Marital Settlement Agreement With Minor Children
In the case of wanting to create a marital settlement in a divorce case that involved minor children, the following form has to be completed and submitted.
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PR IN T i n I N K
FA -4 15 0V , 0 1/0 9 M arit a l S ettle m en t A gre em ent W it h M in or C hil d re n §76 7.3 4, W is co nsin S ta tu te s T h is f o rm s h all n ot b e m odif ie d . It m ay b e s u pple m en te d w it h a d dit io nal m ate ria l. P age 1 o f 1 0
E nte r t h e n am e o f t h e
c o unty i n w hic h t h is c ase
i s f ile d . S TA TE O F W IS C O NSIN , C IR CUIT C O URT,
C O UNTY
Ente r t h e n am e o f t h e
p etitio n er. I f j o in t
p etitio n ers , e n te r t h e n am e
o f t h e w if e .
F or O ffic ia l U se
In R E: T he m arria ge o f
P etit io ner/J o in t P etit io ner-W if e :
Fir s t n am e M id dle n am e L ast n am e
a nd
E nte r t h e n am e o f t h e
r e sp ond en t. I f j o in t
p etitio n ers , e n te r t h e n am e
o f t h e h usb an d.
C heck d iv o rc e o r l e g al
s e p ara tio n.
E nte r t h e c ase n u m ber.
R esp onden t/J o in t P etit io ner-H usb an d:
F ir s t n am e M id dle n am e L ast n am e
M arit a l S ett le m en t
A gre em en t
W it h M in or C hild re n
D iv o rc e-4 0 101
L eg al S ep ara tio n-4 02 01
C ase N o.
W E A G REE A S F O LLO W S:
A . M AR IT A L R ELA TIO NSH IP
1 .
D iv o rc e: T his m arria ge is ir re tr ie va b ly b ro ke n.
2 .
L eg al S ep ara tio n: T his m arria ge is b ro ke n a nd t h e r e aso n w e a re r e qu estin g a le ga l
s e para tio n a nd n ot a d iv o rc e is :
B . M AIN TE N AN CE
(S pousal S uppo rt)
1 . F or t h e W if e :
a .
T he w if e g iv e s u p h er r ig ht t o r e ce iv e m ain te na nce . S he u nders ta nds th at b y g iv in g u p
m ain te nance a t t h is t im e, s h e m ay n e ve r a sk f o r m ain te nance .
b .
T he w if e is n ot r e questin g m ain te na nce a t th is tim e, b ut le a ve s o pen h er r ig ht to r e quest it
u ntil
. H er r ig ht t o r e qu est m ain te nance is lim it e d to :
1 .
th e f o ll o w in g c ir c u m sta nce (s ) o nly :
2 .
a n y a ppro pria te s u bsta n tia l c h an ge in c ir c u m sta nce .
c .
T he h usb an d s h a ll p a y m ain te nance to t h e w if e in th e a m ount o f $ p er m onth
b eg in n in g o n th e f ir s t d ay o f th e m onth o f
, 2 0 .
M ain te n ance s h all e nd o n t h e la st d a y o f th e m onth o f
2 0 ,
o r u ntil t h e w if e r e m arrie s, d ie s, o r b y c o urt o rd er, w hic h eve r c o m es f ir s t.
2 . F or t h e H usb an d:
a.
T he h usb and g iv e s u p h is r ig ht to r e ce iv e m ain te na nce . H e u n ders ta n ds th at b y g iv in g
u p m ain te n ance a t th is tim e, h e m ay n e ve r a sk f o r m ain te n ance .
b .
T he h usb and is n ot r e q uestin g m ain te na nce a t th is t im e, b ut le ave s o p en h is r ig ht to
r e quest it u ntil
. H is r ig ht t o r e q uest m ain te nance is lim it e d to :
1 .
th e f o ll o w in g c ir c u m sta nce (s ) o nly :
2 .
a n y a ppro pria te s u bsta n tia l c h an ge in c ir c u m sta nce .
c .
T he w if e s h all p ay m ain te nance to t h e h usb a nd in t h e a m ount o f $ p er m onth
b eg in n in g o n th e f ir s t d ay o f th e m onth o f
2 0 .
M ain te n ance s h all e nd o n t h e la st d a y o f th e m onth o f
, 2 0 , o r
u ntil t h e h usb an d r e m arrie s, d ie s, o r b y c o urt o rd er, w hic h e ve r c o m es f ir s t.
C heck 1 o r 2 .
I f 2 , e n te r t h e r e aso n y o u
a re a sk in g f o r a l e g al
s e p ara tio n a n d n o t a
d iv o rc e.
C heck a , b , o r c .
I f b , e n te r a d ate a n d
c h oose 1 o r 2 .
I f 1 , e n te r t h e r e aso ns.
I f c , e n te r t h e
m ain te n an ce a m ount a n d
t h e m onth a n d y ear t h e
p ay m en ts s h ould b eg in
a n d e n d .
C heck a , b , o r c .
I f b , e n te r a d ate a n d
c h oose 1 o r 2 .
I f 1 , e n te r t h e r e aso ns.
I f c , e n te r t h e
m ain te n an ce a m ount a n d
t h e m onth a n d y ear t h e
p ay m en ts s h ould b eg in
an d e n d .
Marit a l S ett le m ent A gre em ent W it h M in or C hild re n Page 2 o f 1 0 Case N o. _ _ ___ ___ ___ __
F A -4 15 0V , 0 1/0 9 M arit a l S ettle m en t A gre em ent W it h M in or C hil d re n § 767 .3 4, W is co nsin S ta tu te s T h is f o rm s h all n ot b e m odif ie d . It m ay b e s u pple m en te d w it h a d dit io nal m ate ria l. P age 2 o f 1 0
3 . P aym en ts s h all b e m ade:
a.
N o p a ym ents a re o rd ere d to b e m ade.
b .
to th e W is co nsin S upport C olle ctio ns T ru st F und ( W I S C TF) a t B ox 7 42 00,
M il w auke e, W is co nsin 5 32 74-0 2 00:
1 .
d ir e ctly f r o m th e p a ye r to W I S C TF (o nly a llo w ab le if s elf -e m plo ye d ).
2 . b y in co m e a ssig nm ent f r o m th e p a ye r’s e m plo ye r a s in d ic a te d b e lo w :
Em plo ye r n am e
Addre ss o f p a yro ll o ffic e
Cit y
S ta te Z ip
Pho ne
F ax
4 . A rre a ra g es f o r P re v io usly O rd ere d M ain te n an ce: T he a m ount o f th e m ain te nance
a rre ars o w ed to a p arty s h a ll b e p aid a s f o ll o w s:
a .
N o m ain te n ance w as p re vio usly o rd ere d. T here is n o a m ount d ue.
b .
T he p arty h as p aid a ll m ain te n ance a s o rd ere d. T here is n o a m ount d ue.
c .
If th ere a re a n y a rre ara ges f o r m ain te na nce n ow o r a t th e t im e o f th e f in al h earin g ,
t h ose a rre ara ges a re w aiv e d a n d th e c o urt f in ancia l r e co rd s h all b e s e t t o z e ro .
d .
