AB484,94,1212
Signature of One Spouse: ....
AB484,94,1414
Print Name Here: ....
AB484,94,1515
Residence Address: ....
AB484,94,1616
(Make Sure Your Signature is Authenticated or Acknowledged Below.)
AB484,94,17
17Authentication
AB484,94,1818
Signature .... authenticated this .... day of ...., .... (year)
AB484,94,2020
TITLE: MEMBER STATE BAR OF WISCONSIN
AB484,94,2121
(If not, .... authorized by s. 706.06, Wis. Stats.)
AB484,94,22
22Acknowledgment
AB484,94,2323
STATE OF WISCONSIN
)
AB484,94,2525
.... County
)
AB484,95,3
1Personally came before me this .... day of ...., .... (year) the above named .... to
2me known to be the person who executed the foregoing instrument and acknowledge
3the same.
AB484,95,55
Notary Public ...., .... County, Wisconsin.
AB484,95,66
My Commission is permanent.
AB484,95,77
(If not, state expiration date: ...., .... (year))
AB484,95,88
(Signatures may be authenticated or
AB484,95,99
acknowledged. Both are not necessary.)
AB484,95,1010
*Names of persons signing in any capacity should be
AB484,95,1111
typed or printed below their signatures.
AB484,95,1212
Signature of Other Spouse: ....
AB484,95,1414
Print Name Here: ....
AB484,95,1515
Residence Address: ....
AB484,95,1616
(Make Sure Your Signature is Authenticated or Acknowledged Below.)
AB484,95,17
17Authentication
AB484,95,1818
Signature .... authenticated this .... day of ...., .... (year)
AB484,95,2020
TITLE: MEMBER STATE BAR OF WISCONSIN
AB484,95,2121
(If not, .... authorized by s. 706.06, Wis. Stats.)
AB484,95,22
22Acknowledgment
AB484,95,2323
STATE OF WISCONSIN
)
AB484,95,2525
.... County
)
AB484,96,3
1Personally came before me this .... day of ...., .... (year) the above named .... to
2me known to be the person who executed the foregoing instrument and acknowledge
3the same.
AB484,96,55
Notary Public ...., .... County, Wisconsin.
AB484,96,66
My Commission is permanent.
AB484,96,77
(If not, state expiration date: ...., .... (year))
AB484,96,88
(Signatures may be authenticated or
AB484,96,99
acknowledged. Both are not necessary.)
AB484,96,1010
*Names of persons signing in any capacity should
AB484,96,1111
be typed or printed below their signatures.
AB484,96,12
12Termination of
AB484,96,13
13Statutory terminable individual
AB484,96,14
14Property classification agreement
AB484,96,1515
I UNDERSTAND THAT:
AB484,96,1816
1. THIS TERMINATION TAKES EFFECT 30 DAYS AFTER MY SPOUSE IS
17NOTIFIED OF THE TERMINATION, AS PROVIDED UNDER SECTION 766.589
18(4) OF THE WISCONSIN STATUTES.
AB484,96,2319
2. THIS TERMINATION IS PROSPECTIVE; IT DOES NOT AFFECT THE
20CLASSIFICATION OF PROPERTY ACQUIRED BEFORE THE TERMINATION
21BECOMES EFFECTIVE. PROPERTY ACQUIRED AFTER THE TERMINATION
22BECOMES EFFECTIVE IS CLASSIFIED AS PROVIDED UNDER THE MARITAL
23PROPERTY LAW.
AB484,97,3
13. IN GENERAL, THIS TERMINATION IS NOT BINDING ON CREDITORS
2UNLESS THEY ARE PROVIDED A COPY OF THE TERMINATION BEFORE
3CREDIT IS EXTENDED.
AB484,97,64
The undersigned terminates the statutory terminable individual property
5classification agreement entered into by me and my spouse on .... (date last spouse
6signed the agreement) under section 766.589 of the Wisconsin Statutes.
AB484,97,77
Signature: ....
AB484,97,99
Print Name Here: ....
AB484,97,1010
Residence Address: ....
AB484,97,11
11Schedule “a"
AB484,97,12
12Financial Disclosure
AB484,97,1613
The following general categories of assets and liabilities are not all inclusive
14and if other assets or liabilities exist they should be listed. Assets should be listed
15according to which spouse has title (including assets owned by a spouse or the
16spouses with one or more third parties) and at their approximate market value.
AB484,97,17
17Husband Wife
Spouse (Name) Spouse (Name) Both Names
AB484,97,1919
A.
Real estate (gross value)
AB484,97,2020
B.
Stocks, bonds and mutual funds
AB484,97,2221
C.
Accounts at and certificates and other
22instruments issued by financial institutions
AB484,97,2423
D.
Mortgages, land contracts, promissory notes
24and cash
AB484,97,2525
E.
Partnership interests
AB484,98,1
1EL.
Limited liability company interests
AB484,98,22
F.
Trust interests
AB484,98,33
G.
Livestock, farm products, crops
AB484,98,44
H.
Automobiles and other vehicles
AB484,98,55
I.
Jewelry and personal effects
AB484,98,66
J.
Household furnishings
AB484,98,77
K.
Life insurance and annuities:
AB484,98,88
1.
Face value
AB484,98,99
2.
Cash surrender value
AB484,98,1010
L.
Retirement benefits (include value):
AB484,98,1111
1.
Pension plans
AB484,98,1212
2.
Profit sharing plans
AB484,98,1313
3.
HR-10 KEOGH plans
AB484,98,1515
5.
Deferred compensation plans
AB484,98,1616
M.
Other assets not listed elsewhere
AB484,98,1717
II.
Obligations (total outstanding balance):
AB484,98,1818
A.
Mortgages and liens
AB484,98,1919
B.
Credit cards
AB484,98,2020
C.
Other obligations to financial institutions
AB484,98,2221
D.
Alimony, maintenance and child support (per
22month)
