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(Make Sure Your Signature is Authenticated or Acknowledged Below.)
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13Authentication
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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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18Acknowledgment
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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
23me known to be the person who executed the foregoing instrument and acknowledge
24the same.
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1Notary 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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(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.)
SB70-AA10,271,13
13Authentication
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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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18Acknowledgment
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STATE OF WISCONSIN
)
SB70-AA10,271,2121
.... County
)
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Personally came before me this .... day of ...., .... (year) the above named .... to
23me known to be the person who executed the foregoing instrument and acknowledge
24the same.
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1Notary 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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(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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8Termination of statutory terminable
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9marital 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
12NOTIFIED OF THE TERMINATION, AS PROVIDED UNDER SECTION 766.588
13(4) OF THE WISCONSIN STATUTES.
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2. THIS TERMINATION IS PROSPECTIVE; IT DOES NOT AFFECT THE
15CLASSIFICATION OF PROPERTY ACQUIRED BEFORE THE TERMINATION
16BECOMES EFFECTIVE. PROPERTY ACQUIRED AFTER THE TERMINATION
17BECOMES EFFECTIVE IS CLASSIFIED AS PROVIDED UNDER THE MARITAL
18PROPERTY LAW.
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3. IN GENERAL, THIS TERMINATION IS NOT BINDING ON CREDITORS
20UNLESS THEY ARE PROVIDED A COPY OF THE TERMINATION BEFORE
21CREDIT IS EXTENDED.
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The undersigned terminates the statutory terminable marital property
23classification agreement entered into by me and my spouse on .... (date last spouse
24signed the agreement) under section 766.588 of the Wisconsin Statutes.
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Signature: ....
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Print Name Here: ....
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Residence Address: ....
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5Financial Disclosure
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The following general categories of assets and liabilities are not all inclusive
7and if other assets or liabilities exist they should be listed. Assets should be listed
8according to which spouse has title (including assets owned by a spouse or the
9spouses with one or more third parties) and at their approximate market value.
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10Husband 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
15instruments issued by financial institutions
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D.
Mortgages, land contracts, promissory notes
17and 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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11.
Face value
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2.
Cash surrender value
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L.
Retirement benefits (include value):
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1.
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
15month)
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E.
Other obligations (such as other obligations
17to individuals, guarantees, contingent
18liabilities)
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III.
Annual compensation for services:
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(for example, wages and income from
21self-employment; also include social security,
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disability and similar income here)
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(IF YOU NEED ADDITIONAL SPACE,
