AB43: Bill Text

AB43,,9151 Print Name Here: ....

AB43,,9152 Residence Address: ....

AB43,,9153 (Make Sure Your Signature is Authenticated or Acknowledged Below.)

AB43,,9154 Authentication

AB43,,9155 Signature .... authenticated this .... day of ...., .... (year)

AB43,,9156 *....

AB43,,9157 TITLE: MEMBER STATE BAR OF WISCONSIN

AB43,,9158 (If not, .... authorized by s. 706.06, Wis. Stats.)

AB43,,9159 Acknowledgment

AB43,,9160 STATE OF WISCONSIN   )

AB43,,9161 )   ss.

AB43,,9162 .... County   )

AB43,,9163 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.

AB43,,9164 *....

AB43,,9165 Notary Public ...., .... County, Wisconsin.

AB43,,9166 My Commission is permanent.

AB43,,9167 (If not, state expiration date: ...., .... (year))

AB43,,9168 (Signatures may be authenticated or

AB43,,9169 acknowledged. Both are not necessary.)

AB43,,9170 *Names of persons signing in any capacity should be

AB43,,9171 typed or printed below their signatures.

AB43,,9172 Signature of Other Spouse: ....

AB43,,9173 Date: ....

AB43,,9174 Print Name Here: ....

AB43,,9175 Residence Address: ....

AB43,,9176 (Make Sure Your Signature is Authenticated or Acknowledged Below.)

AB43,,9177 Authentication

AB43,,9178 Signature .... authenticated this .... day of ...., .... (year)

AB43,,9179 *....

AB43,,9180 TITLE: MEMBER STATE BAR OF WISCONSIN

AB43,,9181 (If not, .... authorized by s. 706.06, Wis. Stats.)

AB43,,9182 Acknowledgment

AB43,,9183 STATE OF WISCONSIN   )

AB43,,9184 )   ss.

AB43,,9185 .... County   )

AB43,,9186 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.

AB43,,9187 *....

AB43,,9188 Notary Public ...., .... County, Wisconsin.

AB43,,9189 My Commission is permanent.

AB43,,9190 (If not, state expiration date: ...., .... (year))

AB43,,9191 (Signatures may be authenticated or

AB43,,9192 acknowledged. Both are not necessary.)

AB43,,9193 *Names of persons signing in any capacity should be

AB43,,9194 typed or printed below their signatures.

AB43,,9195 Termination of statutory terminable

AB43,,9196 marital property classification agreement

AB43,,9197 I UNDERSTAND THAT:

AB43,,9198 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.

AB43,,9199 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.

AB43,,9200 3. IN GENERAL, THIS TERMINATION IS NOT BINDING ON CREDITORS UNLESS THEY ARE PROVIDED A COPY OF THE TERMINATION BEFORE CREDIT IS EXTENDED.

AB43,,9201 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.

AB43,,9202 Signature: ....

AB43,,9203 Date: ....

AB43,,9204 Print Name Here: ....

AB43,,9205 Residence Address: ....

AB43,,9206 Schedule “A”

AB43,,9207 Financial Disclosure

AB43,,9208 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.

AB43,,9209 Husband   Wife   Spouse (Name)   Spouse (Name)   Both Names

AB43,,9210 I.   Assets

AB43,,9211 A.   Real estate (gross value)

AB43,,9212 B.   Stocks, bonds and mutual funds

AB43,,9213 C.   Accounts at and certificates or other instruments issued by financial institutions

AB43,,9214 D.   Mortgages, land contracts, promissory notes and cash

AB43,,9215 E.   Partnership interests

AB43,,9216 EL.   Limited liability company interests.

AB43,,9217 F.   Trust interests

AB43,,9218 G.   Livestock, farm products, crops

AB43,,9219 H.   Automobiles and other vehicles

AB43,,9220 I.   Jewelry and personal effects

AB43,,9221 J.   Household furnishings

AB43,,9222 K.   Life insurance and annuities:

AB43,,9223 1.   Face value

AB43,,9224 2.   Cash surrender value

AB43,,9225 L.   Retirement benefits (include value):

AB43,,9226 1.   Pension plans

AB43,,9227 2.   Profit sharing plans

AB43,,9228 3.   HR-10 KEOGH plans

AB43,,9229 4.   IRAs

AB43,,9230 5.   Deferred compensation plans

AB43,,9231 M.   Other assets not listed elsewhere

AB43,,9232 II.   Obligations (total outstanding balance):

AB43,,9233 A.   Mortgages and liens

AB43,,9234 B.   Credit cards

AB43,,9235 C.   Other obligations to financial institutions

AB43,,9236 D.   Alimony, maintenance and child support (per month)

AB43,,9237 E.   Other obligations (such as other obligations to individuals, guarantees, contingent liabilities)

AB43,,9238 III.   Annual compensation for services:

AB43,,9239 (for example, wages and income from self-employment; also include social security,