T he p artie s a gre e th a t th e a m ount o f th e a rre ars :
1 .
s h all b e s e t a s f o llo w s: $
2.
s h all b e d ete rm in ed b y th e c o urt a t t h e t im e o f th e f in a l h e arin g
a nd s h all b e p a id a nd e arn in te re st a t t h e r a te o f
% p e r y e ar a nd
p a ym en t s h a ll b e a s:
A.
a o n e-tim e p a ym en t to th e W I S C TF m ade b y (d ate ) .
B.
th ro ug h m onth ly in co m e w it h ho ld in g b y th e W I S C TF in t h e a m ount o f
$
b eg in n in g o n th e f ir s t d a y o f th e
month o f
, 2 0 u ntil th e a rre ara ges a re p aid in f u ll .
C . M ED IC AL I N SU R AN C E
N o la te r th an t h e d ate o f th e f in al h e arin g, e ach p arty s h all n otif y th e o th er p arty in w rit in g o f
t h e a va il a b il it y o f C O BR A o r o th er c o n tin uatio n b e nefit s u nder t h eir c u rre nt h ea lt h c a re p olic y.
D . D EB TS A N D L IA B IL IT IE S
T he f o llo w in g is a lis tin g o f A LL t h e d ebts a nd li a b il it ie s th at w e p re se n tly o w e ( e it h er in div id u ally
o r a s a c o u ple ) a nd w ho w e a gre e s h all b e r e sp o nsib le fo r th e p a ym ent o f e ach d e bt:
C re d it o r’s N am e Bala n ce
T o b e P aid
b y W if e T
o b e P aid
b y H usb an d
$
$
$
$
$
$
$
$
$
$
$
$
$
T he p artie s a g re e a n d u nders ta n d t h at:
· Each p arty a ssig n ed a d ebt s h all b e f u ll y r e sp o nsib le f o r th at o b lig atio n a nd s h all n ot
m ake a n y d em ands u p on t h e o th er p arty c o nce rn in g t h at d ebt.
E nte r a o r b .
I f b , c h eck 1 o r 2 . I f 2 ,
e n te r t h e e m plo yer
i n fo rm atio n.
F or e ach d eb t o w ed
i n div id u ally o r j o in tly ,
w rite t h e n am e, c u rre n t
b ala n ce, a n d c h eck w ho
w ill b e r e sp onsib le f o r
p ay m en t.
N ote : A ny a n d a ll d eb ts
d is c lo se d o n t h e p arti e s’
F in an cia l D is c lo su re
S ta te m en ts t h at a re s till
u npaid s h o uld b e
i n clu d ed h ere a n d
d iv id ed b etw een t h e
p artie s. A ny n ew d eb ts
i n cu rre d s h ou ld a ls o b e
l is te d a n d d iv id ed .
I f m ore s p ace i s
n ecessa ry , a tta ch
a d ditio nal s h eets .
N ote : A n a rre ara g e i s a n
a m ount o rd ere d t h at h as
n ot b een p aid a n d i s
o verd ue.
C heck a , b , c o r d .
I f d , c h eck 1 or 2 . I f 1 ,
e n te r a rre ara g e a m ount.
I f 2 , e n te r t h e i n te re st
r a te a n d c h eck A o r B . I f
A , e n te r t h e d ate . I f B ,
e n te r t h e a m ount o f t h e
m onth ly p ay m en t a n d t h e
m onth a n d y ear t h e
p ay m en ts s h all b eg in .
Marit a l S ett le m ent A gre em ent W it h M in or C hild re n Page 3 o f 1 0 Case N o. _ _ ___ ___ ___ __
F A -4 15 0V , 0 1/0 9 M arit a l S ettle m en t A gre em ent W it h M in or C hil d re n § 767 .3 4, W is co nsin S ta tu te s T h is f o rm s h all n ot b e m odif ie d . It m ay b e s u pple m en te d w it h a d dit io nal m ate ria l. P age 3 o f 1 0
·
Any d e bt n ot lis te d s h a ll b e th e r e sp o nsib il it y o f th e p arty w ho in cu rre d it a nd t h at p arty
s h all n ot m ake a n y d em ands u pon th e o th er p arty c o nce rn in g th at d ebt.
· Cre dit o rs a re N O T b oun d b y th is a gre em ent a nd e ach p arty r e m ain s lia ble to c re dit o rs
f o r a ll m arit a l d ebts .
· Any p arty w ho s u ffe rs a lo ss b eca use o f a f a ilu re o f th e o th er p arty t o p a y a n a ssig ned
d ebt m ay e nfo rc e th at o blig atio n b y a m otio n f o r c o nte m pt o f c o urt.
E . P ER SO NAL P R O PER TY D IV IS IO N
1. D iv is io n: T he p artie s a g re e to t h e f in al p ers o na l p ro perty d iv is io n a s in dic a te d b elo w :
L is t t h e p ro perty a n d c h eck if t h e w if e o r h usb an d
w ill h ave p erm an en t u se o f t h e p ro perty o nce t h e
d iv o rc e/le g al s ep ara tio n is f in al.
W ho w il l h ave p osse ssio n ?
W if e = W H usb an d = H
Househ old It e m s W H
A uto m obile s
Y ear, M ake , M odel W H
L if e In su ra n ce
N am e o f C om pan y & P olic y # W H
B usin es s In te re sts
N am e o f B usin ess & A ddre ss W H
S ecu rit ie s: S to ck s, B ond s, M utu al F unds, C om modit y A cco unts
N am e o f C om pan y & # o f s h are s W H
P en sio n, R etir e m en t A cco unts ,
D efe rre d C om pen satio n, 4 01K P la n s, IR As, P ro fit S harin g, e tc .
N am e o f C om pan y & T yp e o f P la n
W H
C ash a n d D ep osit ( S av in gs & C heckin g) A cco unts
N am e o f B ank o r F in ancia l In stit u tio n W H
C om ple te t h is s e ctio n
w it h a s m uch d eta il a s
p ossib le .
N ote : T here a re t w o
t y p es o f p ro perty . “ R eal
e sta te ” i n clu des s u ch
t h in gs a s h o m es a n d l a n d.
“ P ers o n al p ro perty ”
i n clu d es a ll o th er t h in gs
s u ch a s v eh ic le s, c lo th in g
a n d o th er p ers o nal i t e m s,
f u rn itu re , b an k a cco unts ,
a n d r e tir e m en t o r
i n vestm en t a cco unts .
N ote : I f y o u h av e
a lr e ad y d iv id ed t h e
p ro p erty , y o u m ust s till
d is c lo se h o w y o u d iv id ed
i t b elo w .
N ote : A ny a n d a ll
a sse ts d is c lo se d o n t h e
p artie s’ F in an cia l
D is c lo su re S ta te m en ts
s h o uld b e i n clu d ed
h ere a n d d iv id ed
b etw ee n t h e p artie s.
I f t h e p artie s h av e
d is p ose d o f a n a sse t
f r o m t h e t i m e t h e
F in an cia l D is c lo su re
w as d one, t o t h e f in al
h earin g, p le ase
i n d ic ate w hat w as
d is p ose d a n d w hat
h ap pen ed t o i t.
