Amendment AA10-SB70

SB70-AA10,270,13 Authentication

SB70-AA10,270,14 Signature .... authenticated this .... day of ...., .... (year)

SB70-AA10,270,15 *....

SB70-AA10,270,16 TITLE: MEMBER STATE BAR OF WISCONSIN

SB70-AA10,270,17 (If not, .... authorized by s. 706.06, Wis. Stats.)

SB70-AA10,270,18 Acknowledgment

SB70-AA10,270,19 STATE OF WISCONSIN   )

SB70-AA10,270,20 )   ss.

SB70-AA10,270,21 .... County   )

SB70-AA10,270,24 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.

SB70-AA10,270,25 *....

SB70-AA10,271,1 Notary Public ...., .... County, Wisconsin.

SB70-AA10,271,2 My Commission is permanent.

SB70-AA10,271,3 (If not, state expiration date: ...., .... (year))

SB70-AA10,271,4 (Signatures may be authenticated or

SB70-AA10,271,5 acknowledged. Both are not necessary.)

SB70-AA10,271,6 *Names of persons signing in any capacity should be

SB70-AA10,271,7 typed or printed below their signatures.

SB70-AA10,271,8 Signature of Other Spouse: ....

SB70-AA10,271,9 Date: ....

SB70-AA10,271,10 Print Name Here: ....

SB70-AA10,271,11 Residence Address: ....

SB70-AA10,271,12 (Make Sure Your Signature is Authenticated or Acknowledged Below.)

SB70-AA10,271,13 Authentication

SB70-AA10,271,14 Signature .... authenticated this .... day of ...., .... (year)

SB70-AA10,271,15 *....

SB70-AA10,271,16 TITLE: MEMBER STATE BAR OF WISCONSIN

SB70-AA10,271,17 (If not, .... authorized by s. 706.06, Wis. Stats.)

SB70-AA10,271,18 Acknowledgment

SB70-AA10,271,19 STATE OF WISCONSIN   )

SB70-AA10,271,20 )   ss.

SB70-AA10,271,21 .... County   )

SB70-AA10,271,24 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.

SB70-AA10,271,25 *....

SB70-AA10,272,1 Notary Public ...., .... County, Wisconsin.

SB70-AA10,272,2 My Commission is permanent.

SB70-AA10,272,3 (If not, state expiration date: ...., .... (year))

SB70-AA10,272,4 (Signatures may be authenticated or

SB70-AA10,272,5 acknowledged. Both are not necessary.)

SB70-AA10,272,6 *Names of persons signing in any capacity should be

SB70-AA10,272,7 typed or printed below their signatures.

SB70-AA10,272,8 Termination of statutory terminable

SB70-AA10,272,9 marital property classification agreement

SB70-AA10,272,10 I UNDERSTAND THAT:

SB70-AA10,272,13 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.

SB70-AA10,272,18 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.

SB70-AA10,272,21 3. IN GENERAL, THIS TERMINATION IS NOT BINDING ON CREDITORS UNLESS THEY ARE PROVIDED A COPY OF THE TERMINATION BEFORE CREDIT IS EXTENDED.

SB70-AA10,272,24 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.

SB70-AA10,272,25 Signature: ....

SB70-AA10,273,1 Date: ....

SB70-AA10,273,2 Print Name Here: ....

SB70-AA10,273,3 Residence Address: ....

SB70-AA10,273,4 Schedule “A"

SB70-AA10,273,5 Financial Disclosure

SB70-AA10,273,9 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.

SB70-AA10,273,10 Husband   Wife   Spouse (Name)   Spouse (Name)   Both Names

SB70-AA10,273,11 I.   Assets

SB70-AA10,273,12 A.   Real estate (gross value)

SB70-AA10,273,13 B.   Stocks, bonds and mutual funds

SB70-AA10,273,15 C.   Accounts at and certificates or other instruments issued by financial institutions

SB70-AA10,273,17 D.   Mortgages, land contracts, promissory notes and cash

SB70-AA10,273,18 E.   Partnership interests

SB70-AA10,273,19 EL.   Limited liability company interests.

SB70-AA10,273,20 F.   Trust interests

SB70-AA10,273,21 G.   Livestock, farm products, crops

SB70-AA10,273,22 H.   Automobiles and other vehicles

SB70-AA10,273,23 I.   Jewelry and personal effects

SB70-AA10,273,24 J.   Household furnishings

SB70-AA10,273,25 K.   Life insurance and annuities:

SB70-AA10,274,1 1.   Face value

SB70-AA10,274,2 2.   Cash surrender value

SB70-AA10,274,3 L.   Retirement benefits (include value):

SB70-AA10,274,4 1.   Pension plans

SB70-AA10,274,5 2.   Profit sharing plans

SB70-AA10,274,6 3.   HR-10 KEOGH plans

SB70-AA10,274,7 4.   IRAs

SB70-AA10,274,8 5.   Deferred compensation plans

SB70-AA10,274,9 M.   Other assets not listed elsewhere

SB70-AA10,274,10 II.   Obligations (total outstanding balance):

SB70-AA10,274,11 A.   Mortgages and liens

SB70-AA10,274,12 B.   Credit cards

SB70-AA10,274,13 C.   Other obligations to financial institutions

SB70-AA10,274,15 D.   Alimony, maintenance and child support (per month)

SB70-AA10,274,18 E.   Other obligations (such as other obligations to individuals, guarantees, contingent liabilities)

SB70-AA10,274,19 III.   Annual compensation for services:

SB70-AA10,274,21 (for example, wages and income from self-employment; also include social security,

SB70-AA10,274,22 disability and similar income here)

SB70-AA10,274,23 (IF YOU NEED ADDITIONAL SPACE,

SB70-AA10,274,24 ADD ADDITIONAL SHEETS)