AB966,41,25 The undersigned terminates the statutory terminable individual property classification agreement entered into by me and my spouse on .... (date last spouse signed the agreement) under section 766.589 of the Wisconsin Statutes.

AB966,42,1 Signature: ....

AB966,42,2 Date: ....

AB966,42,3 Print Name Here: ....

AB966,42,4 Residence Address: ....

AB966,42,5 Schedule "A"

AB966,42,6 Financial Disclosure

AB966,42,10 The following general categories of assets and liabilities are not all inclusive and if other assets or liabilities exist they should be listed. Assets should be listed according to which spouse has title (including assets owned by a spouse or the spouses with one or more third parties) and at their approximate market value.

AB966,42,11 Husband Wife Both Names

AB966,42,12 I. Assets

AB966,42,13 A. Real estate (gross value)

AB966,42,14 B. Stocks, bonds and mutual funds

AB966,42,16 C. Accounts at and certificates and other instruments issued by financial institutions

AB966,42,18 D. Mortgages, land contracts, promissory notes and cash

AB966,42,19 E. Partnership interests

AB966,42,20 EL. Limited liability company interests

AB966,42,21 F. Trust interests

AB966,42,22 G. Livestock, farm products, crops

AB966,42,23 H. Automobiles and other vehicles

AB966,42,24 I. Jewelry and personal effects

AB966,42,25 J. Household furnishings

AB966,43,1 K. Life insurance and annuities:

AB966,43,2 1. Face value

AB966,43,3 2. Cash surrender value

AB966,43,4 L. Retirement benefits (include value):

AB966,43,5 1. Pension plans

AB966,43,6 2. Profit sharing plans

AB966,43,7 3. HR-10 KEOGH plans

AB966,43,8 4. IRAs