AB966,18,23 2310. Personal and family maintenance.
AB966,18,25 2411. Benefits from social security, medicare, medicaid or other
25governmental programs, or military service.
AB966,19,1
112. Retirement plan transactions.
AB966,19,2 213. Business operating transactions.
AB966,19,3 3Special instructions:
AB966,19,54 ON THE FOLLOWING LINES YOU MAY GIVE SPECIAL INSTRUCTIONS
5LIMITING OR EXTENDING THE POWERS GRANTED TO YOUR AGENT.
AB966,19,1715 This power of attorney will become effective (immediately) (immediately, and
16is not affected by my subsequent disability, incapacity or incompetency) (when I
17become disabled, incapacitated or incompetent) CIRCLE ONE.
AB966,19,2218 I agree that any third party who receives a copy of this document may act under
19it. Revocation of the power of attorney is not effective as to a third party until the
20third party learns of the revocation. I agree to reimburse the third party for any loss
21resulting from claims that arise against the third party because of reliance on this
22power of attorney.
AB966,19,2323 Signed this .... day of ...., 19.. .... (year)
AB966,19,2424 ....
AB966,19,2525 (Your Signature)
AB966,20,1
1....
AB966,20,22 (Your Social Security Number)
AB966,20,33 State of ....
AB966,20,44 County of ....
AB966,20,65 This document was acknowledged before me on .... (date) by .... (name of
6principal).
AB966,20,77 ....
AB966,20,88 (Signature of Notarial Officer)
AB966,20,99 (Seal, if any)
AB966,20,1010 (Title)
AB966,20,1111 [My commission expires: ....]
AB966,20,1412 BY ACCEPTING OR ACTING UNDER THE APPOINTMENT, THE AGENT
13ASSUMES THE FIDUCIARY AND OTHER LEGAL RESPONSIBILITIES OF AN
14AGENT.
AB966, s. 23 15Section 23. 425.205 (2) (form) of the statutes is amended to read:
AB966,20,1616 425.205 (2) (form)
AB966,20,1717 State of Wisconsin
AB966,20,1818 Circuit Court
AB966,20,1919 .... County
AB966,20,2020 A. B. Plaintiff
AB966,20,2222 C. D. Defendant
AB966,20,2323 SUMMONS (Small Claim)
AB966,20,2424 THE STATE OF WISCONSIN
AB966,20,2525 To said Defendant:
AB966,21,2
1The Plaintiff named above has commenced an action to recover possession of
2the following property:
AB966,21,33 [Description of Collateral or Leased Goods]
AB966,21,54 This claim arises under a consumer credit transaction under which you are
5alleged to be in default, as described in the attached complaint.
AB966,21,136 IF YOU ARE NOT IN DEFAULT OR HAVE AN OBJECTION TO THE
7PLAINTIFF'S TAKING THE PROPERTY LISTED ABOVE, YOU MAY ARRANGE
8FOR A HEARING ON THESE ISSUES BY APPEARING IN THE CIRCUIT COURT
9OF .... COUNTY, IN THE COURTHOUSE LOCATED IN ...., (municipality),
10BEFORE JUDGE .... OR ANY OTHER JUDGE TO WHOM THE ACTION MAY BE
11ASSIGNED, ON .... (date), AT .... (time). IF YOU DO NOT APPEAR AT THAT TIME,
12JUDGMENT WILL BE RENDERED AGAINST YOU FOR DELIVERY OF THE
13PROPERTY TO THE PLAINTIFF.
AB966,21,1414 DATED ...., 19.. .... (year)
AB966,21,1515 E.F.
AB966,21,1616 Clerk of Circuit Court
AB966,21,1717 [or]
AB966,21,1818 Plaintiff's Attorney
AB966,21,1919 Plaintiff's P. O. Address
AB966,21,2020 ....
AB966,21,2121 ....
AB966,21,2222 Plaintiff's Attorney (if any)
AB966,21,2323 ....
AB966,21,2424 ....
AB966,21,2525 Defendant's P. O. Address
AB966,22,1
1....
AB966,22,22 ....
AB966, s. 24 3Section 24. 703.16 (9) (form) of the statutes is amended to read:
AB966,22,44 703.16 (9) (form)
AB966,22,55 Statement of Condominium Lien
AB966,22,106 This is to certify that .................... owner(s) of unit No. ..... in ....................
7Condominium (is) (are) indebted to the association in the amount of $.......... as of
8.........., 19.... .... (year) for (his) (her) (its) (their) proportionate share of common
9expenses of the Condominium for the period from (date) to (date), plus interest
10thereon at the rate of ....%, costs of collection, and actual attorney fees.
AB966,22,1111 Association
AB966,22,1212 By: ..........................
AB966,22,1313 Officer's title (or agent)
AB966,22,1414 Address
AB966,22,1515 Phone number
AB966,22,1816 I hereby affirm under penalties of perjury that the information contained in the
17foregoing Statement of Condominium Lien is true and correct to the best of my
18knowledge, information, and belief.
AB966,22,1919 ...............................
AB966,22,2020 Officer (or agent)
AB966, s. 25 21Section 25. 707.37 (5) (form) of the statutes is amended to read:
AB966,22,2222 707.37 (5) (form)
AB966,22,2323 STATEMENT OF TIME-SHARE LIEN
AB966,23,324 This is to certify that .... owner(s) of time share No. .... in ...., a time-share
25property (is) (are) indebted to ...., the managing entity, in the amount of $.... as of ....,

119.. .... (year) for (his) (her) (its) (their) proportionate share of time-share expenses
2for the period from (date) to (date), plus interest thereon at the rate of ....%, costs of
3collection, and actual attorney fees.
AB966,23,44 (Managing Entity)
AB966,23,55 By:....
AB966,23,66 Officer's title (or agent)
AB966,23,77 Address....
AB966,23,88 Phone number....
AB966,23,119 I hereby affirm under penalties of perjury that the information contained in the
10foregoing Statement of Time-Share Lien is true and correct to the best of my
11knowledge, information and belief.
AB966,23,1212 ....
AB966,23,1313 Officer (or agent)
AB966, s. 26 14Section 26. 757.02 (1) (form) of the statutes is amended to read:
AB966,23,1515 757.02 (1) (form)
AB966,23,16 16State of Wisconsin,
AB966,23,1717 County of ....
AB966,23,2318 I, the undersigned, who have been elected (or appointed) to the office of ...., but
19have not yet entered upon the duties thereof, do solemnly swear that I will support
20the constitution of the United States and the constitution of the state of Wisconsin;
21that I will administer justice without respect to persons and will faithfully and
22impartially discharge the duties of said office to the best of my ability. So help me
23God.
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