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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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9Acknowledgment
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STATE OF WISCONSIN
)
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.... County
)
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Personally came before me this .... day of ...., .... (year) the above named .... to
14me known to be the person who executed the foregoing instrument and acknowledge
15the 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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Signature of Other Spouse: ....
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1Print 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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4Authentication
AB816,43,55
Signature .... authenticated this .... day of ...., .... (year)
AB816,43,77
TITLE: MEMBER STATE BAR OF WISCONSIN
AB816,43,88
(If not, .... authorized by s. 706.06, Wis. Stats.)
AB816,43,9
9Acknowledgment
AB816,43,1010
STATE OF WISCONSIN
)
AB816,43,1212
.... County
)
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Personally came before me this .... day of ...., .... (year) the above named .... to
14me known to be the person who executed the foregoing instrument and acknowledge
15the same.
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Notary Public ...., .... County, Wisconsin.
AB816,43,1818
My Commission is permanent.
AB816,43,1919
(If not, state expiration date: ...., .... (year))
AB816,43,2020
(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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24Termination of statutory terminable
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25marital property classification agreement
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1I UNDERSTAND THAT:
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1. THIS TERMINATION TAKES EFFECT 30 DAYS AFTER MY SPOUSE IS
3NOTIFIED OF THE TERMINATION, AS PROVIDED UNDER SECTION 766.588
4(4) OF THE WISCONSIN STATUTES.
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2. THIS TERMINATION IS PROSPECTIVE; IT DOES NOT AFFECT THE
6CLASSIFICATION OF PROPERTY ACQUIRED BEFORE THE TERMINATION
7BECOMES EFFECTIVE. PROPERTY ACQUIRED AFTER THE TERMINATION
8BECOMES EFFECTIVE IS CLASSIFIED AS PROVIDED UNDER THE MARITAL
9PROPERTY LAW.
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3. IN GENERAL, THIS TERMINATION IS NOT BINDING ON CREDITORS
11UNLESS THEY ARE PROVIDED A COPY OF THE TERMINATION BEFORE
12CREDIT IS EXTENDED.
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The undersigned terminates the statutory terminable marital property
14classification agreement entered into by me and my spouse on .... (date last spouse
15signed 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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20Schedule "A"
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21Financial Disclosure
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The following general categories of assets and liabilities are not all inclusive
23and if other assets or liabilities exist they should be listed. Assets should be listed
24according to which spouse has title (including assets owned by a spouse or the
25spouses with one or more third parties) and at their approximate market value.
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1Husband 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
6instruments issued by financial institutions
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D.
Mortgages, land contracts, promissory notes
8and 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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1II.
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
6month)
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E.
Other obligations (such as other obligations
8to individuals, guarantees, contingent
9liabilities)
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III.
Annual compensation for services:
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(for example, wages and income from
12self-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)
AB816,116
16Section
116. 766.589 (10) (form) 14. of the statutes is amended to read: