AB43,,92579257(Make Sure Your Signature is Authenticated or Acknowledged Below.) AB43,,92589258Authentication AB43,,92599259Signature .... authenticated this .... day of ...., .... (year) AB43,,92619261TITLE: MEMBER STATE BAR OF WISCONSIN AB43,,92629262(If not, .... authorized by s. 706.06, Wis. Stats.) AB43,,92639263Acknowledgment AB43,,92649264STATE OF WISCONSIN ) AB43,,92669266.... County ) AB43,,92679267Personally 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,,92699269Notary Public ...., .... County, Wisconsin. AB43,,92709270My Commission is permanent. AB43,,92719271(If not, state expiration date: ...., .... (year)) AB43,,92729272(Signatures may be authenticated or AB43,,92739273acknowledged. Both are not necessary.) AB43,,92749274*Names of persons signing in any capacity should be AB43,,92759275typed or printed below their signatures. AB43,,92769276Signature of Other Spouse: .... AB43,,92789278Print Name Here: .... AB43,,92799279Residence Address: .... AB43,,92809280(Make Sure Your Signature is Authenticated or Acknowledged Below.) AB43,,92819281Authentication AB43,,92829282Signature .... authenticated this .... day of ...., .... (year) AB43,,92849284TITLE: MEMBER STATE BAR OF WISCONSIN AB43,,92859285(If not, .... authorized by s. 706.06, Wis. Stats.) AB43,,92869286Acknowledgment AB43,,92879287STATE OF WISCONSIN ) AB43,,92899289.... County ) AB43,,92909290Personally 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,,92929292Notary Public ...., .... County, Wisconsin. AB43,,92939293My Commission is permanent. AB43,,92949294(If not, state expiration date: ...., .... (year)) AB43,,92959295(Signatures may be authenticated or AB43,,92969296acknowledged. Both are not necessary.) AB43,,92979297*Names of persons signing in any capacity should AB43,,92989298be typed or printed below their signatures. AB43,,92999299Termination of AB43,,93009300Statutory terminable individual AB43,,93019301Property classification agreement AB43,,93029302I UNDERSTAND THAT: AB43,,930393031. 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. AB43,,930493042. 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,,930593053. IN GENERAL, THIS TERMINATION IS NOT BINDING ON CREDITORS UNLESS THEY ARE PROVIDED A COPY OF THE TERMINATION BEFORE CREDIT IS EXTENDED. AB43,,93069306The 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. AB43,,93079307Signature: .... AB43,,93099309Print Name Here: .... AB43,,93109310Residence Address: .... AB43,,93119311Schedule “A” AB43,,93129312Financial Disclosure AB43,,93139313The 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,,93149314Husband Wife Spouse (Name) Spouse (Name) Both Names AB43,,93169316A. Real estate (gross value) AB43,,93179317B. Stocks, bonds and mutual funds AB43,,93189318C. Accounts at and certificates and other instruments issued by financial institutions AB43,,93199319D. Mortgages, land contracts, promissory notes and cash AB43,,93209320E. Partnership interests AB43,,93219321EL. Limited liability company interests AB43,,93229322F. Trust interests AB43,,93239323G. Livestock, farm products, crops AB43,,93249324H. Automobiles and other vehicles AB43,,93259325I. Jewelry and personal effects AB43,,93269326J. Household furnishings AB43,,93279327K. Life insurance and annuities: AB43,,932893281. Face value AB43,,932993292. Cash surrender value AB43,,93309330L. Retirement benefits (include value): AB43,,933193311. Pension plans AB43,,933293322. Profit sharing plans AB43,,933393333. HR-10 KEOGH plans AB43,,933593355. Deferred compensation plans AB43,,93369336M. Other assets not listed elsewhere AB43,,93379337II. Obligations (total outstanding balance): AB43,,93389338A. Mortgages and liens AB43,,93399339B. Credit cards AB43,,93409340C. Other obligations to financial institutions AB43,,93419341D. Alimony, maintenance and child support (per month) AB43,,93429342E. Other obligations (such as other obligations to individuals, guarantees, contingent liabilities) AB43,,93439343III. Annual compensation for services: AB43,,93449344(for example, wages and income from self-employment; also include social security, AB43,,93459345disability and similar income here)
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