section VII, that warrantor shall

transfer or pay to the warrantee, at the warrantee’s election, one of the following:

a.) If the asset is reasonably susceptible to division, a portion of the asset equal

to the warrantee’s interest in it;

b.) The fair market value of the warrantee’s interest in the asset on the effective

date of this Agreement, plus interest at the maximum rate under State law or ten

percent (10%) per annum, whichever is greater, from the effective date to the

date of payment; or

c.) The fair market value of the warrantee’s interest in the asset on the date on

which the warrantee discovers the existence of the asset, plus interest at the

maximum rate under State law or ten percent (10%) per annum, whichever is

greater, from the discovery date to the date of payment.

This provision shall not be deemed to impair the availability, in a court of competent

jurisdiction, of any other remedy arising from nondisclosure of assets.

XXI. FULL DISCLOSURE OF LIABILITIES. Each Spouse warrants to the other that he

or she has not incurred nor shall incur, on or before the effective date of this Agreement,

any liability not disclosed and listed in this Agreement for which the other is or may

become personally liable or that could be enforced at any time against an asset held or

to be received under this Agreement by the other Spouse.

If either Spouse has incurred or does incur, on or before the effective date of this

Agreement, any liability not disclosed and listed in this Agreement for which the other is

Page 6 of 16

or may become personally liable or that could be enforced at any time against an asset

held or to be received under this Agreement by the other Spouse, that warrantor shall

fully indemnify the other with respect to the obligation, including, but not limited to, any

and all liability on the obligation, attorney fees, and related costs. This provision shall

not be deemed to impair the availability, in a court of competent jurisdiction, of any other

remedy arising from nondisclosure of such liabilities.

XXII. UNDISCLOSED GIFTS. Either when this Agreement is signed or when the

divorce petition is first filed, whichever occurs earliest, no gift shall be made without the

other Spouse's consent. If such gift-giving does occur without the other Spouse's

consent, that warrantor shall pay to the warrantee a sum equal to half of the fair market

value of the asset transferred, with the fair market value to be determined, at the

warrantee's election, as of either (a) the effective date of this Agreement or (b) the date

on which the warrantee discovers the transfer, less any appreciation in the asset's value

attributable solely to acts of the transferee(s) and successor(s). The warrantor shall

further pay to the warrantee interest at the maximum rate under State law or ten percent

(10%) per annum, whichever is greater, from the date elected for determination of the

fair market value of the asset to the date of payment. This provision shall not be

deemed to impair the availability, in a court of competent jurisdiction, of any other

remedy arising from undisclosed gifts or transfers for less than adequate consideration.

XXIII. FUTURE LIABILITIES. Each Spouse warrants to the other that they shall not

incur, after the effective date of this Agreement, any liability for which the other shall be

or may become personally liable or that could be enforced against an asset held by the

other Spouse.

a.) If either Spouse incurs, after the effective date of this Agreement, any liability

for which the other shall be or may become personally liable or that could be

enforced against an asset held by the other Spouse, that warrantor shall

indemnify the other for any liability on the obligation, attorney fees, and related

costs.

XXIV. RELEASE OF LIABILITIES AND CLAIMS. Except as otherwise provided in this

Agreement, each Spouse hereby releases the other from all interspousal obligations,

whether incurred before or after the effective date, and all claims to the property of the

other. This release extends to all claims based on rights that have accrued before the

marriage, including, but not limited to, property and support claims. The Couple have

considered such claims in this Agreement.

XXV. STATUS OF TEMPORARY ORDERS. All temporary orders previously rendered

by the court in the pending dissolution action of the Couple shall be deemed fully

satisfied as to those acts whose performance was required on or before the effective

date of this Agreement and shall be deemed superseded by this Agreement as to those

acts whose performance was not required.

XXVI. WAIVER OF RIGHTS ON DEATH OF OTHER SPOUSE. Except for any Child

Support statements made in Attachment A, each Spouse hereby waives the right to

receive any property or rights whatsoever on the death of the other, unless such right is

created or affirmed by the other under a will or other written document executed after

the effective date of this Agreement. Each Spouse believes that he or she has received

Page 7 of 16

a fair and reasonable disclosure of the property and financial obligations of the other

Spouse.

Except for rights listed in this Agreement, the rights waived include, but are not limited

to, rights to any of the following:

a.) Property that would pass from the decedent by intestate succession;

b.) Property that would pass from the decedent by testamentary disposition;

c.) A probate homestead;

d.) The setting aside of exempt property;

e.) A family allowance;

f.) The setting aside of an estate;

g.) An election to take property against the decedent’s will;

h.) The statutory share of an omitted Spouse;

i.) An appointment as executor or administrator of the decedent’s estate, except

as the nominee of a third Spouse legally entitled to make such a nomination;

j.) Property that would pass from the decedent by non-probate transfer, such as

the survivorship interest under a joint tenancy, a Totten trust account, or a

payable-on-death account; and

k.) Proceeds as a beneficiary of any type of insurance policy.

XXVII. RECONCILIATION. If the Couple reconcile, this Agreement shall nevertheless

remain in full effect unless and until it is modified or revoked in writing and signed by the

Couple.

XXVIII. MODIFICATION BY SUBSEQUENT AGREEMENT. This Agreement may be

modified by subsequent agreement of the Couple only by an instrument in writing

signed by both of them, an oral agreement to the extent that the Couple executes it, or

an in-court oral agreement made into an order by a court of competent jurisdiction.

XXIX. NOTICE OF BANKRUPTCY FILING. If either Spouse decides to claim any rights

under the bankruptcy laws, that Spouse must notify the other of this intention in writing

at least ten (10) days before filing the petition. Such notice must include, but not

necessarily be limited to, the name, address, and telephone number of the attorney, if

any, representing the Spouse in that proceeding and the court in which the petition shall

be filed.

XXX. ATTORNEY FEES TO ENFORCE OR MODIFY AGREEMENT. Except as to

reserved issues, the prevailing Spouse in any action or proceeding to enforce or modify

any provision of this Agreement, or any corresponding provision of a subsequent

judgment into which the provision is merged, shall be awarded reasonable attorney fees

and costs for the Spouse to be deemed the prevailing Spouse for purposes of this

provision, he or she must, at least ten (10) days before the filing of any motion, provide

written notice to the other Spouse specifying the alleged breach or default, if capable of

being cured, or the modification requested. The other Spouse must then be allowed to

avoid implementation of this provision by curing the breach or default specified or

executing an agreement for the modification requested during the ten (10) day period.

XXXI. COOPERATION IN IMPLEMENTATION. On demand of the other Spouse and

without undue delay or expense, each Spouse shall execute, acknowledge, or deliver

any instrument, furnish any information, or perform any other acts reasonably necessary

Page 8 of 16

to carry out the provisions of this Agreement. If a Spouse fails to execute any document

as required by this provision, the court may appoint the court clerk or his or her

authorized designee to execute the document on that Spouse’s behalf.

XXXII. EFFECTIVE DATE. The effective date of this Agreement shall be the date of its

execution by the second of the Couple to do so.

XXXIII. COURT ACTION. If a judgment of dissolution of marriage is obtained by either

Spouse, the original of this Agreement shall be attached to the judgment. The court

shall be requested to do the following:

a.) Approve the entire Agreement as fair and equitable;

b.) Order the Couple to comply with all of its executory provisions;

c.) Merge the provisions relating to child custody and visitation, Child Support,

Spousal Support, future acts with respect to property division, attorney fees and

costs, and income tax, and only those provisions, into the judgment; and

d.) Incorporate the remainder of the Agreement in the judgment for the sole

purpose of identification.