Marit a l S ett le m ent A gre em ent W it h M in or C hild re n Page 4 o f 1 0 Case N o. _ _ ___ ___ ___ __
F A -4 15 0V , 0 1/0 9 M arit a l S ettle m en t A gre em ent W it h M in or C hil d re n § 767 .3 4, W is co nsin S ta tu te s T h is f o rm s h all n ot b e m odif ie d . It m ay b e s u pple m en te d w it h a d dit io nal m ate ria l. P age 4 o f 1 0
O
th er P ers o nal P ro perty
D escrip tio n o f A sse t W H
S ee a tta ch ed
2 . E xch an ge: T he f o llo w in g it e m s s till n ee d to b e e xch ang ed b etw een th e p a rtie s:
a .
N one: a ll p ers o na l p ro perty h as a lr e ad y b een e xch an ged t o th e s a tis fa ctio n o f
b oth p artie s.
b .
L is t o f it e m s:
T he e xch ang e o f p ers o n al p ro p erty s h all b e m ade b y (d ate )
a cco rd in g to t h e f o llo w in g a rra ngem ents :
A ny it e m o f p ers o nal p ro pe rty n o t lis te d in # 2(b ) a bo ve s h all b e a w ard ed to t h e p arty
w ho h as p osse ssio n a t t h e tim e o f th e f in al h earin g.
F . D IV IS IO N O F R EA L E S TA TE
1 .
N eit h er p arty o w ns a n y r e al e sta te a t t h is t im e.
2 .
O ne o r b o th p artie s o w n r e al e sta te a t t h is t im e.
a.
P rim ary R esid en ce: T he p artie s o w n a p rim ary r e sid e nce lo ca te d a t:
A ddre ss
C it y
S ta te Z ip
P arc e l Id e ntif ic a tio n N um ber
(T ax K ey N um ber)
A tta ch ed is a le g al d escrip tio n o f t h is p ro perty .
1. T he p rim ary r e sid ence s h all b e a w ard ed to t h e:
A.
w if e
B.
h usb an d
a nd t h at p arty s h a ll b e r e sp onsib le f o r o u ts ta nd in g f in a ncia l o b li g atio ns,
a nd t h e o th er p arty s h a ll b e h eld h arm le ss f r o m a n y li a bil it y . O th er
p ro vis io ns in clu d in g r e fin an cin g r e q uir e m ents , if a n y:
S ee a tta ch ed
2 .
T he r e sid ence s h a ll b e p la ce d o n th e m ark e t f o r s a le .
A. P en din g s a le , t h e m ortg age, ta xe s, a nd in su ra nce s h all b e p a id b y:
1.
w if e .
2.
h usb an d.
3.
s h are d e q ua ll y .
4.
s h are d a s f o ll o w s:
B . P en din g s a le , a ny n ece ssa ry r e pa ir s , s p ecia l a sse ssm en ts a nd o th er
s a le -re la te d e xp e nse s s h all b e p aid b y:
1 .
w if e .
2 .
h usb an d.
3 .
s h are d e q ua ll y .
4 .
s h are d a s f o ll o w s:
T he m one y f r o m th e s a le o f th is r e sid ence s h all b e u se d to p a y th e u su a l
c o sts o f a s a le a nd p ro ra tio ns, a nd a n y b ala nce o n t h e e xis tin g m ortg age.
U pon p a ym ent o f a ll c o sts , th e p ro ce eds le ft f r o m th e s a le s h all b e d iv id ed
b etw een t h e p artie s a s f o ll o w s:
a. T he w if e to r e ce iv e
% .
b. T he h usb a nd t o r e ce iv e
% .
b .
O th er R eal E sta te : O ne o r b oth o f th e p artie s o w n a dd it io na l r e a l e sta te ,
i n clu din g a ny tim esh are in te re sts , w hic h is d is clo se d a nd d iv id ed a s s e t f o rth in
t h e a tta ch e d S ch ed ule A .
T ra n sfe r o f T it le : B oth p artie s u nders ta nd t h at t h is m arit a l s e tt le m ent a gre em ent a lo ne
w il l n ot tr a nsfe r tit le to o ne p arty o r th e o th er, b ut s u ch a tr a nsfe r r e qu ir e s a f u ll y e xe cu te d
Q uit C la im D eed a nd a W is co nsin R eal E sta te T ra n sfe r R etu rn s ig ned b y th e p artie s.
C heck 1 o r 2 .
I f 2 , a n d t h e p artie s o w n
a p rim ary r e sid en ce,
c h eck a .
I f a , e n te r t h e a d dre ss a n d
P arc el I d en tif ic atio n
N um ber, w hic h c an b e
f o und o n y o ur r e al e sta te
t a x b ill.
A tta ch a c o p y o f t h e
l e g al d esc rip tio n .
C heck 1 o r 2 .
I f 1 , c h eck A o r B a n d
e n te r o th er p ro vis io ns, i f
a n y.
I f 2 , c h eck 1 , 2 , 3 , o r 4 i n
A o r 1 , 2 , 3 , o r 4 i n B
f o r t h e r e sp onsib ilit y f o r
o th er e x p en d itu re s t h at
o ccu r w hile t h e p ro perty
is b ein g s o ld .
In dic ate w hen a n d h ow
a n y e x ch an ge o f
p ro p erty w ill t a k e
p la ce.
C heck a o r b . I f b , l is t
t h e i te m s a n d i n dic ate
w hen a n d h o w a n y
e x ch an ge o f p ers o nal
p ro p erty w ill t a k e p la ce.
I f m ore s p ace i s n ecessa ry , m ark t h e
b ox a n d a tta ch
a d ditio nal s h eets .
If t h e p artie s o w n o th er
r e al e sta te ( in clu din g a n y
t im esh are i n te re sts ),
c h eck b , c o m ple te t h e
a tta ch ed S ch ed u le A .
Ente r t h e p erc en ta g e e ach
p arty s h all r e ceiv e i n a
a n d b . T he t o ta l a m ount
m ust e q ual 1 00 % .
Marit a l S ett le m ent A gre em ent W it h M in or C hild re n Page 5 o f 1 0 Case N o. _ _ ___ ___ ___ __
F A -4 15 0V , 0 1/0 9 M arit a l S ettle m en t A gre em ent W it h M in or C hil d re n § 767 .3 4, W is co nsin S ta tu te s T h is f o rm s h all n ot b e m odif ie d . It m ay b e s u pple m en te d w it h a d dit io nal m ate ria l. P age 5 o f 1 0
T
he p arty a w ard ed a p arc e l o f r e al e sta te s h a ll b e r e sp onsib le f o r h a vin g th e n ece ssa ry
d ocu m ents p re pare d .
G. E Q UALIZ A TIO N O F M AR IT A L P R O PE R TY D IV IS IO N
1 .
N o p a ym ent is r e qu ir e d to b e m ade to e q ua li z e th e m arit a l p ro perty d iv is io n b e ca use :
a.
th e p ro perty a nd d ebt d iv is io n a re e q ualiz e d to t h e s a tis fa ctio n o f th e p artie s.
b.
equa li z a tio n h as b e en a cco m plis h ed th ro ugh a d iv is io n o f r e al e sta te s a le
p ro ce eds.
2 .
A p a ym ent o f $ is r e qu ir e d to e qua liz e th e m arit a l p ro perty d iv is io n.
a . T his p a ym ent s h a ll b e m ade b y th e:
1 .
w if e to th e h usb an d.
2 .
h usb an d to th e w if e .
b . T his p a ym ent:
1 .
h as a lr e ad y b een m ade.
2 .
s h all b e m ade in a lu m p s u m p a ym ent n o la te r th a n (d ate ) .
