AB1000,,627627Signature .... authenticated this .... day of ...., .... (year) AB1000,,629629TITLE: MEMBER STATE BAR OF WISCONSIN AB1000,,630630(If not, .... authorized by s. 706.06, Wis. Stats.) AB1000,,631631Acknowledgment AB1000,,632632STATE OF WISCONSIN ) AB1000,,634634.... County ) AB1000,,635635Personally 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. AB1000,,637637Notary Public ...., .... County, Wisconsin. AB1000,,638638My Commission is permanent. AB1000,,639639(If not, state expiration date: ...., .... (year)) AB1000,,640640(Signatures may be authenticated or AB1000,,641641acknowledged. Both are not necessary.) AB1000,,642642*Names of persons signing in any capacity should be AB1000,,643643typed or printed below their signatures. AB1000,,644644Signature of Other Spouse: .... AB1000,,646646Print Name Here: .... AB1000,,647647Residence Address: .... AB1000,,648648(Make Sure Your Signature is Authenticated or Acknowledged Below.) AB1000,,649649Authentication AB1000,,650650Signature .... authenticated this .... day of ...., .... (year) AB1000,,652652TITLE: MEMBER STATE BAR OF WISCONSIN AB1000,,653653(If not, .... authorized by s. 706.06, Wis. Stats.) AB1000,,654654Acknowledgment AB1000,,655655STATE OF WISCONSIN ) AB1000,,657657.... County ) AB1000,,658658Personally 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. AB1000,,660660Notary Public ...., .... County, Wisconsin. AB1000,,661661My Commission is permanent. AB1000,,662662(If not, state expiration date: ...., .... (year)) AB1000,,663663(Signatures may be authenticated or AB1000,,664664acknowledged. Both are not necessary.) AB1000,,665665*Names of persons signing in any capacity should AB1000,,666666be typed or printed below their signatures. AB1000,,667667Termination of AB1000,,668668statutory terminable individual AB1000,,669669property classification agreement AB1000,,670670I UNDERSTAND THAT: AB1000,,6716711. 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. AB1000,,6726722. 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. AB1000,,6736733. IN GENERAL, THIS TERMINATION IS NOT BINDING ON CREDITORS UNLESS THEY ARE PROVIDED A COPY OF THE TERMINATION BEFORE CREDIT IS EXTENDED. AB1000,,674674The 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. AB1000,,675675Signature: .... AB1000,,677677Print Name Here: .... AB1000,,678678Residence Address: .... AB1000,,679679Schedule “a” AB1000,,680680Financial Disclosure AB1000,,681681The 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. AB1000,,682682Husband Wife Spouse (Name) Spouse (Name) Both Names AB1000,,684684A. Real estate (gross value) AB1000,,685685B. Stocks, bonds and mutual funds AB1000,,686686C. Accounts at and certificates and other instruments issued by financial institutions AB1000,,687687D. Mortgages, land contracts, promissory notes and cash AB1000,,688688E. Partnership interests AB1000,,689689EL. Limited liability company interests AB1000,,690690F. Trust interests AB1000,,691691G. Livestock, farm products, crops AB1000,,692692H. Automobiles and other vehicles AB1000,,693693I. Jewelry and personal effects AB1000,,694694J. Household furnishings AB1000,,695695K. Life insurance and annuities: AB1000,,6966961. Face value AB1000,,6976972. Cash surrender value AB1000,,698698L. Retirement benefits (include value): AB1000,,6996991. Pension plans AB1000,,7007002. Profit sharing plans AB1000,,7017013. HR-10 KEOGH plans AB1000,,7037035. Deferred compensation plans AB1000,,704704M. Other assets not listed elsewhere AB1000,,705705II. Obligations (total outstanding balance): AB1000,,706706A. Mortgages and liens AB1000,,707707B. Credit cards AB1000,,708708C. Other obligations to financial institutions AB1000,,709709D. Alimony, maintenance and child support (per month) AB1000,,710710E. Other obligations (such as other obligations to individuals, guarantees, contingent liabilities) AB1000,,711711III. Annual compensation for services: AB1000,,712712(for example, wages and income from self-employment; also include social security, AB1000,,713713disability and similar income here) AB1000,,714714(IF YOU NEED ADDITIONAL SPACE, AB1000,,715715ADD ADDITIONAL SHEETS.)
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