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TITLE: MEMBER STATE BAR OF WISCONSIN
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(If not, .... authorized by s. 706.06, Wis. Stats.)
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18Acknowledgment
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STATE OF WISCONSIN )
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.... County )
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Personally came before me this .... day of ....,
19..
.... (year) the above named ....
23to me known to be the person who executed the foregoing instrument and
24acknowledge the same.
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1Notary Public ...., .... County, Wisconsin.
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My Commission is permanent.
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(If not, state expiration date: ....,
19.. .... (year))
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(Signatures may be authenticated or
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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: ....
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Print Name Here: ....
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Residence Address: ....
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(Make Sure Your Signature is Authenticated or Acknowledged Below.)
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13Authentication
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Signature .... authenticated this .... day of ....,
19.. .... (year)
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TITLE: MEMBER STATE BAR OF WISCONSIN
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(If not, .... authorized by s. 706.06, Wis. Stats.)
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18Acknowledgment
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STATE OF WISCONSIN )
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.... County )
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Personally came before me this .... day of ....,
19..
.... (year) the above named ....
23to me known to be the person who executed the foregoing instrument and
24acknowledge the same.
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1Notary Public ...., .... County, Wisconsin.
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My Commission is permanent.
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(If not, state expiration date: ....,
19.. .... (year))
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(Signatures may be authenticated or
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acknowledged. Both are not necessary.)
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*Names of persons signing in any capacity should
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be typed or printed below their signatures.
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8Termination of
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9Statutory terminable individual
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10Property classification agreement
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I UNDERSTAND THAT:
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1. THIS TERMINATION TAKES EFFECT 30 DAYS AFTER MY SPOUSE IS
13NOTIFIED OF THE TERMINATION, AS PROVIDED UNDER SECTION 766.589
14(4) OF THE WISCONSIN STATUTES.
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2. THIS TERMINATION IS PROSPECTIVE; IT DOES NOT AFFECT THE
16CLASSIFICATION OF PROPERTY ACQUIRED BEFORE THE TERMINATION
17BECOMES EFFECTIVE. PROPERTY ACQUIRED AFTER THE TERMINATION
18BECOMES EFFECTIVE IS CLASSIFIED AS PROVIDED UNDER THE MARITAL
19PROPERTY LAW.
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3. IN GENERAL, THIS TERMINATION IS NOT BINDING ON CREDITORS
21UNLESS THEY ARE PROVIDED A COPY OF THE TERMINATION BEFORE
22CREDIT IS EXTENDED.
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The undersigned terminates the statutory terminable individual property
24classification agreement entered into by me and my spouse on .... (date last spouse
25signed the agreement) under section 766.589 of the Wisconsin Statutes.
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1Signature: ....
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Print Name Here: ....
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Residence Address: ....
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6Financial Disclosure
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The following general categories of assets and liabilities are not all inclusive
8and if other assets or liabilities exist they should be listed. Assets should be listed
9according to which spouse has title (including assets owned by a spouse or the
10spouses with one or more third parties) and at their approximate market value.
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11Husband Wife 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 and other
16instruments issued by financial institutions
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D. Mortgages, land contracts, promissory notes
18and 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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1K. Life insurance and annuities:
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21. Face value
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32. Cash surrender value
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L. Retirement benefits (include value):
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51. Pension plans
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62. Profit sharing plans
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73. HR-10 KEOGH plans
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95. 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
16month)
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E. Other obligations (such as other obligations
18to individuals guarantees, contingent
19liabilities)
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III.
Annual compensation for services:
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(for example, wages and income from
22self-employment; also include social security,
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disability and similar income here)
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(IF YOU NEED ADDITIONAL SPACE,
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ADD ADDITIONAL SHEETS.)
AB966, s. 29
1Section
29. 767.455 (5) (form) of the statutes is amended to read:
