SB70,,91529152Print Name Here: .... SB70,,91539153Residence Address: .... SB70,,91549154(Make Sure Your Signature is Authenticated or Acknowledged Below.) SB70,,91559155Authentication SB70,,91569156Signature .... authenticated this .... day of ...., .... (year) SB70,,91589158TITLE: MEMBER STATE BAR OF WISCONSIN SB70,,91599159(If not, .... authorized by s. 706.06, Wis. Stats.) SB70,,91609160Acknowledgment SB70,,91619161STATE OF WISCONSIN ) SB70,,91639163.... County ) SB70,,91649164Personally came before me this .... day of ...., .... (year) the above named .... to me known to be the person who executed the foregoing instrument and acknowledge the same. SB70,,91669166Notary Public ...., .... County, Wisconsin. SB70,,91679167My Commission is permanent. SB70,,91689168(If not, state expiration date: ...., .... (year)) SB70,,91699169(Signatures may be authenticated or SB70,,91709170acknowledged. Both are not necessary.) SB70,,91719171*Names of persons signing in any capacity should be SB70,,91729172typed or printed below their signatures. SB70,,91739173Signature of Other Spouse: .... SB70,,91759175Print Name Here: .... SB70,,91769176Residence Address: .... SB70,,91779177(Make Sure Your Signature is Authenticated or Acknowledged Below.) SB70,,91789178Authentication SB70,,91799179Signature .... authenticated this .... day of ...., .... (year) SB70,,91819181TITLE: MEMBER STATE BAR OF WISCONSIN SB70,,91829182(If not, .... authorized by s. 706.06, Wis. Stats.) SB70,,91839183Acknowledgment SB70,,91849184STATE OF WISCONSIN ) SB70,,91869186.... County ) SB70,,91879187Personally came before me this .... day of ...., .... (year) the above named .... to me known to be the person who executed the foregoing instrument and acknowledge the same. SB70,,91899189Notary Public ...., .... County, Wisconsin. SB70,,91909190My Commission is permanent. SB70,,91919191(If not, state expiration date: ...., .... (year)) SB70,,91929192(Signatures may be authenticated or SB70,,91939193acknowledged. Both are not necessary.) SB70,,91949194*Names of persons signing in any capacity should be SB70,,91959195typed or printed below their signatures. SB70,,91969196Termination of statutory terminable SB70,,91979197marital property classification agreement SB70,,91989198I UNDERSTAND THAT: SB70,,919991991. THIS TERMINATION TAKES EFFECT 30 DAYS AFTER MY SPOUSE IS NOTIFIED OF THE TERMINATION, AS PROVIDED UNDER SECTION 766.588 (4) OF THE WISCONSIN STATUTES. SB70,,920092002. THIS TERMINATION IS PROSPECTIVE; IT DOES NOT AFFECT THE CLASSIFICATION OF PROPERTY ACQUIRED BEFORE THE TERMINATION BECOMES EFFECTIVE. PROPERTY ACQUIRED AFTER THE TERMINATION BECOMES EFFECTIVE IS CLASSIFIED AS PROVIDED UNDER THE MARITAL PROPERTY LAW. SB70,,920192013. IN GENERAL, THIS TERMINATION IS NOT BINDING ON CREDITORS UNLESS THEY ARE PROVIDED A COPY OF THE TERMINATION BEFORE CREDIT IS EXTENDED. SB70,,92029202The undersigned terminates the statutory terminable marital property classification agreement entered into by me and my spouse on .... (date last spouse signed the agreement) under section 766.588 of the Wisconsin Statutes. SB70,,92039203Signature: .... SB70,,92059205Print Name Here: .... SB70,,92069206Residence Address: .... SB70,,92079207Schedule “A” SB70,,92089208Financial Disclosure SB70,,92099209The following general categories of assets and liabilities are not all inclusive and if other assets or liabilities exist they should be listed. Assets should be listed according to which spouse has title (including assets owned by a spouse or the spouses with one or more third parties) and at their approximate market value. SB70,,92109210Husband Wife Spouse (Name) Spouse (Name) Both Names SB70,,92129212A. Real estate (gross value) SB70,,92139213B. Stocks, bonds and mutual funds SB70,,92149214C. Accounts at and certificates or other instruments issued by financial institutions SB70,,92159215D. Mortgages, land contracts, promissory notes and cash SB70,,92169216E. Partnership interests SB70,,92179217EL. Limited liability company interests. SB70,,92189218F. Trust interests SB70,,92199219G. Livestock, farm products, crops SB70,,92209220H. Automobiles and other vehicles SB70,,92219221I. Jewelry and personal effects SB70,,92229222J. Household furnishings SB70,,92239223K. Life insurance and annuities: SB70,,922492241. Face value SB70,,922592252. Cash surrender value SB70,,92269226L. Retirement benefits (include value): SB70,,922792271. Pension plans SB70,,922892282. Profit sharing plans SB70,,922992293. HR-10 KEOGH plans SB70,,923192315. Deferred compensation plans SB70,,92329232M. Other assets not listed elsewhere SB70,,92339233II. Obligations (total outstanding balance): SB70,,92349234A. Mortgages and liens SB70,,92359235B. Credit cards SB70,,92369236C. Other obligations to financial institutions SB70,,92379237D. Alimony, maintenance and child support (per month) SB70,,92389238E. Other obligations (such as other obligations to individuals, guarantees, contingent liabilities) SB70,,92399239III. Annual compensation for services:
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