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SB464,94,17 17Authentication
SB464,94,1818 Signature .... authenticated this .... day of ...., .... (year)
SB464,94,1919 *....
SB464,94,2020 TITLE: MEMBER STATE BAR OF WISCONSIN
SB464,94,2121 (If not, .... authorized by s. 706.06, Wis. Stats.)
SB464,94,22 22Acknowledgment
SB464,94,2323 STATE OF WISCONSIN   )
SB464,94,2424 )   ss.
SB464,94,2525 .... County   )
SB464,95,3
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.
SB464,95,44 *....
SB464,95,55 Notary Public ...., .... County, Wisconsin.
SB464,95,66 My Commission is permanent.
SB464,95,77 (If not, state expiration date: ...., .... (year))
SB464,95,88 (Signatures may be authenticated or
SB464,95,99 acknowledged. Both are not necessary.)
SB464,95,1010 *Names of persons signing in any capacity should be
SB464,95,1111 typed or printed below their signatures.
SB464,95,1212 Signature of Other Spouse: ....
SB464,95,1313 Date: ....
SB464,95,1414 Print Name Here: ....
SB464,95,1515 Residence Address: ....
SB464,95,1616 (Make Sure Your Signature is Authenticated or Acknowledged Below.)
SB464,95,17 17Authentication
SB464,95,1818 Signature .... authenticated this .... day of ...., .... (year)
SB464,95,1919 *....
SB464,95,2020 TITLE: MEMBER STATE BAR OF WISCONSIN
SB464,95,2121 (If not, .... authorized by s. 706.06, Wis. Stats.)
SB464,95,22 22Acknowledgment
SB464,95,2323 STATE OF WISCONSIN   )
SB464,95,2424 )   ss.
SB464,95,2525 .... County   )
SB464,96,3
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.
SB464,96,44 *....
SB464,96,55 Notary Public ...., .... County, Wisconsin.
SB464,96,66 My Commission is permanent.
SB464,96,77 (If not, state expiration date: ...., .... (year))
SB464,96,88 (Signatures may be authenticated or
SB464,96,99 acknowledged. Both are not necessary.)
SB464,96,1010 *Names of persons signing in any capacity should
SB464,96,1111 be typed or printed below their signatures.
SB464,96,12 12Termination of
SB464,96,13 13Statutory terminable individual
SB464,96,14 14Property classification agreement
SB464,96,1515 I UNDERSTAND THAT:
SB464,96,1816 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.
SB464,96,2319 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.
SB464,97,3
13. IN GENERAL, THIS TERMINATION IS NOT BINDING ON CREDITORS
2UNLESS THEY ARE PROVIDED A COPY OF THE TERMINATION BEFORE
3CREDIT IS EXTENDED.
SB464,97,64 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.
SB464,97,77 Signature: ....
SB464,97,88 Date: ....
SB464,97,99 Print Name Here: ....
SB464,97,1010 Residence Address: ....
SB464,97,11 11Schedule “a"
SB464,97,12 12Financial Disclosure
SB464,97,1613 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.
SB464,97,17 17Husband   Wife   Spouse (Name)   Spouse (Name)   Both Names
SB464,97,1818 I.   Assets:
SB464,97,1919 A.   Real estate (gross value)
SB464,97,2020 B.   Stocks, bonds and mutual funds
SB464,97,2221 C.   Accounts at and certificates and other
22instruments issued by financial institutions
SB464,97,2423 D.   Mortgages, land contracts, promissory notes
24and cash
SB464,97,2525 E.   Partnership interests
SB464,98,1
1EL.   Limited liability company interests
SB464,98,22 F.   Trust interests
SB464,98,33 G.   Livestock, farm products, crops
SB464,98,44 H.   Automobiles and other vehicles
SB464,98,55 I.   Jewelry and personal effects
SB464,98,66 J.   Household furnishings
SB464,98,77 K.   Life insurance and annuities:
SB464,98,88 1.   Face value
SB464,98,99 2.   Cash surrender value
SB464,98,1010 L.   Retirement benefits (include value):
SB464,98,1111 1.   Pension plans
SB464,98,1212 2.   Profit sharing plans
SB464,98,1313 3.   HR-10 KEOGH plans
SB464,98,1414 4.   IRAs
SB464,98,1515 5.   Deferred compensation plans
SB464,98,1616 M.   Other assets not listed elsewhere
SB464,98,1717 II.   Obligations (total outstanding balance):
SB464,98,1818 A.   Mortgages and liens
SB464,98,1919 B.   Credit cards
SB464,98,2020 C.   Other obligations to financial institutions
SB464,98,2221 D.   Alimony, maintenance and child support (per
22month)
SB464,98,2523 E.   Other obligations (such as other obligations
24to individuals, guarantees, contingent
25liabilities)
SB464,99,1
1III.   Annual compensation for services:
SB464,99,32 (for example, wages and income from
3self-employment; also include social security,
SB464,99,44 disability and similar income here)
SB464,99,55 (IF YOU NEED ADDITIONAL SPACE,
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