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Model Cohabitation Agreement For Domestic Partners - Parties To Share Residence, Earnings And Accumulated Property - Support Provisions Page 7

FIRST PARTY

_________________ [signature]

_________________ [typed name]

SECOND PARTY

ACKNOWLEDGMENT

______________________________________________________________________

On ____________________ [date], before me, _________________[name], a Notary Public

in and for the State [Commonwealth] of _________________, County of ___________________,

personally appeared _________________[names of First and Second Parties], who proved

to me on the basis of satisfactory evidence to be the persons whose names are

subscribed to this instrument, and acknowledged that they executed this instrument

in their authorized capacities, and that by their signatures on the instrument the

persons executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State

[Commonwealth] of _________________ that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.

___________________ [signature]

Notary Public

ALTERNATIVE PROVISIONS REGARDING RESPONSIBILITY

FOR JOINT LIVING EXPENSES:

1. Living Expenses

(a) _________________[Name of first party] currently earns approximately $_____ per year

from _____ [his or her] employment. _________________[Name of second party] currently

earns approximately $_____ per year from _____ [his or her] employment. Based on

their total monthly income of $_____, the parties shall share their living expenses on a

pro rata basis. _________________[Name of first party] shall contribute _____ percent to

payment of the parties' monthly living expenses, and ________________ [name of second

Model Cohabitation Agreement For Domestic Partners - Parties To Share Residence, Earnings And Accumulated Property - Support Provisions Page 7