3 .
s h all b e p aid in th e a m ount o f $ p er m onth b e gin nin g
o n th e f ir s t d a y o f th e m onth o f
, 2 0 .
c . T he a m ount s h all e arn in te re st u ntil p a id in f u ll a t th e r a te o f
% p er y e ar:
1 .
f r o m th e d ate o f th e f in a l h earin g.
2 .
f r o m th e d ate t h e p aym ent w as d ue.
H . T A XES
1 . Y ear o f D iv o rc e/L eg al S ep ara tio n:
· The p artie s a gre e to f il e th eir in co m e ta x r e tu rn s f o r th e y e ar o f th e d iv o rc e /le ga l
s e para tio n c o nsis te n t w it h t h e r u le s o f th e I R S, W is co nsin D epartm ent o f R eve nu e, a nd
W is co nsin ’s M arit a l P ro p erty la w .
· The p artie s u nders ta nd t h at th e ir m arit a l s ta tu s o n t h e la st d a y o f th e y e ar d e te rm in es
t h eir f il in g s ta tu s f o r th at y e ar, w heth er m arrie d o r s in gle .
· The p artie s a ck n o w le dg e th at e ach a re r e sp onsib le f o r s e ekin g ta x a d vic e f r o m a ta x
p ro fe ssio nal w it h r e g ard to is su es o f th is d iv o rc e /le g al s e para tio n.
2 . Y ears B efo re D iv o rc e/L eg al S ep ara tio n:
a.
T ax r e tu rn s f o r a ll p re vio us y e ars h ave b een f ile d .
b.
T he p artie s a gre e t o f ile r e tu rn s f o r th e p re vio us t a x y e ars a s f o llo w s:
1 .
s h are p re p ara tio n e xp ense s, ta x li a b il it y , a n d/o r r e fu nd e qu ally .
2.
O th er:
I. L E G AL N AM E R ESTO RATIO N
1 .
N eit h er p arty r e quests t h e r ig ht t o u se a f o rm er le g al s u rn am e.
2 .
T he w if e r e q uests th e r ig ht t o u se a f o rm er le ga l s u rn am e o f
3 .
T he h usb and r e qu ests th e r ig ht t o u se a f o rm er le g al s u rn am e o f
Note : If th is is a n a ctio n fo r le ga l s e para tio n , th e c o urt c a nno t a llo w a s p ouse to r e su m e a fo rm er le gal
s u rn am e u nle ss a nd u ntil th e ju dgm ent is c o nve rte d to a d iv o rc e .
J . L E G AL C USTO DY O F M IN O R C HIL D REN
T he m in or c h il d re n ( a ge 1 7 o r y o ung er) b orn t o o r a do pte d t o geth er b y t h e p artie s, b efo re o r
d urin g th e m arria ge, a re lis te d b elo w a n d th e le g al c u sto d y o f e ach s h a ll b e a s f o ll o w s:
N am e o f C hild
B ir th D ate J
o in t
L eg al
C usto dy S
ole L eg al
C usto dy t o
M oth er S
ole L eg al
C usto dy t o
F ath er
A ls o s ee a tta ch ed p are n tin g p la n o r o th er s e p ara te d esc rip tio n.
I n 2 , c h eck a o r b .
I f b , c h eck 1 o r 2 .
I f 2 , i n dic ate h ow t h e
p artie s a g re e t o h an dle
t h e f ilin g ( e x p en se a n d
r e fu nd, i f a n y).
C heck 1 , 2 , o r 3 .
I f 2 o r 3 , e n te r t h e
f o rm er l e g al s u rn am e.
I f 1 , c h eck a o r b . I f 2 , e n te r t h e a m ount.
I n a , c h eck 1 o r 2 .
I n b , c h eck 1 , 2 o r 3 .
I f 2 , e n te r t h e d ate
[ m onth , d ay , y ear] . I f
3 , e n te r t h e a m ount
a n d d ate .
I n c , e n te r t h e
p erc en ta g e a n d c h eck
1 o r 2 .
E nte r t h e n am e, d ate o f
b ir th [ m onth , d ay , y ear] ,
o f e ach c h ild a n d c h eck
c u sto dy o ptio n.
N ote : T o i n clu de m ore
d eta il, c h eck t h e b o x a n d
a tta ch a p are n tin g p la n
o r o th er s e p ara te
d esc rip tio n .
Marit a l S ett le m ent A gre em ent W it h M in or C hild re n Page 6 o f 1 0 Case N o. _ _ ___ ___ ___ __
F A -4 15 0V , 0 1/0 9 M arit a l S ettle m en t A gre em ent W it h M in or C hil d re n § 767 .3 4, W is co nsin S ta tu te s T h is f o rm s h all n ot b e m odif ie d . It m ay b e s u pple m en te d w it h a d dit io nal m ate ria l. P age 6 o f 1 0
I
n a s o le le g al c u sto d y a rra ngem ent, th e p are nt n ot g ra nte d s o le le ga l c u sto dy, s h all f ile a
m edic a l h is to ry f o rm w it h t h e c o urt in c o m plia nce w it h § 767 .4 1(7 m ), W is . S ta ts .
K . P H YSIC AL P LA C EM EN T O F M IN O R C HIL D REN
T he p h ys ic a l p la ce m ent o f th e m in or c h il d re n s h all b e:
Share d P rim ary P rim ary
N am e o f M in or C hild w /M oth er w /F ath er
a nd t h e p la ce m ent s ch ed ule s h all b e:
a .
a s lis te d in th e a tt a ch ed p are ntin g p la n a nd /o r s ch e dule .
b .
a s f o llo w s:
S ee a tta ch ed
L . C HIL D S U PPO RT
1 . T he c h il d s u p port is b ase d o n
: ( A ll c a lc u la tio ns a re b ase d o n g ro ss in co m e)
1 7% f o r o n e c h ild .
2 5% f o r t w o c h il d re n.
2 9% f o r th re e c h ild re n .
3 1% f o r f o ur c h il d re n.
3 4% f o r f iv e o r m ore c h ild re n.
s p lit - p la ce m ent f o rm ula .
s h are d-p la ce m ent f o rm ula .
s e ria l- fa m il y p aye r f o rm ula .
lo w -in co m e p a ye r f o rm ula .
h ig h-in co m e p a ye r f o rm ula .
If n ot b ase d o n o p tio ns a b ove , e xp la in :
2 . T he p artie s a gre e t h at c h ild s u pp ort s h a ll b e p aid a s fo llo w s:
a .
T he h usb and s h all p ay c h il d s u p port t o th e w if e in t h e a m ount o f $ p er m onth ,
b eg in n in g o n th e f ir s t d ay o f th e m onth o f
, 2 0
b .
T he w if e s h a ll p a y c h ild s u pport t o th e h usb an d in t h e a m ount o f $ p er m onth ,
b eg in n in g o n th e f ir s t d ay o f th e m onth o f
, 2 0
c .
N o c h ild s u pport s h all b e o rd ere d f r o m e it h er p arty a t th is tim e b eca use
.
3 . P aym en ts s h all b e m ad e:
a.
N o p a ym ents a re o rd ere d to b e m ade.
b .
to th e W is co nsin S upport C olle ctio ns T ru st F und ( W I S C TF) a t B ox 7 42 00, M ilw auke e,
W is co nsin 5 327 4-0 20 0:
1 .
d ir e ctly f r o m th e p a ye r to W I S C TF (o nly a llo w ab le if s elf -e m plo ye d ).