XXXIV. ACKNOWLEDGMENTS. Each Spouse acknowledges that he or she

respectively (1) is fully informed as to the facts relating to the subject matter of this

Agreement, and as to the rights and liabilities of the Couple; (2) enters into this

Agreement voluntarily, free from fraud, undue influence, coercion, or duress of any kind;

(3) is representing themselves in an “in pro per” status and is therefore not represented

by legal counsel; (4) prior to executing this Agreement, either Spouse may have this

Agreement reviewed by an attorney; and (5) has read, considered, and understands

each provision of this Agreement.

XXXV. SEVERABILITY. If any term, covenant, condition, or provision of this Agreement

is held by a court of competent jurisdiction to be invalid, void, or unenforceable, the

remainder of the provisions shall remain in full force and effect and shall in no way be

affected, impaired, or invalidated.

XXXVI. ADDITIONAL TERMS & CONDITIONS. _______________________________

______________________________________________________________________

XXXVII. ENTIRE AGREEMENT. This Agreement contains the entire agreement of the

Couple on these matters, superseding any previous agreement between them.

XXXVIII. SIGNATURES AND DATES. The foregoing is agreed to by:

Husband’s Signature: _______________________________ Date: ______________

Print Name: _______________________________

Wife’s Signature: _______________________________ Date: ______________

Print Name: _______________________________

Page 9 of 16

ATTACHMENT A (CHILD SUPPORT)

I. MINOR CHILDREN. There are/is _____ minor child(ren) of the marriage of the

Couple. The minor child(ren) are as follows:

Name: ____________________________ Date of Birth: ________________, 20____

Aforementioned and hereinafter known as the “Minor Children.”

II. FUTURE CHILDREN. The Couple: (check one)

☐ - IS NOT expecting a child in the future.

☐ - IS EXPECTING a child on the date of ________________, 20____.

III. PHYSICAL CUSTODY. The Couple chooses to enter into the following custody

schedule: (check one)

☐ - SOLE CUSTODY is given to ☐ Husband ☐ Wife.

☐ - JOINT CUSTODY

IV. PARENTING TIME/VISITATION. The Couple shall have parenting time/visitation

with the Minor Children are as follows:

Husband will have the following schedule with the Minor Children: (check one)

☐ - Monday thru Friday

☐ - Every Weekend

☐ - Every Other Weekend

☐ - Limited Visitation

☐ - Other. _________________________________________________.

Wife will have the following schedule with the Minor Children: (check one)

☐ - Monday thru Friday

☐ - Every Weekend

☐ - Every Other Weekend

☐ - Limited Visitation

☐ - Other. _________________________________________________.

V. NOTICE OF CHANGE OF RESIDENCE. The Couple agrees to the following:

☐ - ALLOWED to Move. Either Spouse may move their residence by providing at

least ____ days’ notice.

Page 10 of 16

☐ - NOT ALLOWED to Move. Neither Spouse shall be allowed to move their

residence more than ____ miles away from another without the other Spouse’s

consent.

VI. PREVIOUS COURT ACTIONS. The Couple has: (check one)

☐ - ALREADY had custody and visitation rights administered by a court in the

County of ________________, State of ________________. Case Number

________________.

☐ - NOT had custody and visitation rights administered by a court.

VII. CHILD SUPPORT. Under this Agreement, there shall be: (check one)

☐ - NO CHILD SUPPORT. Neither Spouse is obligated to pay child support.

Each Spouse shall provide direct support for the Minor Children for those periods

when the Minor Children are in their physical custody.

☐ - DEFERRED child support to the local court or Child Support Services

Department in the State of ________________ (“Child Support”).

☐ - CHILD SUPPORT PAYMENTS. Child Support payments shall be made by

the ☐ Husband ☐ Wife to the ☐ Husband ☐ Wife in the following manner:

Payments of $__________________ shall be due on the ____ of each

month commencing on ________________, 20____ (“Child Support”).

