SB70,,92549254Signature of One Spouse: .... SB70,,92569256Print Name Here: .... SB70,,92579257Residence Address: .... SB70,,92589258(Make Sure Your Signature is Authenticated or Acknowledged Below.) SB70,,92599259Authentication SB70,,92609260Signature .... authenticated this .... day of ...., .... (year) SB70,,92629262TITLE: MEMBER STATE BAR OF WISCONSIN SB70,,92639263(If not, .... authorized by s. 706.06, Wis. Stats.) SB70,,92649264Acknowledgment SB70,,92659265STATE OF WISCONSIN ) SB70,,92679267.... County ) SB70,,92689268Personally 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,,92709270Notary Public ...., .... County, Wisconsin. SB70,,92719271My Commission is permanent. SB70,,92729272(If not, state expiration date: ...., .... (year)) SB70,,92739273(Signatures may be authenticated or SB70,,92749274acknowledged. Both are not necessary.) SB70,,92759275*Names of persons signing in any capacity should be SB70,,92769276typed or printed below their signatures. SB70,,92779277Signature of Other Spouse: .... SB70,,92799279Print Name Here: .... SB70,,92809280Residence Address: .... SB70,,92819281(Make Sure Your Signature is Authenticated or Acknowledged Below.) SB70,,92829282Authentication SB70,,92839283Signature .... authenticated this .... day of ...., .... (year) SB70,,92859285TITLE: MEMBER STATE BAR OF WISCONSIN SB70,,92869286(If not, .... authorized by s. 706.06, Wis. Stats.) SB70,,92879287Acknowledgment SB70,,92889288STATE OF WISCONSIN ) SB70,,92909290.... County ) SB70,,92919291Personally 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,,92939293Notary Public ...., .... County, Wisconsin. SB70,,92949294My Commission is permanent. SB70,,92959295(If not, state expiration date: ...., .... (year)) SB70,,92969296(Signatures may be authenticated or SB70,,92979297acknowledged. Both are not necessary.) SB70,,92989298*Names of persons signing in any capacity should SB70,,92999299be typed or printed below their signatures. SB70,,93009300Termination of SB70,,93019301Statutory terminable individual SB70,,93029302Property classification agreement SB70,,93039303I UNDERSTAND THAT: SB70,,930493041. THIS TERMINATION TAKES EFFECT 30 DAYS AFTER MY SPOUSE IS NOTIFIED OF THE TERMINATION, AS PROVIDED UNDER SECTION 766.589 (4) OF THE WISCONSIN STATUTES. SB70,,930593052. 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,,930693063. IN GENERAL, THIS TERMINATION IS NOT BINDING ON CREDITORS UNLESS THEY ARE PROVIDED A COPY OF THE TERMINATION BEFORE CREDIT IS EXTENDED. SB70,,93079307The undersigned terminates the statutory terminable individual property classification agreement entered into by me and my spouse on .... (date last spouse signed the agreement) under section 766.589 of the Wisconsin Statutes. SB70,,93089308Signature: .... SB70,,93109310Print Name Here: .... SB70,,93119311Residence Address: .... SB70,,93129312Schedule “A” SB70,,93139313Financial Disclosure SB70,,93149314The 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,,93159315Husband Wife Spouse (Name) Spouse (Name) Both Names SB70,,93179317A. Real estate (gross value) SB70,,93189318B. Stocks, bonds and mutual funds SB70,,93199319C. Accounts at and certificates and other instruments issued by financial institutions SB70,,93209320D. Mortgages, land contracts, promissory notes and cash SB70,,93219321E. Partnership interests SB70,,93229322EL. Limited liability company interests SB70,,93239323F. Trust interests SB70,,93249324G. Livestock, farm products, crops SB70,,93259325H. Automobiles and other vehicles SB70,,93269326I. Jewelry and personal effects SB70,,93279327J. Household furnishings SB70,,93289328K. Life insurance and annuities: SB70,,932993291. Face value SB70,,933093302. Cash surrender value SB70,,93319331L. Retirement benefits (include value): SB70,,933293321. Pension plans SB70,,933393332. Profit sharing plans SB70,,933493343. HR-10 KEOGH plans SB70,,933693365. Deferred compensation plans SB70,,93379337M. Other assets not listed elsewhere SB70,,93389338II. Obligations (total outstanding balance): SB70,,93399339A. Mortgages and liens SB70,,93409340B. Credit cards SB70,,93419341C. Other obligations to financial institutions SB70,,93429342D. Alimony, maintenance and child support (per month)
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