2. b y in co m e a ssig nm ent f r o m th e p a ye r’s e m plo ye r a s in d ic a te d b e lo w :
Em plo ye r n am e
A ddre ss o f p a yro ll o ffic e
Cit y
S ta te Z ip
P ho ne
F ax
N ote : C hil d S upp ort g en er a lly i n clu des c o sts
fo r f o od , s h elt e r,
c lo th in g,
t r a n sp orta tio n ,
p erso n al c a re a n d
i n cid en ta l r ec rea tio n al
c o sts .
F or 1 , c h eck t h e
a p pro p ria te m eth od o f
c alc u la tio n.
N ote : P hysic al
P la cem en t m ean s
w here t h e c h ild l iv es o r
s p en ds t h eir t im e.
S hare d p la ce m en t
o ccu rs w hen a c h ild
s p en ds a t l e ast 2 5 % o r
9 2 d ay s p er y ear w ith
e ach p are n t.
O th erw is e , o ne p are n t
i s c o nsid ere d t o h av e
p rim ary p la ce m en t.
E nte r t h e n am es o f t h e
c h ild re n . C heck
s h are d , p rim ary
m oth er, o r p rim ary
f a th er f o r e ach c h ild .
C heck a o r b . I f a ,
a tta ch p are n tin g p la n
a n d/o r a s c h ed ule . I f b ,
d esc rib e h ow
p la ce m en t w ill b e
s h are d .
I n 3 , e n te r a o r b .
I f b , c h eck 1 o r 2 . I f 2 ,
e n te r t h e e m plo yer
i n fo rm atio n.
N ote : F or m ore
i n fo rm atio n o n D CF 1 5 0,
c o nta ct y o ur l o cal C hild
S upp ort A gen cy .
Marit a l S ett le m ent A gre em ent W it h M in or C hild re n Page 7 o f 1 0 Case N o. _ _ ___ ___ ___ __
F A -4 15 0V , 0 1/0 9 M arit a l S ettle m en t A gre em ent W it h M in or C hil d re n § 767 .3 4, W is co nsin S ta tu te s T h is f o rm s h all n ot b e m odif ie d . It m ay b e s u pple m en te d w it h a d dit io nal m ate ria l. P age 7 o f 1 0
4
. A rre a ra g es f o r C hild S upport: T he a m ount o f th e c h il d s u pp ort a rre ars o w ed to a p arty
s h all b e p a id a nd e arn in te re st a t th e s ta tu to ry in te re st r a te . P aym ents s h a ll b e m ade a s
f o llo w s:
a .
N o c h ild s u pport w as p re vio usly o rd ere d. T here is n o a m ount d ue.
b .
T he p arty h as p aid a ll c h il d s u pport a s o rd ere d. T here is n o a m ount d ue .
c .
If th ere a re a n y a rre ara ges f o r c h ild s u p port n o w o r a t th e t im e o f th e f in al h earin g ,
t h ose a rre ara ges a re f o rg iv e n a nd t h e c o urt f in ancia l r e co rd s h a ll b e s e t to z e ro .
d .
T he p artie s a gre e th a t th e a m ount o f th e a rre ars :
1 .
s h all b e s e t a s f o ll o w s: $
2.
s h all b e d ete rm in ed b y th e c o urt a t th e t im e o f th e f in al h earin g a n d s h a ll b e
p aid a s:
A.
a o n e-tim e p a ym en t to th e W I S C TF m ade b y (d ate ) .
B.
th ro ug h m onth ly in co m e w it h ho ld in g b y th e W I S C TF in t h e a m ount o f
$
b eg in n in g o n th e f ir s t d a y o f th e m onth o f
, 2 0 u ntil th e a rre ara ges a re p aid in f u ll .
5. V aria b le c o sts ( r e q uir e d o nly in c a ses o f s h are d p hysic a l p la c em en t), w hic h a re
t h ose r e aso na ble c o sts a bo ve b asic s u p port c o sts f o r a m in or c h ild , in clu d in g b ut n ot
l im it e d to c h ild c a re c o sts , t u it io n, a c h ild ’s s p ecia l n ee ds, a nd o th er a ctiv it ie s th at in vo lv e
s u bsta ntia l c o st:
a . W e a gre e to c o nsu lt w it h e ach o th er b efo re in cu rr in g a n y v a ria ble c o sts r e qu ir in g
r e im burs e m ent.
b . S hall b e p aid a s f o ll o w s ( p a ym en ts m ust b e p aid d ir e ctly to t h e p are nt a n d c a n not b e
m ade th ro ugh W I S C TF):
1 . T he w if e to p a y
% o f th e v a ria ble c o sts .
2 . T he h usb a nd t o p ay
% o f th e v a ria ble c o sts .
c . T he r e quest f o r r e im burs e m ent f o r v a ria b le c o sts s h all b e m ade in w rit in g w it h in
d a ys f r o m th e d a y th e c o st w as in cu rre d . E ach p arty s h all p ay th e r e qu ir e d
p erc e nta ge w it h in
d a ys f r o m th e d ate o f th e r e q uest.
6 . D ed uctio ns f o r C hild re n a s d ep end ents a nd e xe m ptio ns f o r in co m e ta x p u rp o se s:
7 . A ny p arty o rd ere d t o p ay c h il d s u pp ort m ay o n ly c la im th e m in or c h il d re n a s e xe m ptio ns f o r
f e dera l a nd s ta te in co m e ta x p urp ose s if h e o r s h e is c u rre nt in p aym en t o f c h il d s u pport a s
o f D ece m ber 3 1 o f th e y e ar in w hic h h e o r s h e in te nds to c la im th e e xe m ptio n , p urs u ant t o
D CF 1 50 .0 2(1 2)
8 . E ach p arty a gre es t o c o o pera te in s ig n in g IR S F orm 8 332 , o r o th er a ppro pria te s ta te o r
f e dera l ta x f o rm s, a s n ece ssa ry , in o rd er to c a rr y o ut th e o ptio ns s e le cte d a bo ve .
N
am e o f C hild M
oth er
t o c la im
i n a ll
t a x
y ears F
ath er t o
c la im in a ll
t a x y e ars M
oth er t o c la im in
e v en t a x y e ars ;
F ath er t o c la im in
o dd t a x y e ars F
ath er t o c la im in
e v en t a x y e ars ;
M oth er t o c la im in
o dd t a x y e ars
E nte r t h e n am e o f e ach
c h ild a n d t h en c h eck t h e
b ox t o i n d ic ate h ow t h e
d ed uctio n w ill b e
d is tr ib u te d .
In 5 , E nte r t h e p erc en ta g e
e ach p are n t s h all p ay .
T he t o ta l a m ount m ust
e q ual 1 0 0 % .
E nte r t h e n um ber o f
d ay s f o r e ach d ead lin e.
N ote : V aria b le C osts a re
d efin ed i n D CF
1 50.0 2 (2 9 ). V aria b le
c o st o rd ers a re
m an dato ry o nly f o r
s h are d p la cem en t
s itu atio n s.
C heck a , b , c o r d .
I f d , c h eck 1 or 2 . I f 1 ,
e n te r a rre ara g e a m ount.
