SB566,56,22
TITLE: MEMBER STATE BAR OF WISCONSIN
SB566,56,33
(If not, .... authorized by s. 706.06, Wis. Stats.)
SB566,56,4
4Acknowledgment
SB566,56,55
STATE OF WISCONSIN
)
SB566,56,77
.... County
)
SB566,56,108
Personally came before me this .... day of ...., .... (year) the above named .... to
9me known to be the person who executed the foregoing instrument and acknowledge
10the same.
SB566,56,1212
Notary Public ...., .... County, Wisconsin.
SB566,56,1313
My Commission is permanent.
SB566,56,1414
(If not, state expiration date: ...., .... (year))
SB566,56,1515
(Signatures may be authenticated or
SB566,56,1616
acknowledged. Both are not necessary.)
SB566,56,1717
*Names of persons signing in any capacity should be
SB566,56,1818
typed or printed below their signatures.
SB566,56,1919
Signature of Other Spouse: ....
SB566,56,2121
Print Name Here: ....
SB566,56,2222
Residence Address: ....
SB566,56,2323
(Make Sure Your Signature is Authenticated or Acknowledged Below.)
SB566,56,24
24Authentication
SB566,56,2525
Signature .... authenticated this .... day of ...., .... (year)
SB566,57,22
TITLE: MEMBER STATE BAR OF WISCONSIN
SB566,57,33
(If not, .... authorized by s. 706.06, Wis. Stats.)
SB566,57,4
4Acknowledgment
SB566,57,55
STATE OF WISCONSIN
)
SB566,57,77
.... County
)
SB566,57,108
Personally came before me this .... day of ...., .... (year) the above named .... to
9me known to be the person who executed the foregoing instrument and acknowledge
10the same.
SB566,57,1212
Notary Public ...., .... County, Wisconsin.
SB566,57,1313
My Commission is permanent.
SB566,57,1414
(If not, state expiration date: ...., .... (year))
SB566,57,1515
(Signatures may be authenticated or
SB566,57,1616
acknowledged. Both are not necessary.)
SB566,57,1717
*Names of persons signing in any capacity should
SB566,57,1818
be typed or printed below their signatures.
SB566,57,19
19Termination of
SB566,57,20
20Statutory terminable individual
SB566,57,21
21Property classification agreement
SB566,57,2222
I UNDERSTAND THAT:
SB566,57,2523
1. THIS TERMINATION TAKES EFFECT 30 DAYS AFTER MY SPOUSE IS
24NOTIFIED OF THE TERMINATION, AS PROVIDED UNDER SECTION 766.589
25(4) OF THE WISCONSIN STATUTES.
SB566,58,5
12. THIS TERMINATION IS PROSPECTIVE; IT DOES NOT AFFECT THE
2CLASSIFICATION OF PROPERTY ACQUIRED BEFORE THE TERMINATION
3BECOMES EFFECTIVE. PROPERTY ACQUIRED AFTER THE TERMINATION
4BECOMES EFFECTIVE IS CLASSIFIED AS PROVIDED UNDER THE MARITAL
5PROPERTY LAW.
SB566,58,86
3. IN GENERAL, THIS TERMINATION IS NOT BINDING ON CREDITORS
7UNLESS THEY ARE PROVIDED A COPY OF THE TERMINATION BEFORE
8CREDIT IS EXTENDED.
SB566,58,119
The undersigned terminates the statutory terminable individual property
10classification agreement entered into by me and my spouse on .... (date last spouse
11signed the agreement) under section 766.589 of the Wisconsin Statutes.
SB566,58,1212
Signature: ....
SB566,58,1414
Print Name Here: ....
SB566,58,1515
Residence Address: ....
SB566,58,16
16Schedule “A"
SB566,58,17
17Financial Disclosure
SB566,58,2118
The following general categories of assets and liabilities are not all inclusive
19and if other assets or liabilities exist they should be listed. Assets should be listed
20according to which spouse has title (including assets owned by a spouse or the
21spouses with one or more third parties) and at their approximate market value.
SB566,58,22
22Husband Wife
Spouse (Name) Spouse (Name) Both Names
SB566,58,2424
A.
Real estate (gross value)
SB566,58,2525
B.
Stocks, bonds and mutual funds
SB566,59,2
1C.
Accounts at and certificates and other
2instruments issued by financial institutions
SB566,59,43
D.
Mortgages, land contracts, promissory notes
4and cash
SB566,59,55
E.
Partnership interests
SB566,59,66
EL.
Limited liability company interests
SB566,59,77
F.
Trust interests
SB566,59,88
G.
Livestock, farm products, crops
SB566,59,99
H.
Automobiles and other vehicles
SB566,59,1010
I.
Jewelry and personal effects
SB566,59,1111
J.
Household furnishings
SB566,59,1212
K.
Life insurance and annuities:
SB566,59,1313
1.
Face value
SB566,59,1414
2.
Cash surrender value
SB566,59,1515
L.
Retirement benefits (include value):
SB566,59,1616
1.
Pension plans
SB566,59,1717
2.
Profit sharing plans
SB566,59,1818
3.
HR-10 KEOGH plans
SB566,59,2020
5.
Deferred compensation plans
SB566,59,2121
M.
Other assets not listed elsewhere
SB566,59,2222
II.
Obligations (total outstanding balance):
SB566,59,2323
A.
Mortgages and liens
SB566,59,2424
B.
Credit cards
SB566,59,2525
C.
Other obligations to financial institutions
SB566,60,2
1D.
Alimony, maintenance and child support (per
2month)
SB566,60,53
E.
Other obligations (such as other obligations
4to individuals
, guarantees, contingent
5liabilities)
SB566,60,66
III.
Annual compensation for services:
SB566,60,87
(for example, wages and income from
8self-employment; also include social security,
SB566,60,99
disability and similar income here)
SB566,60,1010
(IF YOU NEED ADDITIONAL SPACE,
SB566,60,1111
ADD ADDITIONAL SHEETS.)
SB566,138
12Section 138
. 767.215 (2) (b) of the statutes is amended to read:
SB566,60,1513
767.215
(2) (b) The name and birthdate of each minor child of the parties and
14each other child born to
the wife a party during the marriage, and whether
the wife 15a party is pregnant.
