AB417,41,1515
Signature of One Spouse: ....
AB417,41,1717
Print Name Here: ....
AB417,41,1818
Residence Address: ....
AB417,41,1919
(Make Sure Your Signature is Authenticated or Acknowledged Below.)
AB417,41,20
20Authentication
AB417,41,2121
Signature .... authenticated this .... day of ...., .... (year)
AB417,41,2323
TITLE: MEMBER STATE BAR OF WISCONSIN
AB417,41,2424
(If not, .... authorized by s. 706.06, Wis. Stats.)
AB417,41,25
25Acknowledgment
AB417,42,1
1STATE OF WISCONSIN
)
AB417,42,33
.... County
)
AB417,42,64
Personally came before me this .... day of ...., .... (year) the above named .... to
5me known to be the person who executed the foregoing instrument and acknowledge
6the same.
AB417,42,88
Notary Public ...., .... County, Wisconsin.
AB417,42,99
My Commission is permanent.
AB417,42,1010
(If not, state expiration date: ...., .... (year))
AB417,42,1111
(Signatures may be authenticated or
AB417,42,1212
acknowledged. Both are not necessary.)
AB417,42,1313
*Names of persons signing in any capacity should be
AB417,42,1414
typed or printed below their signatures.
AB417,42,1515
Signature of Other Spouse: ....
AB417,42,1717
Print Name Here: ....
AB417,42,1818
Residence Address: ....
AB417,42,1919
(Make Sure Your Signature is Authenticated or Acknowledged Below.)
AB417,42,20
20Authentication
AB417,42,2121
Signature .... authenticated this .... day of ...., .... (year)
AB417,42,2323
TITLE: MEMBER STATE BAR OF WISCONSIN
AB417,42,2424
(If not, .... authorized by s. 706.06, Wis. Stats.)
AB417,42,25
25Acknowledgment
AB417,43,1
1STATE OF WISCONSIN
)
AB417,43,33
.... County
)
AB417,43,64
Personally came before me this .... day of ...., .... (year) the above named .... to
5me known to be the person who executed the foregoing instrument and acknowledge
6the same.
AB417,43,88
Notary Public ...., .... County, Wisconsin.
AB417,43,99
My Commission is permanent.
AB417,43,1010
(If not, state expiration date: ...., .... (year))
AB417,43,1111
(Signatures may be authenticated or
AB417,43,1212
acknowledged. Both are not necessary.)
AB417,43,1313
*Names of persons signing in any capacity should be
AB417,43,1414
typed or printed below their signatures.
AB417,43,15
15Termination of statutory terminable
AB417,43,16
16marital property classification agreement
AB417,43,1717
I UNDERSTAND THAT:
AB417,43,2018
1. THIS TERMINATION TAKES EFFECT 30 DAYS AFTER MY SPOUSE IS
19NOTIFIED OF THE TERMINATION, AS PROVIDED UNDER SECTION 766.588
20(4) OF THE WISCONSIN STATUTES.
AB417,43,2521
2. THIS TERMINATION IS PROSPECTIVE; IT DOES NOT AFFECT THE
22CLASSIFICATION OF PROPERTY ACQUIRED BEFORE THE TERMINATION
23BECOMES EFFECTIVE. PROPERTY ACQUIRED AFTER THE TERMINATION
24BECOMES EFFECTIVE IS CLASSIFIED AS PROVIDED UNDER THE MARITAL
25PROPERTY LAW.
AB417,44,3
13. IN GENERAL, THIS TERMINATION IS NOT BINDING ON CREDITORS
2UNLESS THEY ARE PROVIDED A COPY OF THE TERMINATION BEFORE
3CREDIT IS EXTENDED.
AB417,44,64
The undersigned terminates the statutory terminable marital property
5classification agreement entered into by me and my spouse on .... (date last spouse
6signed the agreement) under section 766.588 of the Wisconsin Statutes.
AB417,44,77
Signature: ....
AB417,44,99
Print Name Here: ....
AB417,44,1010
Residence Address: ....
AB417,44,11
11Schedule “A"
AB417,44,12
12Financial Disclosure
AB417,44,1613
The following general categories of assets and liabilities are not all inclusive
14and if other assets or liabilities exist they should be listed. Assets should be listed
15according to which spouse has title (including assets owned by a spouse or the
16spouses with one or more third parties) and at their approximate market value.
AB417,44,17
17Husband Wife
Spouse (Name) Spouse (Name) Both Names
AB417,44,1919
A.
Real estate (gross value)
AB417,44,2020
B.
Stocks, bonds and mutual funds
AB417,44,2221
C.
Accounts at and certificates or other
22instruments issued by financial institutions
AB417,44,2423
D.
Mortgages, land contracts, promissory notes
24and cash
AB417,44,2525
E.
Partnership interests
AB417,45,1
1EL.
Limited liability company interests
.
AB417,45,22
F.
Trust interests
AB417,45,33
G.
Livestock, farm products, crops
AB417,45,44
H.
Automobiles and other vehicles
AB417,45,55
I.
Jewelry and personal effects
AB417,45,66
J.
Household furnishings
AB417,45,77
K.
Life insurance and annuities:
AB417,45,88
1.
Face value
AB417,45,99
2.
Cash surrender value
AB417,45,1010
L.
Retirement benefits (include value):
AB417,45,1111
1.
Pension plans
AB417,45,1212
2.
Profit sharing plans
AB417,45,1313
3.
HR-10 KEOGH plans
AB417,45,1515
5.
Deferred compensation plans
AB417,45,1616
M.
Other assets not listed elsewhere
AB417,45,1717
II.
Obligations (total outstanding balance):
AB417,45,1818
A.
Mortgages and liens
AB417,45,1919
B.
Credit cards
AB417,45,2020
C.
Other obligations to financial institutions
AB417,45,2221
D.
Alimony, maintenance and child support (per
22month)
AB417,45,2523
E.
Other obligations (such as other obligations
24to individuals, guarantees, contingent
25liabilities)