I f 2 , c h eck A o r B . I f A ,
e n te r t h e d ate . I f B , e n te r
t h e a m ount o f t h e
m onth ly p ay m en t a n d t h e
m onth a n d y ear t h e
p ay m en ts s h all b eg in .
Marit a l S ett le m ent A gre em ent W it h M in or C hild re n Page 8 o f 1 0 Case N o. _ _ ___ ___ ___ __
F A -4 15 0V , 0 1/0 9 M arit a l S ettle m en t A gre em ent W it h M in or C hil d re n § 767 .3 4, W is co nsin S ta tu te s T h is f o rm s h all n ot b e m odif ie d . It m ay b e s u pple m en te d w it h a d dit io nal m ate ria l. P age 8 o f 1 0
M. M ED IC AL A N D H EA LT H C AR E E XP EN SE S
1 . M ed ic al In su ra n ce a n d P aym en ts : T he p artie s a gre e th at m edic a l in su ra nce c o ve ra ge f o r
t h e m in or c h ild re n in clu d in g m edic a l, d e nta l, o rth od ontic , h osp it a l, p syc h ia tr ic , c o u nse li n g,
d ru g a nd o th er h ea lt h e xp e nse s w hic h is o ffe re d n o w o r m ay b e o ffe re d b y a p re se nt o r
f u tu re e m plo ye r s h all b e o b ta in ed a nd p a id b y:
a.
B oth p artie s s h a ll p ro vid e c o ve ra ge.
b.
T he w if e s h a ll p ro vid e c o ve ra ge a nd th e h usb and s h all p ay $ p er m onth
d ir e ctly t o th e w if e t o c o ve r th e d if fe re nce b etw een s in g le a nd f a m il y c o ve ra g e.
c.
T he h usb an d s h a ll p ro vid e c o ve ra g e a nd t h e w if e s h all p ay $ p er m onth
d ir e ctly t o th e h usb an d to c o ve r t h e d if fe re nce b etw ee n s in g le a nd f a m il y c o ve ra g e.
T his p ers o n s h all a ls o p ro vid e th e o th er p are nt w it h c o pie s o f p o lic y in fo rm atio n a nd
i n su ra nce c a rd s.
2 . U nin su re d H ealt h C are E xp en ses: P aym ents f o r h ealt h c a re e xp ense s f o r th e m in or
c h ild re n n ot c o ve re d b y in su ra nce , in clu din g m edic a l, d enta l, o rth o don tic , h osp it a l,
p syc h ia tr ic , c o u nse lin g , d ru g a n d o th er h ealt h e xp ense s s h all b e p aid a s f o llo w s:
a . T he w if e to p a y
% o f th e to ta l a m ount.
b . T he h usb a nd t o p ay
% o f th e to ta l a m ount.
3 . R eim burs em en ts : A ny r e quest f o r r e im burs e m ent f r o m th e o th er p arty f o r m edic a l
i n su ra nce a n d u n in su re d h ealt h c a re e xp ense s s h a ll b e m ade in w rit in g. T he o th er p arty
s h all p a y t h eir r e qu ir e d p erc e nta g e w it h in
d a ys a fte r r e ce iv in g a w rit t e n r e quest.
N . L IF E I N SU R AN C E
E ach p arty s h all k e ep in f u ll f o rc e a nd p a y t h e p re m iu m s o n a ll lif e in su ra nce p re se ntly h eld
u pon h is o r h er lif e , n am in g th e m in or c h ild re n o f th e p artie s a s s o le p rim ary b en efic ia rie s in
e qua l s h are s, u ntil th e y o un gest o f th e m in or c h ild re n r e ach es a ge o f 1 8 o r a ge 1 9 if th e y a re
p urs u in g a h ig h s ch oo l d ip lo m a o r it s e qu iv a le nt. If c u rre nt c o ve ra ge is lo st, th e p arty w it h th e
c u rre nt lif e in su ra nce p o lic ie s s h all p ro vid e e qu iv a le nt c o ve ra g e. E ach p arty a gre es to f u rn is h
t h e o th er w it h p ro of o f th e n am ed s o le p rim ary b e nefic ia ry u pon r e qu est. T his p ro vis io n m ay
b e s a tis fie d in a w il l o r tr u st.
1 .
T he p artie s d o n o t c u rre ntly h ave a n y lif e in su ra nce p olic ie s in f o rc e .
2 .
T he f o llo w in g lif e in su ra nce p o lic ie s a re c u rre n tly in f u ll f o rc e :
C om pan y N am e Polic y N um ber Nam e o f In su re d
Neit h er p arty m ay b orro w a gain st a n y lif e in su ra nce p o lic y a fte r th e d ate o f th is a g re em ent,
n or u se it a s c o ll a te ra l, w it h out t h e w rit te n c o nse n t o f th e o th er p arty .
O . O TH ER A G REEM EN TS
W e u nders ta nd t h at a n y o ra l a gre em ents a re n ot e nfo rc e able b y th e c o urt.
1 .
W e h ave n o o th er a gre em ents , w rit t e n o r o ra l, c o n ce rn in g th is m arria g e.
2 .
W e h ave a dd it io na l w rit te n a gre em ents c o nce rn in g th is m arria ge, c o pie s o f w hic h
a re a tt a ch ed.
P . A G REEM EN TS a n d U ND ER STA N DIN G S
W e u nders ta nd a nd a gre e t h at:
· We c o uld e ach g et a n a tto rn e y to r e vie w t h is a gre em ent.
· This f o rm w as p ro vid ed a s a c o n ve n ie nce a n d m ay N O T c o ve r a ll is su es.
· This a gre em ent m ay h a ve t a x c o nse qu ence s a nd t h at s e ekin g ta x a d vic e is s u gge ste d.
· We h ave f u lly d is clo se d e ach o f o ur in co m e, d eb ts , a sse ts a nd li a bili t ie s t o e ach o th er.
· Main te n ance is d e ductib le b y t h e p a ye r a nd t a xa ble to th e p a ye e.
· Child s u p port is N O T d edu ctib le b y th e p aye r o r ta xa ble to t h e p a ye e.
C heck a , b o r c .
I f b o r c , e n te r t h e
a m ount, i f a n y, t h at t h e
o th er p are n t w ill p ay .
C heck 1 o r 2 .
I f 2 , e n te r t h e n am e o f
t h e c o m pan y w ho
h old s t h e p oli c y , t h e
p olic y n um ber, a n d t h e
n am e o f t h e p arty w ho
t h e p o lic y c u rre n tly
in su re s.
C heck 1 o r 2 .
I f 2 , a tta ch a n y
a d ditio nal a g re em en ts .
E nte r t h e p erc en ta g e
t h at e ach p are n t w ill
p ay i n a a n d b . T he
t o ta l m ust e q ual 1 00 % .
E nte r t h e n um ber o f
d ay s f o r t h e d ead lin e.
Marit a l S ett le m ent A gre em ent W it h M in or C hild re n Page 9 o f 1 0 Case N o. _ _ ___ ___ ___ __
F A -4 15 0V , 0 1/0 9 M arit a l S ettle m en t A gre em ent W it h M in or C hil d re n § 767 .3 4, W is co nsin S ta tu te s T h is f o rm s h all n ot b e m odif ie d . It m ay b e s u pple m en te d w it h a d dit io nal m ate ria l. P age 9 o f 1 0
·
The p are nts a gre e t h at th e se le g al c u sto d y a n d p hys ic a l p la ce m ent a rra n gem ents
a re in th e b est in te re sts o f th e m in or c h il d re n a t t h is t im e.
