IN THE COURT OF COMMON PLEAS DIVISION

supreme COURT of ohio Uniform Domestic Relations Form 19 SEPARATION AGREEMENT Approved under ohio Civil Rule 84 Amended: June 1, 2021 Page 1 of 14 IN THE COURT OF COMMON PLEAS _____ DIVISION _____ COUNTY, ohio Case No. Name Judge Street Address Magistrate City, State and Zip Code Plaintiff/Petitioner 1 Name Street Address City, State and Zip Code Defendant/Petitioner 2 WARNING: This form is not a substitute for the benefit of the advice of legal counsel. It is highly recommended that you consult an attorney. Instructions: This form is used to present an agreement to the COURT regarding spousal support, the DIVISION of personal property, real estate, and debts resulting from the termination of marriage. If the parties have any minor child(ren) or child(ren) with disabilities, a Shared Parenting Plan (Uniform Domestic Relations Form 20) or Parenting Plan (Uniform Domestic Relations Form 21) must be attached.

Supreme Court of Ohio Uniform Domestic Relations Form 19 SEPARATION AGREEMENT Approved under Ohio Civil Rule 84 Amended: June 1, 2021 Page 1 of 14 IN THE COURT OF COMMON PLEAS _____ DIVISION _____ COUNTY, OHIO: Case No. Name Judge Street Address Magistrate City, State and Zip Code Plaintiff/Petitioner 1 vs./and Name Street Address ...

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