SEPARATION AGREEMENT

INSTRUCTION

TO:       JAY CHAUHAN

            Barrister and Solicitor

            330 Highway 7 East, Suite 309

            Richmond Hill, Ontario

            L4B 3P8

            Telephone: (905) 771-1235

            Facsimile:   (905) 771-1237

            Email: jaylawyer@hotmail.com

Please complete as many details as possible and discuss the remaining particulars with me.

GENERAL DETAILS

1.  Husband’s full name and address:

2.  Wife’s full name and address:

3.  Date and place of the marriage:

4.  Full names and birthdates of children:

5.  Date of separation:

MAINTENANCE FOR SPOUSE

6.  Is any amount of support to be paid by one spouse to the other? Please note the amount and which spouse will pay.

Date payment will commence:

MAINTENANCE FOR CHILDREN

7.  Amount to be paid for children:

DIVISION OF ASSETS

8.1  List items which the husband will get.

8.2  List items wife will get:

CUSTODY AND ACCESS

9.1  Who will have custody of the children?

9.2  What visitation rights will the other spouse have?

WILLS

10.  Did you wish to change your will?

INSURANCE

11.  How do you wish to deal with insurance policies and beneficiaries?

SPOUSE’S SOLICITOR

12.  Name and address of the Spouse’s Solicitor:

OUTSTANDING LOANS

13.  List the loans and who will pay them off.

PENSION PLANS

14.  How will the pension plan be divided?

CREDIT CARDS

15.  Will you be cancelling the credit cards in the name of the spouse?

FEES

16.  The fees will be based on the time spent. If fees are quoted for a separation agreement, they are applicable only if the spouses agree to sign the agreement. If dispute arises, the time for negotiations or litigation will be billed on hourly basis.

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Date

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                                                    Client’s Signature