· Any c o urt o rd er r e g ard in g c h il d s u p port, le g al c u sto d y, o r p h ys ic a l p la ce m ent is n o t
f in al a nd m ay b e m odif ie d u nder a n a ppro pria te c h an ge o f c ir c u m sta n ce s.
· If t h e c o urt o rd ers c h ild s u pport w e m ust a n nuall y e xch an ge f in an cia l in fo rm atio n.
A p arty w ho f a ils to f u rn is h th e in fo rm atio n a s r e qu ir e d b y t h e c o urt u n der th is s u b se ctio n
m ay b e p ro ce e ded a g ain st fo r c o nte m pt o f c o urt u nder c h . 7 8 5 W is . S ta ts .
· Any c o urt o rd er r e g ard in g t h e d iv is io n o f p ro p erty is f in al a s o f th e d ate o f th e f in a l
h earin g a nd c a n n eve r b e c h ang ed.
· There a re c e rta in le ga l p re su m ptio ns u nd er W is co nsin la w , s u ch a s:
o Marit a l p ro perty s h o uld b e d iv id ed 5 0/5 0.
o Lega l c u sto dy o f m in or c h il d re n s h o uld b e g ra n te d jo in tly to b o th p are nts .
o A c h ild b orn o r c o nce iv e d d urin g th e m arria ge is p re su m ed to b e th e
h usb an d’s c h il d .
Q . V O LU NTA R Y E X EC UTIO N / N ATU R E O F A G REE M EN T
W e a ssu m e e qual r e sp onsib il it y f o r th e e ntir e c o nte nt o f th is a gre em ent. W e h ave e nte re d
i n to th is m arit a l s e ttle m ent a gre em ent f r e ely a n d v o lu n ta ril y a nd n ot b eca use o f a ny u nd ue
i n flu e nce . I n s o m e in sta nce s, th e a gre em ent r e pre se nts a c o m pro m is e o f d is p ute d is su es.
W e b elie ve th e te rm s to b e f a ir a nd r e aso na ble u n der t h e c ir c u m sta nce s.
W e a ck n ow le dg e th at th ere m ay b e s u bsta n tia l le g al a nd ta x im plic a tio ns w it h r e gard to t h is
a gre em ent. W e u nders ta n d th a t la ck o f k n ow le d ge o f th e la w m ay n ot b e s u ffic ie nt to
c o nvin ce t h e c o urt th a t r e lie f f r o m th ese p ro vis io ns is r e quir e d. W e a ck n ow le d g e t h at e ach
o f u s h as th e r ig ht to s e ek th e a dvic e o f o ur o w n p ers o nal a tto rn ey.
R . M UTU AL / G EN ER AL R ELE A SE
W e r e le ase e ach o th er f r o m a n y c la im o f a n y n atu re th at m ay e xis t. N eit h er o f u s m ay, a t
a n y tim e h ere afte r, s u e th e o th er, o r o ur h eir s , p ers o na l r e pre se nta tiv e s, a n d a ssig ns, f o r th e
p urp ose o f e nfo rc in g a ny o r a ll o f th e r ig hts r e li n qu is h e d a n d/o r w aiv e d u n der th is
a gre em ent. W e a gre e th at in t h e e ve nt a ny s u it s h all b e c o m m ence d, th is r e le ase , w hen
p le ade d, s h a ll c o nstit u te a c o m ple te d efe nse t o a n y s u ch c la im o r s u it s o in stit u te d b y th e
o th er p arty . W e u nders ta n d th a t th is m utu al a nd g ene ra l r e le ase s h all n ot b eco m e e ffe ctiv e
u ntil t h is M arit a l S ettle m en t A gre em en t is a p pro ve d b y th e c o urt.
S . F U LL D IS C LO SU R E A N D R ELIA N CE
W e w arra nt t o e ach o th er t h at t h ere h as b e en a n a ccu ra te , c o m ple te , a nd c u rre nt d is clo su re
o f a ll in co m e, a sse ts , d eb ts , a nd lia b il it ie s. W e u nders ta nd a nd a gre e th at d elib era te f a il u re
t o p ro vid e c o m ple te d is clo su re c o nstit u te s p erju ry u nd er § 76 7.1 27, W is . S ta ts . a n d a f r a ud
u pon th e c o urt. T he p ro perty r e fe rre d to in th is a gre em ent r e pre se nts a ll th e p ro p erty in
w hic h e it h er p arty h as a ny in te re st. T his a gre em ent is b ase d o n o ur f in ancia l d is clo su re
s ta te m ents . W e r e lie d o n t h ese f in a ncia l r e pre se nta tio ns w hen e nte rin g in to th is a gre em ent.
T . R ESTR AIN IN G O RDER
W e a gre e to n eve r in te rfe re w it h th e p ers o n al li b erty o f th e o th er, o r to g o o n t h e p re m is e s
o ccu pie d b y th e o th er a s a r e sid ence e xce pt w it h p erm is sio n o f th at p arty .
U . E XE C UTIO N O F D O CUM EN TS
N ow , o r in t h e f u tu re , o n d e m and, w e a gre e to e xe cu te a nd d e li v e r a ny a n d a ll d ocu m ents
t h at m ay b e n ece ssa ry to c a rr y o u t th e te rm s a nd c o nd it io ns o f th is a gre em en t.
V . D IV ESTIN G O F P R O PER TY R IG HTS
E xce pt a s o th erw is e p ro vid ed f o r in t h is a gre em ent, w e g iv e u p a ll r ig hts to th e p ro perty
a w ard e d to th e o th er.
A ll p ro perty a w ard ed to a p arty s h a ll b e th e s e para te p ro perty o f th at p arty .
We s h all h a ve th e r ig ht to m anage o ur s e p ara te p ro p erty a s if w e h a d n eve r b e en m arrie d.
Marit a l S ett le m ent A gre em ent W it h M in or C hild re n Page 1 0 o f 1 0 Case N o. _ _ ___ ___ ___ __
F A -4 15 0V , 0 1/0 9 M arit a l S ettle m en t A gre em ent W it h M in or C hil d re n § 767 .3 4, W is co nsin S ta tu te s T h is f o rm s h all n ot b e m odif ie d . It m ay b e s u pple m en te d w it h a d dit io nal m ate ria l. P age 1 0 o f 1 0
W
. S U R VIV A L O F A G REEM EN T A FT E R J U DG M EN T
W e a gre e th at th e p ro vis io n s o f th is a gre em ent s h a ll s u rv iv e a ny s u bse q uen t ju dg m ent o f
d iv o rc e a nd s h a ll h a ve in de pend ent le gal s ig nif ic a nce . T his a gre em ent is a le g ally b in din g
c o ntr a ct, e n te re d in to f o r g o od a nd v a lu a ble c o nsid era tio n. It is c o nte m pla te d th at in th e
f u tu re e it h er o f u s m ay e nfo rc e th is a gre em ent in th is o r a n y o th er c o urt o f c o m pete nt
j u ris d ic tio n.
X . J U RIS D IC TIO N
T his c o unty s h all h ave ju ris d ic tio n f o r a ll d is p ute s u n le ss o th erw is e a gre e d to in w rit in g o r a s
p ro vid e d u nder W is co nsin S ta tu te s.
