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TOWN OF ____________ LIS PENDENS s. 70.27, WIS. STATS.
COUNTY OF ________
STATE OF WISCONSIN
IN THE MATTER OF A PROPOSED ASSESSOR'S PLAT IN
THE TOWN OF ________, ________ COUNTY
BE IT NOTED THAT:
In the matter of a proposed Assessor's Plat, Town of ________, ________ County, Wisconsin, on ________ ___, 20__, the Town Board of the Town of ________ adopted a resolution to have created an assessor's plat that may affect certain platted and unplatted parcels in the Town of ________, ________ County, Wisconsin, all located in Section(s) _______ of Township ________, Range ________.
The proposed plat for Section ________ may include all or part of the following:
1.   [insert affected quarter sections, i.e., NW 1/4 NW 1/4]
2.   [so continue]
This Lis Pendens is filed in the Register of Deeds Office, ________ County, Wisconsin, for the purpose of notice to all titleholders and prospective titleholders that an Assessor's Plat has been or may be created affecting the above-noted platted and unplatted parcels in Section(s) ________ in the Town of ________, ________ County, Wisconsin.
Dated this ______ day of ________, 20__.
[Signature of town clerk]
Town of ________
_________ County, Wisconsin
STATE OF WISCONSIN
________ COUNTY
Personally came before me this ____ day of ________, 20__, the above-named ________ ________, known to me to be the person who executed the foregoing instrument, and acknowledged the same.
[Signature of town chairperson]
or
[Signature of notary public]
Notary Public, State of Wisconsin
My commission _________.
This instrument drafted by: _________________
Whose address is: ______________________
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