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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
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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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17Authentication
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Signature .... authenticated this .... day of ...., .... (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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22Acknowledgment
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STATE OF WISCONSIN )
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.... 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.
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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
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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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12Termination of statutory terminable
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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.
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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.
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3. IN GENERAL, THIS TERMINATION IS NOT BINDING ON CREDITORS
24UNLESS THEY ARE PROVIDED A COPY OF THE TERMINATION BEFORE
25CREDIT IS EXTENDED.
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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 Name of One Spouse Wife Name of Other Spouse 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
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19 other instruments issued by
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20 financial institutions
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D. Mortgages, land contracts,
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22 promissory notes and 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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1G. 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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6 1. Face value
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7 2. Cash surrender value
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L. Retirement benefits (include value):
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9 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
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19 institutions
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D. Alimony, maintenance and child
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21 support (per month)
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E. Other obligations (such as other obligations
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23 to individuals, guarantees,
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24 contingent liabilities)
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III.
Annual compensation for services:
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1(for example, wages and income from self-
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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)
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6Section
72. 766.589 (10) (form) of the statutes is amended to read:
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766.589
(10) (form)
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8Notice to persons who sign this agreement
