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Residence Address: ....
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(Make Sure Your Signature is Authenticated or Acknowledged Below.)
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10Authentication
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Signature .... authenticated this .... day of ...., .... (year)
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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: ....
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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.)
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10Authentication
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Signature .... authenticated this .... day of ...., .... (year)
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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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5Termination of statutory terminable
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6marital property classification agreement
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I UNDERSTAND THAT:
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1. THIS TERMINATION TAKES EFFECT 30 DAYS AFTER MY SPOUSE IS
9NOTIFIED OF THE TERMINATION, AS PROVIDED UNDER SECTION 766.588
10(4) OF THE WISCONSIN STATUTES.
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2. THIS TERMINATION IS PROSPECTIVE; IT DOES NOT AFFECT THE
12CLASSIFICATION OF PROPERTY ACQUIRED BEFORE THE TERMINATION
13BECOMES EFFECTIVE. PROPERTY ACQUIRED AFTER THE TERMINATION
14BECOMES EFFECTIVE IS CLASSIFIED AS PROVIDED UNDER THE MARITAL
15PROPERTY LAW.
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3. IN GENERAL, THIS TERMINATION IS NOT BINDING ON CREDITORS
17UNLESS THEY ARE PROVIDED A COPY OF THE TERMINATION BEFORE
18CREDIT IS EXTENDED.
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The undersigned terminates the statutory terminable marital property
20classification agreement entered into by me and my spouse on .... (date last spouse
21signed the agreement) under section 766.588 of the Wisconsin Statutes.
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Signature: ....
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Date: ....
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Print Name Here: ....
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Residence Address: ....
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1Schedule “A"
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2Financial Disclosure
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The following general categories of assets and liabilities are not all inclusive
4and if other assets or liabilities exist they should be listed. Assets should be listed
5according to which spouse has title (including assets owned by a spouse or the
6spouses with one or more third parties) and at their approximate market value.
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7Husband 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 or other
12instruments issued by financial institutions
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D.
Mortgages, land contracts, promissory notes
14and 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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L.
Retirement benefits (include value):
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11.
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
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D.
Alimony, maintenance and child support (per
12month)
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E.
Other obligations (such as other obligations
14to individuals, guarantees, contingent
15liabilities)
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III.
Annual compensation for services:
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(for example, wages and income from
18self-employment; also include social security,
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disability and similar income here)
