SB566,49,1616
(Make Sure Your Signature is Authenticated or Acknowledged Below.)
SB566,49,17
17Authentication
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Signature .... authenticated this .... day of ...., .... (year)
SB566,49,2020
TITLE: MEMBER STATE BAR OF WISCONSIN
SB566,49,2121
(If not, .... authorized by s. 706.06, Wis. Stats.)
SB566,49,22
22Acknowledgment
SB566,49,2323
STATE OF WISCONSIN
)
SB566,49,2525
.... County
)
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1Personally came before me this .... day of ...., .... (year) the above named .... to
2me known to be the person who executed the foregoing instrument and acknowledge
3the same.
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Notary Public ...., .... County, Wisconsin.
SB566,50,66
My Commission is permanent.
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(If not, state expiration date: ...., .... (year))
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(Signatures may be authenticated or
SB566,50,99
acknowledged. Both are not necessary.)
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*Names of persons signing in any capacity should be
SB566,50,1111
typed or printed below their signatures.
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Signature of Other Spouse: ....
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Print Name Here: ....
SB566,50,1515
Residence Address: ....
SB566,50,1616
(Make Sure Your Signature is Authenticated or Acknowledged Below.)
SB566,50,17
17Authentication
SB566,50,1818
Signature .... authenticated this .... day of ...., .... (year)
SB566,50,2020
TITLE: MEMBER STATE BAR OF WISCONSIN
SB566,50,2121
(If not, .... authorized by s. 706.06, Wis. Stats.)
SB566,50,22
22Acknowledgment
SB566,50,2323
STATE OF WISCONSIN
)
SB566,50,2525
.... County
)
SB566,51,3
1Personally came before me this .... day of ...., .... (year) the above named .... to
2me known to be the person who executed the foregoing instrument and acknowledge
3the same.
SB566,51,55
Notary Public ...., .... County, Wisconsin.
SB566,51,66
My Commission is permanent.
SB566,51,77
(If not, state expiration date: ...., .... (year))
SB566,51,88
(Signatures may be authenticated or
SB566,51,99
acknowledged. Both are not necessary.)
SB566,51,1010
*Names of persons signing in any capacity should be
SB566,51,1111
typed or printed below their signatures.
SB566,51,12
12Termination of statutory terminable
SB566,51,13
13marital property classification agreement
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I UNDERSTAND THAT:
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1. THIS TERMINATION TAKES EFFECT 30 DAYS AFTER MY SPOUSE IS
16NOTIFIED OF THE TERMINATION, AS PROVIDED UNDER SECTION 766.588
17(4) OF THE WISCONSIN STATUTES.
SB566,51,2218
2. THIS TERMINATION IS PROSPECTIVE; IT DOES NOT AFFECT THE
19CLASSIFICATION OF PROPERTY ACQUIRED BEFORE THE TERMINATION
20BECOMES EFFECTIVE. PROPERTY ACQUIRED AFTER THE TERMINATION
21BECOMES EFFECTIVE IS CLASSIFIED AS PROVIDED UNDER THE MARITAL
22PROPERTY LAW.
SB566,51,2523
3. IN GENERAL, THIS TERMINATION IS NOT BINDING ON CREDITORS
24UNLESS THEY ARE PROVIDED A COPY OF THE TERMINATION BEFORE
25CREDIT IS EXTENDED.
SB566,52,3
1The undersigned terminates the statutory terminable marital property
2classification agreement entered into by me and my spouse on .... (date last spouse
3signed the agreement) under section 766.588 of the Wisconsin Statutes.
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Signature: ....
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Print Name Here: ....
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Residence Address: ....
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9Financial Disclosure
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The following general categories of assets and liabilities are not all inclusive
11and if other assets or liabilities exist they should be listed. Assets should be listed
12according to which spouse has title (including assets owned by a spouse or the
13spouses with one or more third parties) and at their approximate market value.
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14Husband 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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C.
Accounts at and certificates or other
19instruments issued by financial institutions
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D.
Mortgages, land contracts, promissory notes
21and 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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1H.
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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D.
Alimony, maintenance and child support (per
19month)
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E.
Other obligations (such as other obligations
21to individuals, guarantees, contingent
22liabilities)
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III.
Annual compensation for services:
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(for example, wages and income from
25self-employment; also include social security,
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1disability and similar income here)
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