AB816,48,421
IF THE DURATION OF THIS AGREEMENT IS NOT TO BE LIMITED TO 3
22YEARS, MAKE SURE THAT SCHEDULE "A", "FINANCIAL DISCLOSURE", IS
23COMPLETED AND THAT YOU HAVE REVIEWED THE SCHEDULE BEFORE
24SIGNING THE AGREEMENT. IF YOU AND YOUR SPOUSE HAVE PREVIOUSLY
25ENTERED INTO A STATUTORY TERMINABLE INDIVIDUAL PROPERTY
1CLASSIFICATION AGREEMENT WITH EACH OTHER WHICH WAS
2EFFECTIVE DURING YOUR PRESENT MARRIAGE AND YOU AND YOUR
3SPOUSE DID NOT COMPLETE SCHEDULE "A", YOU MAY NOT EXECUTE THIS
4AGREEMENT IF YOU DO NOT COMPLETE SCHEDULE "A".
AB816,48,55
Signature of One 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.)
AB816,48,10
10Authentication
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Signature .... authenticated this .... day of ...., .... (year)
AB816,48,1313
TITLE: MEMBER STATE BAR OF WISCONSIN
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(If not, .... authorized by s. 706.06, Wis. Stats.)
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15Acknowledgment
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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
20me known to be the person who executed the foregoing instrument and acknowledge
21the 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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1(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: ....
AB816,49,77
Print Name Here: ....
AB816,49,88
Residence Address: ....
AB816,49,99
(Make Sure Your Signature is Authenticated or Acknowledged Below.)
AB816,49,10
10Authentication
AB816,49,1111
Signature .... authenticated this .... day of ...., .... (year)
AB816,49,1313
TITLE: MEMBER STATE BAR OF WISCONSIN
AB816,49,1414
(If not, .... authorized by s. 706.06, Wis. Stats.)
AB816,49,15
15Acknowledgment
AB816,49,1616
STATE OF WISCONSIN
)
AB816,49,1818
.... County
)
AB816,49,2119
Personally came before me this .... day of ...., .... (year) the above named .... to
20me known to be the person who executed the foregoing instrument and acknowledge
21the same.
AB816,49,2323
Notary Public ...., .... County, Wisconsin.
AB816,49,2424
My Commission is permanent.
AB816,49,2525
(If not, state expiration date: ...., .... (year))
AB816,50,1
1(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.
AB816,50,5
5Termination of
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6Statutory terminable individual
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7Property classification agreement
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I UNDERSTAND THAT:
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1. THIS TERMINATION TAKES EFFECT 30 DAYS AFTER MY SPOUSE IS
10NOTIFIED OF THE TERMINATION, AS PROVIDED UNDER SECTION 766.589
11(4) OF THE WISCONSIN STATUTES.
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2. THIS TERMINATION IS PROSPECTIVE; IT DOES NOT AFFECT THE
13CLASSIFICATION OF PROPERTY ACQUIRED BEFORE THE TERMINATION
14BECOMES EFFECTIVE. PROPERTY ACQUIRED AFTER THE TERMINATION
15BECOMES EFFECTIVE IS CLASSIFIED AS PROVIDED UNDER THE MARITAL
16PROPERTY LAW.
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3. IN GENERAL, THIS TERMINATION IS NOT BINDING ON CREDITORS
18UNLESS THEY ARE PROVIDED A COPY OF THE TERMINATION BEFORE
19CREDIT IS EXTENDED.
AB816,50,2220
The undersigned terminates the statutory terminable individual property
21classification agreement entered into by me and my spouse on .... (date last spouse
22signed the agreement) under section 766.589 of the Wisconsin Statutes.
AB816,50,2323
Signature: ....
AB816,50,2525
Print Name Here: ....
AB816,51,1
1Residence Address: ....
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3Financial Disclosure
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The following general categories of assets and liabilities are not all inclusive
5and if other assets or liabilities exist they should be listed. Assets should be listed
6according to which spouse has title (including assets owned by a spouse or the
7spouses with one or more third parties) and at their approximate market value.
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8Husband 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 and other
13instruments issued by financial institutions
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D.
Mortgages, land contracts, promissory notes
15and 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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1L.
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
