Agreement As To Assets And Debts

IN THE CIRCUIT COURT OF THE FIFTEENTH JUDICIAL CIRCUIT, STEPHENSON COUNTY, ILLINOIS IN RE THE MARRIAGE OF: (Type or Print Plaintiff's Name) Plaintiff; vs. (Type or Print Defendant's Name) Defendant. } } } } } } } No. AGREEMENT AS TO ASSETS AND DEBTS Now come (Type or Print Plaintiff's Name) , Plaintiff, and (Type or Print Defendant's Name) , Defendant, and hereby agree to the following distribution of all marital assets in excess of One Hundred Dollars ($100.00) in value and the following division of all marital debts and liabilities. Marital Assets Description of Asset and Estimated Value (List all marital assets in excess of One Hundred Dollars [$100.00] in value ­ assets of lower value may be listed) Party to Receive Asset (Enter name of Party [Husband or Wife] who will receive the asset) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Marital Debts and Liabilities Description of Debt or Liability (List all marital Debts and Liabilities) Amount (List total balance due) Account Number List Account Number where applicable) Party to Pay Debt (Enter name of Party [husband or wife] who will be responsible for paying the Debt or Liability) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Plaintiff's Signature Subscribed and Sworn to before me this day of , . Defendant's Signature Subscribed and Sworn to before me this day of , . Notary Public Notary Public Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com