Child Support shall continue until the first of the following events:

a.) The Minor Children attains age 19, or has attained age 18 and

either is not a full-time high school student or is self-supporting;

b.) The Minor Children die;

c.) The Minor Children enters into a valid marriage, is on active duty

with any of the armed forces of the United States of America,

receives a declaration of emancipation under State law, or

otherwise becomes emancipated by leaving home and becoming

self-supporting;

d.) The custodial parent dies and the other parent assumes custody

of the Minor Children; or

e.) Further court order.

VIII. ADDITIONAL SUPPORT. Under this Agreement, there shall be: (check one)

☐ - NO ADDITIONAL SUPPORT. Neither Spouse is obligated to pay Additional

Support other than the Child Support in this Agreement.

☐ - DEFERRED additional support to the local court or Child Support Services

Department in the State of ________________ (“Additional Support”).

Page 11 of 16

☐ - ADDITIONAL SUPPORT PAYMENTS. Additional Support payments shall be

made in the following manner: (check all that apply)

☐ - Health and Dental Insurance. ☐ Husband ☐ Wife shall maintain

coverage for each minor child under the medical and dental insurance

provided through his/her employment. To facilitate the use of such

coverage for the child(ren), the Couple shall cooperate fully and in a timely

manner, including, but not limited to, obtaining and providing all necessary

insurance cards and claim forms, completing and submitting all necessary

documents, and delivering all insurance payments. For purposes of

duration and modification, this provision shall be deemed part of the child

support orders made by the local court in the Couples’ dissolution action.

☐ - Uncovered Health Care Expenses. ☐ Husband ☐ Wife shall be

responsible for medical, dental, orthodontic, optical, psychiatric,

psychological, and other health care expenses of the Minor Children, to

the extent not covered by insurance. The Spouse incurring the expense

shall present to the other Spouse an itemized statement of costs accrued

or paid, proof of payment of any costs paid by the Spouse, and any

necessary information about how to make payment to the provider within a

reasonable time, but not more than ____ days after accruing the costs.

The reimbursing Spouse shall make the required payment or

reimbursement within a reasonable time, but not more than ___ days after

notification of the amount due. For purposes of duration and modification,

this provision shall be deemed part of the Child Support orders made by

the court in the Couples’ dissolution action.

☐ - Other. ☐ Husband the ☐ Wife agrees to make payment to the other

Spouse for the following: _______________________________________

___________________________________________________________

IX. DEPENDENTS. The following Minor Children can be used as dependents for tax-

related benefits: (check all that apply and write the Minor Children’s names)

☐ Husband shall have: _____________________________________________.

☐ Wife shall have: ________________________________________________.

X. CHILD SUPPORT ACKNOWLEDGMENTS. The Couple declares the following with

regard to their agreement regarding Child Support:

a.) The Couple are fully informed of their rights concerning Child Support,

including the right to have Child Support awarded in accordance with legislatively

determined guidelines;

b.) This order is being agreed to without coercion or duress;

c.) The agreement is in the best interests of the child(ren) involved; and

d.) The needs of the child(ren) shall be adequately met by the stipulated amount.

Page 12 of 16

ATTACHMENT B (SPOUSAL SUPPORT)

Continuation of Section VIII:

______________________________________________________________________

Page 13 of 16

ATTACHMENT C (HUSBAND’S PROPERTY)

Continuation of Section XII:

______________________________________________________________________

Page 14 of 16

ATTACHMENT D (WIFE’S PROPERTY)

Continuation of Section XIII:

______________________________________________________________________

Page 15 of 16

ATTACHMENT E (HUSBAND’S LIABILITIES)

Continuation of Section XV:

______________________________________________________________________

Page 16 of 16

ATTACHMENT F (WIFE’S LIABILITIES)

Continuation of Section XVI:

______________________________________________________________________

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SUPERIOR COURT OF WASHINGTON

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Completed 28 April 2022

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