AB68-SSA1,1406,1
1Authentication
AB68-SSA1,1406,22 Signature .... authenticated this .... day of ...., .... (year)
AB68-SSA1,1406,33 *....
AB68-SSA1,1406,44 TITLE: MEMBER STATE BAR OF WISCONSIN
AB68-SSA1,1406,55 (If not, .... authorized by s. 706.06, Wis. Stats.)
AB68-SSA1,1406,6 6Acknowledgment
AB68-SSA1,1406,77 STATE OF WISCONSIN   )
AB68-SSA1,1406,88 )   ss.
AB68-SSA1,1406,99 .... County   )
AB68-SSA1,1406,1210 Personally came before me this .... day of ...., .... (year) the above named .... to
11me known to be the person who executed the foregoing instrument and acknowledge
12the same.
AB68-SSA1,1406,1313 *....
AB68-SSA1,1406,1414 Notary Public ...., .... County, Wisconsin.
AB68-SSA1,1406,1515 My Commission is permanent.
AB68-SSA1,1406,1616 (If not, state expiration date: ...., .... (year))
AB68-SSA1,1406,1717 (Signatures may be authenticated or
AB68-SSA1,1406,1818 acknowledged. Both are not necessary.)
AB68-SSA1,1406,1919 *Names of persons signing in any capacity should be
AB68-SSA1,1406,2020 typed or printed below their signatures.
AB68-SSA1,1406,2121 Signature of Other Spouse: ....
AB68-SSA1,1406,2222 Date: ....
AB68-SSA1,1406,2323 Print Name Here: ....
AB68-SSA1,1406,2424 Residence Address: ....
AB68-SSA1,1406,2525 (Make Sure Your Signature is Authenticated or Acknowledged Below.)
AB68-SSA1,1407,1
1Authentication
AB68-SSA1,1407,22 Signature .... authenticated this .... day of ...., .... (year)
AB68-SSA1,1407,33 *....
AB68-SSA1,1407,44 TITLE: MEMBER STATE BAR OF WISCONSIN
AB68-SSA1,1407,55 (If not, .... authorized by s. 706.06, Wis. Stats.)
AB68-SSA1,1407,6 6Acknowledgment