Massachusetts Separation Agreement TemplateMassachusetts Separation Agreement TemplateMassachusetts Separation Agreement Template
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(REVISED 5/01)

HAMPSHIRE PROBATE AND FAMILY COURT

11
SAMPLE SEPARATION
AGREEMENT
(For Parties With Minor Children)

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w
ab
a b

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ALERT
READ THIS CAREFULLY
BEFORE USING THE SEPARATION AGREEMENT FORM

This prototype Separation Agreement was prepared by the Court as a service to
those who must submit a written agreement with their uncontested no-fault divorce but
cannot afford the assistance of an attorney. Even though it has been reviewed by
attorneys and judges, you must be aware that:
1. A separation agreement is a very important document. It will establish
permanent rights and obligations between you. This form provides basic provisions but
may not be sufficient for your particular needs.
2. Some parts of divorce law are detailed and technical. It is your responsibility
to make sure that your separation agreement is complete and that it conforms to the
law and to your own needs BEFORE you file it with the Registry.
3. If the agreement is incomplete or contains inconsistent provi