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NOTE: THIS IS A SAMPLE AND IS NOT A …

MODEL QUALIFIED DOMESTIC RELATIONS ORDER Page 1 of 8 THIS MODEL IS PROVIDED FOR THE CONVENIENCE OF ATTORNEYS REPRESENTING PARTICIPANTS AND/OR ALTERNATE PAYEES. THE PROVISION OF THIS MODEL SHOULD NOT BE CONSTRUED AS A RECOMMENDATION OR ADVICE TO ANY PERSON. COMPLIANCE WITH THIS FORM IS REQUIRED BY NYCPPF. I\ Revised August 2019 At an IAS part [insert applicable number if filing in New York state] _____ of the _____ Court of the State of _____, held in and for the County of _____, at the _____ County Courthouse, (address:_____), on this ____ day of _____, 20____.

A Matrimonial Part _____ of the Supreme Court of the State of New York, held in and for the County of _____, at the _____ County Courthouse, (address here), on this

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