Form 3 Settlement Agreement (DNC) {3}

Page 1 of 9 Stip DNC Form 3/Rev May 2018 IN DISTRICT COURT, COUNTY, NORTH DAKOTA , } Plaintiff, } } vs. } SETTLEMENT AGREEMENT } , } Civil No. Defendant. } } Plaintiff and defendant have reached an agreement resolving all of the issues in this divorce proceeding. Plaintiff and defendant222s entire agreement is set forth in this Settlement Agreement and Exhibit A: Confidential Division of Property and Debts and Values. The Summons and Complaint were personally served upon defendant on , 20, as indicated by the Admission of Service on file herein. Plaintiff and defendant agree to the following facts regarding this case. AGREEMENT AS TO FACTS 1. Plaintiff222s full name, address, year of birth, and last four digits of social security number are: Full Name: First Middle Last Address: Street Address Apt. City County State Zip Year of Birth: Last Four Digits of Social Security Number: American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 9 Stip DNC Form 3/Rev May 2018 2. Defendant222s full name, address, year of birth, and last four digits of social security number are: Full Name: First Middle Last Address: Street Address Apt. City County State Zip Year of Birth: Last Four Digits of Social Security Number: 3. Plaintiff and defendant were married on in the City of , County of , State of . 4. Plaintiff lived in North Dakota for the entire six (6) months immediately before serving this Complaint for Divorce. 5. Plaintiff is a member of the armed forces: Yes No. 6. Defendant is a member of the armed forces: Yes No. 7. Irreconcilable differences have arisen between the parties making the continuation of the marriage impossible. 8. There is no separate court case for divorce, legal separation, or annulment that has already been started by Plaintiff or Defendant in North Dakota or any other state. 9. An Adult Abuse Protection Order or Restraining Order is in effect regarding plaintiff or defendant: Yes No. If YES, the order protects plaintiff defendant. The Order was filed in County on the following date and the court file number is . 10. There are no minor or dependent children born or expected to be born of this marriage. American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 9 Stip DNC Form 3/Rev May 2018 11. Plaintiff has the following sources of monthly income: Source/Describe Amount Employment $ Public Assistance $ Social Security Benefits $ Unemployment/Workers Compensation $ Interest/Dividend Income $ Other $ 12. Defendant has the following sources of monthly income: Source/Describe Amount Employment $ Public Assistance $ Social Security Benefits $ Unemployment/Workers Compensation $ Interest/Dividend Income $ Other $ 13. Plaintiff needs spousal support from defendant: Yes No. If YES, this is because plaintiff is years of age, has been married to defendant for years, has a monthly income totaling $, has monthly expenses totaling $, and because: . 14. Defendant needs spousal support from plaintiff: Yes No. If YES, this is because defendant is years of age, has been married to plaintiff for years, has a monthly income totaling $, has monthly expenses totaling $, and because: . American LegalNet, Inc. www.FormsWorkFlow.com Page 4 of 9 Stip DNC Form 3/Rev May 2018 15. Plaintiff and Defendant have outstanding debts and liabilities: Yes No If YES, Plaintiff222s and Defendant222s outstanding debts and liabilities are listed on the attached Exhibit A. Exhibit A is incorporated into this Settlement Agreement. 16. Plaintiff and Defendant own vehicles or watercraft: Yes No. If YES, the vehicles or watercraft are listed on the attached Exhibit A. Exhibit A is incorporated into this Settlement Agreement. 17. Plaintiff and Defendant jointly own marital property, including household goods, furniture, and furnishings, all of which property has been divided to the parties222 satisfaction. 18. Plaintiff and Defendant jointly own real estate: Yes No. If YES, the real estate jointly owned by Plaintiff and Defendant is listed on the attached Exhibit A. Exhibit A is incorporated into this Settlement Agreement. 19. Plaintiff owns real estate solely in his or her own name: Yes No. If YES, the real estate owned solely by Plaintiff is listed on the attached Exhibit A. Exhibit A is incorporated into this Settlement Agreement. 20. Defendant owns real estate solely in his or her own name: Yes No. If YES, the real estate owned solely by Defendant is listed on the attached Exhibit A. Exhibit A is incorporated into this Settlement Agreement. 21. Plaintiff or Plaintiff222s past or present employer or union or other group pays or has paid money into a pension, profit-sharing plan, IRA or other retirement plan for plaintiff: Yes No. If YES, the plans are listed on the attached Exhibit A. Exhibit A is incorporated into this Settlement Agreement. 22. Defendant or Defendant222s past or present employer or union or other group pays or has paid money into a pension, profit-sharing plan, IRA or other retirement plan for defendant: Yes No. If YES, the plans are listed on the attached Exhibit A. Exhibit A is incorporated into this Settlement Agreement. American LegalNet, Inc. www.FormsWorkFlow.com Page 5 of 9 Stip DNC Form 3/Rev May 2018 23. Plaintiff and Defendant own financial or other assets not otherwise mentioned. Yes No. If YES, the financial or other assets not otherwise mentioned are listed on the attached Exhibit A. Exhibit A is incorporated into this Settlement Agreement. 24. Plaintiff wants to change his or her name: Yes No. If YES, the new name is and plaintiff has no intent to defraud or mislead anyone by changing his/her name. 25. Defendant wants to change his or her name: Yes No. If YES, the new name is and defendant has no intent to defraud or mislead anyone by changing his/her name. THE PARTIES STIPULATE AND AGREE that the following terms and provisions may, if approved by the Court be entered as the Judgment and Decree in the above captioned case. STIPULATED TERMS FOR JUDGMENT 1. Divorce and Court Approval. The plaintiff is awarded an absolute Decree of Divorce from the defendant on the grounds of irreconcilable differences, all in accordance with the provisions of the North Dakota Century Code. As part of the proceedings in this matter, plaintiff will submit this Agreement to the above-entitled Court. If the divorce is not granted, the terms of this Agreement shall be of no effect. If the Court does not approve this Agreement, the parties shall be advised and shall be given the opportunity to appear and present argument, witnesses and testimony. If the Court approves this Agreement, and if the Court grants a dissolution to plaintiff herein, the terms of this Agreement shall be made a part of any Decree issued by reference, whether or not each and every portion of this Agreement is literally set forth in the Judgment and Decree. 2. a. Defendant shall pay to plaintiff the amount of $ per month as and for spousal support for a period of , commencing . American LegalNet, Inc. www.FormsWorkFlow.com Page 6 of 9 Stip DNC Form 3/Rev May 2018 b. Plaintiff shall pay to defendant the amount of $ per month as and for spousal support for a period of , commencing . c. Neither plaintiff nor defendant will be awarded permanent or rehabilitative spousal support and the court shall be divested from any jurisdiction to make any awards of spousal support in the future. d. The issue of spousal support shall be reserved. 3. (Choose one) Plaintiff and Defendant DO NOT own any vehicles or watercraft. The vehicles or watercraft shall be awarded to Plaintiff and Defendant as stated on the attached Exhibit A. Exhibit A is incorporated into this Settlement Agreement. The party receiving each vehicle or watercraft shall pay for all loans and insurance associated with the vehicle. 4. Plaintiff222s and Defendant222s household goods, furniture, and furnishings have already been divided to the parties222 satisfaction. 5. (Choose one) Plaintiff and Defendant DO NOT have any outstanding debts or liabilities. Plaintiff222s and Defendant222s debts and liabilities shall be paid as stated on the attached Exhibit A. Exhibit A is incorporated into this Settlement Agreement. Each party shall hold the oth