Y . A PPR O VA L O F C O URT R EQ UIR ED
W e h ave r e a d th is a gre em ent a nd a gre e w it h it s te rm s. W e s u bm it th is M arit a l S ettle m en t
A gre em en t to t h e c o urt f o r a ppro va l a nd r e q uest t h e c o urt to in co rp ora te it s t e rm s in t h e
f in al ju d gm ent. O nce a p pro ve d b y th e c o urt, w e u nders ta nd t h at e it h er o f u s m ay e nfo rc e th is
a gre em ent in th is o r a n y o th er c o urt o f c o m pete nt ju ris d ic tio n.
Z . W AIV ER O F A PPE A R AN CE
W e a gre e th at t h e c o urt m ay p ro ce ed w it h th e f in al h e arin g w it h out f u rth er n otic e , a nd c o nse nt
t o ju dgm ent b e in g e n te re d o n th e p etit io n, p urs u ant to th e t e rm s o f th is M arit a l S ettle m en t
A gre em en t e ve n if th e r e sp ond ent o r o n e o f th e jo in t p etit io ners d o es n ot a p pear.
T he w if e m ust s ig n a n d
p rin t h er n am e.
E nte r t h e d ate o n w hic h
s h e s ig n ed h er n am e.
N ote : T his s ig n atu re
d oes n o t n eed t o b e
n ota riz ed .
Sig natu re o f W if e
Prin t o r T yp e N am e
D ate
T he h usb an d m ust s ig n
a n d p rin t h is n am e.
E nte r t h e d ate o n w hic h
h e s ig n ed h is n am e.
N ote : T his s ig n atu re
d oes n o t n eed t o b e
n ota riz ed . S ig natu re o f H usb and
P rin t o r T yp e N am e
D ate
S ta te o f W is co nsin , C hild S upport A gen cy
A ppro ve d
N ot A ppro ve d
N ot R equ ir e d
Auth oriz e d S ig natu re
P rin t o r T yp e N am e
Tit le
D ate
G uard ia n a d L it e m
A ppro ve d
N ot A ppro ve d
N ot R equ ir e d ( n o G AL h as b ee n a p po in te d)
Auth oriz e d S ig natu re
P rin t o r T yp e N am e
Tit le
D ate
I f e ith er p arty i s
r e ceiv in g p ublic
a ssis ta n ce o r t h ere i s a
c ase w ork er f r o m t h e
C hild S up po rt A gen cy
a ssig n ed t o y o ur c ase ,
y o u m ust t a k e t h is
a g re e m en t t o t h e C hild
S upp ort A gen cy i n y o ur
c o unty f o r t h eir
a p pro val.
I f n ot, m ark n ot
r e q uir e d .
I f a G uard ia n a d L ite m
h as b een a p p oin te d t o
y o ur c ase , y o u m ust t a k e
t h is a g re e m en t t o t h e
G AL f o r h is /h er a p p ro val.
I f n ot, m ark n ot r e q uir e d .
FA -4 15 0V , 0 1/0 9 M arit a l S ettle m ent A gre em ent - W it h M in or C hild re n §76 7.3 4, W is co nsin S ta tu te s
T h is f o rm s h all n ot b e m odif ie d . It m ay b e s u pple m en te d w it h a d dit io nal m ate ria l. P age 1 o f 1
S C H ED ULE A – D IV IS IO N O F O TH ER R EA L E STA TE
A. P arc el 2 : T he p artie s o w n o th er r e al e sta te lo ca te d a t:
A ddre ss
C it y
S ta te Z ip
P arc e l Id en tif ic a tio n N um ber
(T ax K ey N um ber)
Atta ch ed is a le g al d esc rip tio n o f t h is p ro perty .
1. T he r e al e sta te s h a ll b e a w ard ed to th e :
a.
w if e
b.
h usb an d
a nd th a t p a rty s h a ll b e r e sp onsib le fo r o uts ta nd in g fin ancia l o blig atio ns, a nd th e o th e r p arty s h all b e
h eld h arm le ss fr o m a ny lia bil it y . O th er p ro vis io ns in clu din g r e fin an cin g r e quir e m ents , if a ny:
S ee a tta ch ed
2 .
T he r e sid en ce s h a ll b e p la ce d o n t h e m ark e t fo r s a le .
a. P endin g s a le , th e m ortg a ge, ta xe s, a nd in su ra nce s h all b e p aid b y:
1.
w if e .
2.
h usb an d.
3.
s h are d e qua lly .
4.
s h are d a s fo ll o w s:
b . P endin g s a le , a ny n ece ss a ry r e pair s , s p e cia l a ss e ss m ents a nd o th er s a le -re la te d e xp e nse s s h all b e
p aid b y:
1 .
w if e .
2 .
h usb an d.
3 .
s h are d e qua lly .
4 .
s h are d a s fo ll o w s:
The m oney fr o m th e s a le o f th is r e al e sta te s h a ll b e u se d to p a y th e u su al c o sts o f a s a le a nd p ro ra tio ns,
a nd a n y b ala n ce o n t h e e xis tin g m ortg age . U pon p aym ent o f a ll c o sts , th e p ro ce eds le ft fr o m th e s a le
s h all b e d iv id e d b e tw een th e p a rtie s a s fo ll o w s:
a . T he w if e to r e ce iv e
% .
b . T he h usb and to r e ce iv e
% .
B .
P arc el 3 : T he p artie s o w n o th er r e al e sta te lo ca te d a t:
A ddre ss
C it y
S ta te Z ip
P arc e l Id en tif ic a tio n N um ber
(T ax K ey N um ber)
Atta ch ed is a le g al d esc rip tio n o f t h is p ro perty .
1. T he r e al e sta te s h a ll b e a w ard ed to th e :
a .
w if e
b .
h usb an d
a nd th a t p a rty s h a ll b e r e sp onsib le fo r o uts ta nd in g fin ancia l o blig atio ns, a nd th e o th e r p arty s h all b e h eld
h arm le ss fr o m a n y lia b ili t y . O th er p ro vis io n s in clu din g r e fin an cin g r e qu ir e m ents , if a n y:
S ee a tta ch ed
2 .
T he r e sid en ce s h a ll b e p la ce d o n t h e m ark e t fo r s a le .
a. P endin g s a le , th e m ortg a ge, ta xe s, a nd in su ra nce s h all b e p aid b y:
1.
w if e .
2.
h usb an d.
3.
s h are d e qua lly .
4.
s h are d a s fo ll o w s:
b . P endin g s a le , a ny n ece ss a ry r e pair s , s p e cia l a ss e ss m ents a nd o th er s a le -re la te d e xp ense s s h all
b e p aid b y:
1 .
w if e .
2 .
h usb an d.
3 .
s h are d e qua lly .
4 .
s h are d a s fo ll o w s:
The m oney fr o m th e s a le o f th is r e al e sta te s h a ll b e u se d to p a y th e u su al c o sts o f a s a le a nd p ro ra tio ns,
a nd a n y b ala n ce o n t h e e xis tin g m ortg age . U pon p aym ent o f a ll c o sts , th e p ro ce eds le ft fr o m th e s a le
s h all b e d iv id e d b e tw een th e p a rtie s a s fo ll o w s:
a . T he w if e to r e ce iv e
% .
b . T he h usb and to r e ce iv e
% .
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