AB337,55,2222
Residence Address: ....
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(Make Sure Your Signature is Authenticated or Acknowledged Below.)
AB337,55,24
24Authentication
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Signature .... authenticated this .... day of ...., .... (year)
AB337,56,22
TITLE: MEMBER STATE BAR OF WISCONSIN
AB337,56,33
(If not, .... authorized by s. 706.06, Wis. Stats.)
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4Acknowledgment
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STATE OF WISCONSIN
)
AB337,56,77
.... County
)
AB337,56,108
Personally came before me this .... day of ...., .... (year) the above named .... to
9me known to be the person who executed the foregoing instrument and acknowledge
10the same.
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Notary Public ...., .... County, Wisconsin.
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My Commission is permanent.
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(If not, state expiration date: ...., .... (year))
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(Signatures may be authenticated or
AB337,56,1616
acknowledged. Both are not necessary.)
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*Names of persons signing in any capacity should be
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typed or printed below their signatures.
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Signature of Other Spouse: ....
AB337,56,2121
Print Name Here: ....
AB337,56,2222
Residence Address: ....
AB337,56,2323
(Make Sure Your Signature is Authenticated or Acknowledged Below.)
AB337,56,24
24Authentication
AB337,56,2525
Signature .... authenticated this .... day of ...., .... (year)
AB337,57,22
TITLE: MEMBER STATE BAR OF WISCONSIN
AB337,57,33
(If not, .... authorized by s. 706.06, Wis. Stats.)
AB337,57,4
4Acknowledgment
AB337,57,55
STATE OF WISCONSIN
)
AB337,57,77
.... County
)
AB337,57,108
Personally came before me this .... day of ...., .... (year) the above named .... to
9me known to be the person who executed the foregoing instrument and acknowledge
10the same.
AB337,57,1212
Notary Public ...., .... County, Wisconsin.
AB337,57,1313
My Commission is permanent.
AB337,57,1414
(If not, state expiration date: ...., .... (year))
AB337,57,1515
(Signatures may be authenticated or
AB337,57,1616
acknowledged. Both are not necessary.)
AB337,57,1717
*Names of persons signing in any capacity should
AB337,57,1818
be typed or printed below their signatures.
AB337,57,19
19Termination of
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20Statutory terminable individual
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21Property classification agreement
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I UNDERSTAND THAT:
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1. THIS TERMINATION TAKES EFFECT 30 DAYS AFTER MY SPOUSE IS
24NOTIFIED OF THE TERMINATION, AS PROVIDED UNDER SECTION 766.589
25(4) OF THE WISCONSIN STATUTES.
AB337,58,5
12. THIS TERMINATION IS PROSPECTIVE; IT DOES NOT AFFECT THE
2CLASSIFICATION OF PROPERTY ACQUIRED BEFORE THE TERMINATION
3BECOMES EFFECTIVE. PROPERTY ACQUIRED AFTER THE TERMINATION
4BECOMES EFFECTIVE IS CLASSIFIED AS PROVIDED UNDER THE MARITAL
5PROPERTY LAW.
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3. IN GENERAL, THIS TERMINATION IS NOT BINDING ON CREDITORS
7UNLESS THEY ARE PROVIDED A COPY OF THE TERMINATION BEFORE
8CREDIT IS EXTENDED.
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The undersigned terminates the statutory terminable individual property
10classification agreement entered into by me and my spouse on .... (date last spouse
11signed the agreement) under section 766.589 of the Wisconsin Statutes.
AB337,58,1212
Signature: ....
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Print Name Here: ....
AB337,58,1515
Residence Address: ....
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16Schedule “A"
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17Financial Disclosure
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The following general categories of assets and liabilities are not all inclusive
19and if other assets or liabilities exist they should be listed. Assets should be listed
20according to which spouse has title (including assets owned by a spouse or the
21spouses with one or more third parties) and at their approximate market value.
AB337,58,22
22Husband Wife
Spouse (Name) Spouse (Name) Both Names
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A.
Real estate (gross value)
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B.
Stocks, bonds and mutual funds
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1C.
Accounts at and certificates and other
2instruments issued by financial institutions
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D.
Mortgages, land contracts, promissory notes
4and cash
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E.
Partnership interests
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EL.
Limited liability company interests
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F.
Trust interests
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G.
Livestock, farm products, crops
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H.
Automobiles and other vehicles
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I.
Jewelry and personal effects
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J.
Household furnishings
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K.
Life insurance and annuities:
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1.
Face value
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2.
Cash surrender value
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L.
Retirement benefits (include value):
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1.
Pension plans
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2.
Profit sharing plans
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3.
HR-10 KEOGH plans
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5.
Deferred compensation plans
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M.
Other assets not listed elsewhere
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II.
Obligations (total outstanding balance):
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A.
Mortgages and liens
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B.
Credit cards
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C.
Other obligations to financial institutions
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1D.
Alimony, maintenance and child support (per
2month)
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E.
Other obligations (such as other obligations
4to individuals
, guarantees, contingent
5liabilities)
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III.
Annual compensation for services:
AB337,60,87
(for example, wages and income from
8self-employment; also include social security,
