Amendment SSA1-AB68

AB68-SSA1,1399,25 Acknowledgment

AB68-SSA1,1400,1 STATE OF WISCONSIN   )

AB68-SSA1,1400,2 )   ss.

AB68-SSA1,1400,3 .... County   )

AB68-SSA1,1400,6 Personally 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.

AB68-SSA1,1400,7 *....

AB68-SSA1,1400,8 Notary Public ...., .... County, Wisconsin.

AB68-SSA1,1400,9 My Commission is permanent.

AB68-SSA1,1400,10 (If not, state expiration date: ...., .... (year))

AB68-SSA1,1400,11 (Signatures may be authenticated or

AB68-SSA1,1400,12 acknowledged. Both are not necessary.)

AB68-SSA1,1400,13 *Names of persons signing in any capacity should be

AB68-SSA1,1400,14 typed or printed below their signatures.

AB68-SSA1,1400,15 Signature of Other Spouse: ....

AB68-SSA1,1400,16 Date: ....

AB68-SSA1,1400,17 Print Name Here: ....

AB68-SSA1,1400,18 Residence Address: ....

AB68-SSA1,1400,19 (Make Sure Your Signature is Authenticated or Acknowledged Below.)

AB68-SSA1,1400,20 Authentication

AB68-SSA1,1400,21 Signature .... authenticated this .... day of ...., .... (year)

AB68-SSA1,1400,22 *....

AB68-SSA1,1400,23 TITLE: MEMBER STATE BAR OF WISCONSIN

AB68-SSA1,1400,24 (If not, .... authorized by s. 706.06, Wis. Stats.)

AB68-SSA1,1400,25 Acknowledgment

AB68-SSA1,1401,1 STATE OF WISCONSIN   )

AB68-SSA1,1401,2 )   ss.

AB68-SSA1,1401,3 .... County   )

AB68-SSA1,1401,6 Personally 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.

AB68-SSA1,1401,7 *....

AB68-SSA1,1401,8 Notary Public ...., .... County, Wisconsin.

AB68-SSA1,1401,9 My Commission is permanent.

AB68-SSA1,1401,10 (If not, state expiration date: ...., .... (year))

AB68-SSA1,1401,11 (Signatures may be authenticated or

AB68-SSA1,1401,12 acknowledged. Both are not necessary.)

AB68-SSA1,1401,13 *Names of persons signing in any capacity should be

AB68-SSA1,1401,14 typed or printed below their signatures.

AB68-SSA1,1401,15 Termination of statutory terminable

AB68-SSA1,1401,16 marital property classification agreement

AB68-SSA1,1401,17 I UNDERSTAND THAT:

AB68-SSA1,1401,20 1. 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.

AB68-SSA1,1401,25 2. 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.

AB68-SSA1,1402,3 3. IN GENERAL, THIS TERMINATION IS NOT BINDING ON CREDITORS UNLESS THEY ARE PROVIDED A COPY OF THE TERMINATION BEFORE CREDIT IS EXTENDED.

AB68-SSA1,1402,6 The 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.

AB68-SSA1,1402,7 Signature: ....

AB68-SSA1,1402,8 Date: ....

AB68-SSA1,1402,9 Print Name Here: ....

AB68-SSA1,1402,10 Residence Address: ....

AB68-SSA1,1402,11 Schedule “A"

AB68-SSA1,1402,12 Financial Disclosure

AB68-SSA1,1402,16 The 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.

AB68-SSA1,1402,17 Husband   Wife   Spouse (Name)   Spouse (Name)   Both Names

AB68-SSA1,1402,18 I.   Assets

AB68-SSA1,1402,19 A.   Real estate (gross value)

AB68-SSA1,1402,20 B.   Stocks, bonds and mutual funds

AB68-SSA1,1402,22 C.   Accounts at and certificates or other instruments issued by financial institutions

AB68-SSA1,1402,24 D.   Mortgages, land contracts, promissory notes and cash

AB68-SSA1,1402,25 E.   Partnership interests

AB68-SSA1,1403,1 EL.   Limited liability company interests.

AB68-SSA1,1403,2 F.   Trust interests

AB68-SSA1,1403,3 G.   Livestock, farm products, crops

AB68-SSA1,1403,4 H.   Automobiles and other vehicles

AB68-SSA1,1403,5 I.   Jewelry and personal effects

AB68-SSA1,1403,6 J.   Household furnishings

AB68-SSA1,1403,7 K.   Life insurance and annuities:

AB68-SSA1,1403,8 1.   Face value

AB68-SSA1,1403,9 2.   Cash surrender value

AB68-SSA1,1403,10 L.   Retirement benefits (include value):

AB68-SSA1,1403,11 1.   Pension plans

AB68-SSA1,1403,12 2.   Profit sharing plans

AB68-SSA1,1403,13 3.   HR-10 KEOGH plans

AB68-SSA1,1403,14 4.   IRAs

AB68-SSA1,1403,15 5.   Deferred compensation plans

AB68-SSA1,1403,16 M.   Other assets not listed elsewhere

AB68-SSA1,1403,17 II.   Obligations (total outstanding balance):

AB68-SSA1,1403,18 A.   Mortgages and liens

AB68-SSA1,1403,19 B.   Credit cards

AB68-SSA1,1403,20 C.   Other obligations to financial institutions

AB68-SSA1,1403,22 D.   Alimony, maintenance and child support (per month)

AB68-SSA1,1403,25 E.   Other obligations (such as other obligations to individuals, guarantees, contingent liabilities)

AB68-SSA1,1404,1 III.   Annual compensation for services:

AB68-SSA1,1404,3 (for example, wages and income from self-employment; also include social security,

AB68-SSA1,1404,4 disability and similar income here)

AB68-SSA1,1404,5 (IF YOU NEED ADDITIONAL SPACE,

AB68-SSA1,1404,6 ADD ADDITIONAL SHEETS)

AB68-SSA1,3048 Section 3048 . 766.589 (10) (form) 14. of the statutes is amended to read:

AB68-SSA1,1404,11 766.589 (10) (form) 14. IF AFTER ENTERING INTO THIS AGREEMENT ONE OR BOTH OF YOU ESTABLISH A DOMICILE OUTSIDE THIS STATE, YOU ARE URGED TO SEEK LEGAL ADVICE CONCERNING THE CONTINUED EFFECTIVENESS OF THIS AGREEMENT.

AB68-SSA1,1404,12 Statutory terminable individual

AB68-SSA1,1404,13 Property classification agreement

AB68-SSA1,1404,14 (Pursuant to Section 766.589, Wisconsin Statutes)