AB1000: Bill Text

AB1000,88,10 Print Name Here: ....

AB1000,88,11 Residence Address: ....

AB1000,88,12 (Make Sure Your Signature is Authenticated or Acknowledged Below.)

AB1000,88,13 Authentication

AB1000,88,14 Signature .... authenticated this .... day of ...., .... (year)

AB1000,88,15 *....

AB1000,88,16 TITLE: MEMBER STATE BAR OF WISCONSIN

AB1000,88,17 (If not, .... authorized by s. 706.06, Wis. Stats.)

AB1000,88,18 Acknowledgment

AB1000,88,19 STATE OF WISCONSIN   )

AB1000,88,20 )   ss.

AB1000,88,21 .... County   )

AB1000,88,24 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.

AB1000,88,25 *....

AB1000,89,1 Notary Public ...., .... County, Wisconsin.

AB1000,89,2 My Commission is permanent.

AB1000,89,3 (If not, state expiration date: ...., .... (year))

AB1000,89,4 (Signatures may be authenticated or

AB1000,89,5 acknowledged. Both are not necessary.)

AB1000,89,6 *Names of persons signing in any capacity should be

AB1000,89,7 typed or printed below their signatures.

AB1000,89,8 Signature of Other Spouse: ....

AB1000,89,9 Date: ....

AB1000,89,10 Print Name Here: ....

AB1000,89,11 Residence Address: ....

AB1000,89,12 (Make Sure Your Signature is Authenticated or Acknowledged Below.)

AB1000,89,13 Authentication

AB1000,89,14 Signature .... authenticated this .... day of ...., .... (year)

AB1000,89,15 *....

AB1000,89,16 TITLE: MEMBER STATE BAR OF WISCONSIN

AB1000,89,17 (If not, .... authorized by s. 706.06, Wis. Stats.)

AB1000,89,18 Acknowledgment

AB1000,89,19 STATE OF WISCONSIN   )

AB1000,89,20 )   ss.

AB1000,89,21 .... County   )

AB1000,89,24 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.

AB1000,89,25 *....

AB1000,90,1 Notary Public ...., .... County, Wisconsin.

AB1000,90,2 My Commission is permanent.

AB1000,90,3 (If not, state expiration date: ...., .... (year))

AB1000,90,4 (Signatures may be authenticated or

AB1000,90,5 acknowledged. Both are not necessary.)

AB1000,90,6 *Names of persons signing in any capacity should be

AB1000,90,7 typed or printed below their signatures.

AB1000,90,8 Termination of statutory terminable

AB1000,90,9 marital property classification agreement

AB1000,90,10 I UNDERSTAND THAT:

AB1000,90,13 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.

AB1000,90,18 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.

AB1000,90,21 3. IN GENERAL, THIS TERMINATION IS NOT BINDING ON CREDITORS UNLESS THEY ARE PROVIDED A COPY OF THE TERMINATION BEFORE CREDIT IS EXTENDED.

AB1000,90,24 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.

AB1000,90,25 Signature: ....

AB1000,91,1 Date: ....

AB1000,91,2 Print Name Here: ....

AB1000,91,3 Residence Address: ....

AB1000,91,4 Schedule “a"

AB1000,91,5 Financial Disclosure

AB1000,91,9 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.

AB1000,91,10 Husband   Wife   Spouse (Name)   Spouse (Name)   Both Names

AB1000,91,11 I.   Assets

AB1000,91,12 A.   Real estate (gross value)

AB1000,91,13 B.   Stocks, bonds and mutual funds

AB1000,91,15 C.   Accounts at and certificates or other instruments issued by financial institutions

AB1000,91,17 D.   Mortgages, land contracts, promissory notes and cash

AB1000,91,18 E.   Partnership interests

AB1000,91,19 EL.   Limited liability company interests.

AB1000,91,20 F.   Trust interests

AB1000,91,21 G.   Livestock, farm products, crops

AB1000,91,22 H.   Automobiles and other vehicles

AB1000,91,23 I.   Jewelry and personal effects

AB1000,91,24 J.   Household furnishings

AB1000,91,25 K.   Life insurance and annuities:

AB1000,92,1 1.   Face value

AB1000,92,2 2.   Cash surrender value

AB1000,92,3 L.   Retirement benefits (include value):

AB1000,92,4 1.   Pension plans

AB1000,92,5 2.   Profit sharing plans

AB1000,92,6 3.   HR-10 KEOGH plans

AB1000,92,7 4.   IRAs

AB1000,92,8 5.   Deferred compensation plans

AB1000,92,9 M.   Other assets not listed elsewhere

AB1000,92,10 II.   Obligations (total outstanding balance):

AB1000,92,11 A.   Mortgages and liens

AB1000,92,12 B.   Credit cards

AB1000,92,13 C.   Other obligations to financial institutions

AB1000,92,15 D.   Alimony, maintenance and child support (per month)

AB1000,92,18 E.   Other obligations (such as other obligations to individuals, guarantees, contingent liabilities)

AB1000,92,19 III.   Annual compensation for services:

AB1000,92,21 (for example, wages and income from self-employment; also include social security,