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Get Fa 4126 2010-2024

H of , 20 . 2. For the Husband: a. The husband gives up his right to receive maintenance at this time. b. The wife shall pay maintenance to the husband in the amount of $ per month beginning on the first day of the month of , 20 . B. Minor Children. The following minor children (age 17 or younger) born to or adopted together by the parties before or during the marriage are: Name of Minor Child Date of Birth C. Medical and Health Care Expenses. 1. Medical Insurance and Payments. Parents are requ.

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