Certificate of

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I, ………………………………………, the first party named in this certificate acknowledge that I received
RELATIONSHIPS ACT 2003 Section 62 CERTIFICATE OF LEGAL ADVICE I…………………………………………………… of ……………………………… ………………………. hereby certify that: I am a legal practitioner as defined in the Relationships Act 2003 I have provided advice to …………………………………………… (the first party) of ………………………………………………………. as to the advantages and disadvantages of entering into a personal relationship/separation {strike out whichever does not apply} agreement with ……………………………… ……………………………………… (the second party). I have also advised the first party as to the effect of the contemplated agreement on the rights of the parties to apply for an order under Part 5 of the Relationships Act 2003 (Financial Adjustment and Maintenance). My advice was provided independently of the second party and prior to the execution of the agreement to which this certificate is attached.

DATED this …………………… day of …………………….. 20…. Signed:…………………………………… Legal Practitioner

I, ………………………………………, the first party named in this certificate acknowledge that I received the advice referred to above before signing a personal relationship/separation {strike out whichever does not apply} agreement with the second party. Signed:…………………………………….. First Party THIS CERTIFICATE MUST BE ATTACHED TO THE PERSONAL RELATIONSHIP OR SEPARATION AGREEMENT TO WHICH IT RELATES