SB70-AA10,276,1717
Print Name Here: ....
SB70-AA10,276,1818
Residence Address: ....
SB70-AA10,276,1919
(Make Sure Your Signature is Authenticated or Acknowledged Below.)
SB70-AA10,276,20
20Authentication
SB70-AA10,276,2121
Signature .... authenticated this .... day of ...., .... (year)
SB70-AA10,276,2323
TITLE: MEMBER STATE BAR OF WISCONSIN
SB70-AA10,276,2424
(If not, .... authorized by s. 706.06, Wis. Stats.)
SB70-AA10,276,25
25Acknowledgment
SB70-AA10,277,1
1STATE OF WISCONSIN
)
SB70-AA10,277,33
.... County
)
SB70-AA10,277,64
Personally came before me this .... day of ...., .... (year) the above named .... to
5me known to be the person who executed the foregoing instrument and acknowledge
6the same.
SB70-AA10,277,88
Notary Public ...., .... County, Wisconsin.
SB70-AA10,277,99
My Commission is permanent.
SB70-AA10,277,1010
(If not, state expiration date: ...., .... (year))
SB70-AA10,277,1111
(Signatures may be authenticated or
SB70-AA10,277,1212
acknowledged. Both are not necessary.)
SB70-AA10,277,1313
*Names of persons signing in any capacity should be
SB70-AA10,277,1414
typed or printed below their signatures.
SB70-AA10,277,1515
Signature of Other Spouse: ....
SB70-AA10,277,1717
Print Name Here: ....
SB70-AA10,277,1818
Residence Address: ....
SB70-AA10,277,1919
(Make Sure Your Signature is Authenticated or Acknowledged Below.)
SB70-AA10,277,20
20Authentication
SB70-AA10,277,2121
Signature .... authenticated this .... day of ...., .... (year)
SB70-AA10,277,2323
TITLE: MEMBER STATE BAR OF WISCONSIN
SB70-AA10,277,2424
(If not, .... authorized by s. 706.06, Wis. Stats.)
SB70-AA10,277,25
25Acknowledgment
SB70-AA10,278,1
1STATE OF WISCONSIN
)
SB70-AA10,278,33
.... County
)
SB70-AA10,278,64
Personally came before me this .... day of ...., .... (year) the above named .... to
5me known to be the person who executed the foregoing instrument and acknowledge
6the same.
SB70-AA10,278,88
Notary Public ...., .... County, Wisconsin.
SB70-AA10,278,99
My Commission is permanent.
SB70-AA10,278,1010
(If not, state expiration date: ...., .... (year))
SB70-AA10,278,1111
(Signatures may be authenticated or
SB70-AA10,278,1212
acknowledged. Both are not necessary.)
SB70-AA10,278,1313
*Names of persons signing in any capacity should
SB70-AA10,278,1414
be typed or printed below their signatures.
SB70-AA10,278,15
15Termination of
SB70-AA10,278,16
16Statutory terminable individual
SB70-AA10,278,17
17Property classification agreement
SB70-AA10,278,1818
I UNDERSTAND THAT:
SB70-AA10,278,2119
1. THIS TERMINATION TAKES EFFECT 30 DAYS AFTER MY SPOUSE IS
20NOTIFIED OF THE TERMINATION, AS PROVIDED UNDER SECTION 766.589
21(4) OF THE WISCONSIN STATUTES.
SB70-AA10,279,222
2. THIS TERMINATION IS PROSPECTIVE; IT DOES NOT AFFECT THE
23CLASSIFICATION OF PROPERTY ACQUIRED BEFORE THE TERMINATION
24BECOMES EFFECTIVE. PROPERTY ACQUIRED AFTER THE TERMINATION
1BECOMES EFFECTIVE IS CLASSIFIED AS PROVIDED UNDER THE MARITAL
2PROPERTY LAW.
SB70-AA10,279,53
3. IN GENERAL, THIS TERMINATION IS NOT BINDING ON CREDITORS
4UNLESS THEY ARE PROVIDED A COPY OF THE TERMINATION BEFORE
5CREDIT IS EXTENDED.
SB70-AA10,279,86
The undersigned terminates the statutory terminable individual property
7classification agreement entered into by me and my spouse on .... (date last spouse
8signed the agreement) under section 766.589 of the Wisconsin Statutes.
SB70-AA10,279,99
Signature: ....
SB70-AA10,279,1111
Print Name Here: ....
SB70-AA10,279,1212
Residence Address: ....
SB70-AA10,279,14
14Financial Disclosure
SB70-AA10,279,1815
The following general categories of assets and liabilities are not all inclusive
16and if other assets or liabilities exist they should be listed. Assets should be listed
17according to which spouse has title (including assets owned by a spouse or the
18spouses with one or more third parties) and at their approximate market value.
SB70-AA10,279,19
19Husband Wife
Spouse (Name) Spouse (Name) Both Names
SB70-AA10,279,2121
A.
Real estate (gross value)
SB70-AA10,279,2222
B.
Stocks, bonds and mutual funds
SB70-AA10,279,2423
C.
Accounts at and certificates and other
24instruments issued by financial institutions
SB70-AA10,280,2
1D.
Mortgages, land contracts, promissory notes
2and cash
SB70-AA10,280,33
E.
Partnership interests
SB70-AA10,280,44
EL.
Limited liability company interests
SB70-AA10,280,55
F.
Trust interests
SB70-AA10,280,66
G.
Livestock, farm products, crops
SB70-AA10,280,77
H.
Automobiles and other vehicles
SB70-AA10,280,88
I.
Jewelry and personal effects
SB70-AA10,280,99
J.
Household furnishings
SB70-AA10,280,1010
K.
Life insurance and annuities:
SB70-AA10,280,1111
1.
Face value
SB70-AA10,280,1212
2.
Cash surrender value
SB70-AA10,280,1313
L.
Retirement benefits (include value):
SB70-AA10,280,1414
1.
Pension plans
SB70-AA10,280,1515
2.
Profit sharing plans
SB70-AA10,280,1616
3.
HR-10 KEOGH plans
SB70-AA10,280,1818
5.
Deferred compensation plans
SB70-AA10,280,1919
M.
Other assets not listed elsewhere
SB70-AA10,280,2020
II.
Obligations (total outstanding balance):
SB70-AA10,280,2121
A.
Mortgages and liens
SB70-AA10,280,2222
B.
Credit cards
SB70-AA10,280,2323
C.
Other obligations to financial institutions
SB70-AA10,280,2524
D.
Alimony, maintenance and child support (per
25month)
SB70-AA10,281,3
1E.
Other obligations (such as other obligations
2to individuals
, guarantees, contingent
3liabilities)
SB70-AA10,281,44
III.
Annual compensation for services:
