Wisconsin Marital Settlement Agreement Without Children Form

Before appearing in their first divorce hearing, the divorcing spouses must complete this form. It must be noted that this form can only be used if there are no minor children resulting from the union.Download

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FA-4151V, 02/10  Marital Settlem	ent Agreement W ithout Minor Children 	 	§767.34	, W isconsin Statutes	 	This form shall not be modified.  It may be supplemented with additional material.	 	Page 	1 of 7 	- 1 - 	
Enter the name of the 
county in which this case 
is filed.	 	
STATE OF WISCONSIN, CIRCUIT COURT, 	 	
      	 COUNTY	 	
For Official Use	 	
  	
Enter the name of the 
petitioner.  If joint 
petitioners, enter the name 
of the wife.	 	
 
In 	RE: T	he marriage of	 	 
Peti	tioner/Joint Petitioner	-Wife	: 	
  
      	 	First name                             Middle name                Last name	 	
 and	 	
 	
 	
Marital Settlement 	
Agreement	 	
Without Minor Children	 	
 	
 Divorce	-40101	 	
 Legal Sepa	ration	-40201	 	
 
 	
Case No. 	      	 	
 	
Enter the name of the 
respondent.  If joint 
petitioners, enter the name 
of the husband.	 	
Respondent/Joint Petitioner	-Husband	: 	
  
        	 	First name                           Middle name           	       	Last name	 	
 
 
 
 	
 
Check divorce or legal 
separation.	 	
Enter the case number.	 	
 	
Warning:	  Subject to court approval, t	he terms of this agreement will be included in	 your judgment of divorce or legal separation.	  Be 	
sure you understand it completel	y.  Some portions of this agreement cannot be changed after the court approves it, even if 	
you did not understand or expect how it would affect you.	  You may wish to speak with a lawyer before you sign this 	
agreement to be sure you are fully aware of the l	aws	 that may apply to you.	 	
 
WE AGREE AS FOLLOWS:	 	
A. MARITAL RELATIONSHIP	 	
1. 	 Divorce.	 This marriage is irretrievably broken.	 	
2. 	 Legal Separation	. This marriage is broken and the reason we are requesting a legal 	
separation and n	ot a divorce is	       	 	
 	 	
 
B. MAINTENANCE 	(Spousal Support)	 	
1. For the Wife:	 	
a. 	 The wife gives up her right to receive maintenance.  She understands that by giving up 
maintenance at this time, she may never ask for maintenance.	 	
b. 	 The wif	e is not requesting maintenance at this time, but leaves open her right to request it 	
until 	     	 	. Her right to re	quest maintenance is limited to	 	
1. 	 the following circumstance(s) only: 	     	 	  	
2. 	 any appropriate substantial change in circumstance.	 	
c. 	 The husband shall pay maintenance to the wife in the amount of $ 	     	 	 per 	
month 	beginning 	     	 	, 20	     	 	.  Maintenance shall end  	     	 	  20	     	
 	, or until the wife remarries, dies, or by court order, 	
whichever comes first.	 	
 
2. For the Husband: 	 	
 	a. 	 The husband gives up his right to receive maintenance.  He understands that by giving 
up m	aintenance at this time, he may never ask for maintenance.	 	
b. 	 The husband is not requesting maintenance at this time, but leaves open his right to 
request it until 	     	 	.  His right to req	uest maintenance is limited to	 	
1. 	 the following circumstance(s) only: 	     	 	  	
2. 	 any appropriate substantial change in circumstance.	 	
c. 	 The wife shall pay maintenance to the husband in the amount of $ 	     	 	      	 per month 	
beginning 	     	 	, 20	     	 	.  Maintenance shall end 	     	       	 	, 20	     	 , 	
or until the husband remarries, dies, or by court order, whichever comes first.	 	
In A, check 1 or 2. 	 	
 
If 2, enter the reason you 
are asking for a legal 
separation and not a 
divo	rce.	 	
 
In 2, check a,	 b, or c.	 	 If b, enter a date and 
choose 1 or 2.	 	If 1, enter the reasons.	 	 
If c, enter the	 	maintenance amount and the date the payments 
should begin and end.	 	
In B.1, check a, b,	 or c.	 	 If b, enter a date and 
choose 1 or 2.	 	 If 1, enter the reasons.	 	
 If c, enter the maintenance amount and 
the date the payments should begin and end.

Marital Settlement Agreement Without Minor Children	 	Page 	2 of 7 	Case No. 	     	               	 	
FA-4151V, 02/10  Marital Settlement	 Agreement W ithout Minor Children 	 	§767.34	, W isconsin Statutes	 	This form shall not be modified.  It may be supplemented with additional material.	 	Page 	2 of 7 	
3. Payments shall be mad	e 	
 	a. 	 no payments are ordered	. 	
b. 	 to the W isconsin Support Collections 	Trust Fund (WI SCTF) at Box 74200, Milwaukee, 	
Wisconsin 53274	-0200	 	
1. 	 directly from the payer to WI SCTF 	(only allowable if self	-employ	ed)	. 	
 	2. 	 by income assignment from the payer’s employer as indicated below:	 	
 	Employer name	      	 	 	 	
Address of payroll office	      	 	 	
 	 	City 	     	 	 State	      	 	 Zip	      	 	 	
Phone	      	 	 Fax	      	 	 	
 	
4. Arrearages for	 Previously Ordered Maintenance.	  The parties agree to handle the 	
maintenance arrears as follows:	 	
a. 	 No maintenance was previously ordered.  There is no amount due.	 	 	
b. 	 The party has paid all maintenance as ordered. There is no amount due.	 	
c. 	 If there are any 	arrearages for maintenance now or at the time of the final hearing, 	
those arrearages are waived and the court financial recor	d shall be set 	at zero.	 	
d. 	 As currently reflected in the WI SCTF KIDS computer system and shall be paid through 
monthly income withholding by the W I SCTF in the amount of  $	       	 	 	
beginning 	      	, 20	     .  The arrears balance shall earn interest at the rate 	
of 	     % per year	 until the arrearages are paid in full.	  	
e. 	 The arrears shall be set 	at $       	 and paid through	 	
 	1. 	 a one	-time payment to the WI SCTF made by 	(Date)	       	. 	
  	2. 	 mo	nthly income withholding by the WI SCTF in the amount of  $	       	 	
beginning 	      	, 20	     .  The arrears balance shall ear	n interest 	
at the rate of 	     % per year until the arrearages are paid in full.	    	
f. 	 Shall be determined by the court at the time of the final hearing.	 	
 	
C. MEDICAL INSURANCE	 	
No later than the date of the final hearing, eac	h party shall notify the other party in writing of 	
the availability of COBRA or other continuation benefits under their current health care policy.	 	
 	
D. DEBTS AND LIABILITIES	 	
The following is a listing of 	ALL	 the debts and liabilities that we presently owe	 (both	 individually 	
and	 as a couple)	 and who we agree sha	ll be responsible for the payment of each debt:	 	
 	
Payment for	 	
Payment to	 	
(Creditor)	 	
Balance 
Due	 	
Paid by	 	
Wife	 	
Paid by 
Husband	 	
Shared 
Equally	 	
Mortgage	 	    	 	 	 	$   	  	 	 	 	 	
Mortgage 	 	    	 	 	 	$   	  	 	 	 	 	
Car 1	 	    	 	 	 	$   	  	 	 	 	 	
Car 2	 	    	 	 	 	$   	  	 	 	 	 	
Car 3	 	    	 	 	$   	  	 	 	 	 	
Loans	-Student	 	    	 	 	 	$   	  	 	 	 	 	
Loans	-Personal	 	    	 	 	 	$   	  	 	 	 	 	
Loans	-Other	 	    	 	 	 	$   	  	 	 	 	 	
Credit Card 1	 	    	 	 	 	$   	  	 	 	 	 	
Credit Card 2	 	    	 	 	 	$   	  	 	 	 	 	
Credit Card 3	 	    	 	 	 	$   	  	 	 	 	 	
Credit Card 4	 	    	 	 	 	$   	  	 	 	 	 	
Other	 	    	 	 	 	$   	  	 	 	 	 	
Other	 	    	 	 	 	$   	  	 	 	 	 	
Other	 	    	 	 	 	$   	  	 	 	 	 	
Other	 	    	 	 	 	$   	  	 	 	 	 	
 See attached	 	
 
 
 	
In D, f	or each debt owed 	
individually 	and	 jointly, 	
write the name, current 
balance, and	 check who 	
will be responsible for 
payment.	 	
 
NOTE:	  Any and all 	
debts disclosed on the 
parties’ Financial 
Disclosure Statements 
that are still unpaid 
should be included here 
and divided between the 
parties.  Any new debts 
incurred should also be 
listed and	 divided.  	 	
 
If more space is 
necessary, attach 
additional sheets.	 	
 
 
In 3, check a	 or b.  	 	
 
If b, check 1 or 2.  If 2, 
enter the employer 
information.	 	
 
NOTE:	  An arrearage is 	
an amount ordered that 
has not been paid and is 
overdue.	 	
 
In 4, c	heck a, b, c, d, e or 	
f.  
 
If d, ent	er the monthly 	
payment amount, 	date 	
payments begin	, and the 	
interest rate percentage 
for arrearages.	   	
 
If e, enter the amount of 
the arrears balance and 
check 1 or 2.  If 1, enter 
the date of the one	-time 	
payment.  If 2, enter the 
amount of the monthly 
payment,	 the 	date 	
payments be	gin, and th	e 	
interest rate percentage 
for arrearages.

Marital Settlement Agreement Without Minor Children	 	Page 	3 of 7 	Case No. 	     	               	 	
FA-4151V, 02/10  Marital Settlement	 Agreement W ithout Minor Children 	 	§767.34	, W isconsin Statutes	 	This form shall not be modified.  It may be supplemented with additional material.	 	Page 	3 of 7 	
 	
The parties agree and understand	: 	
 	Each party assigned a debt shall be 	fully responsible for that obligation and shall not 	
make any demands upon the other party concerning that debt.  	 	
 	Any debt not listed shall be the responsibility of 	the party who incurred 	the 	debt.	 	
 	Creditors are NOT bound by this agreement and that each pa	rty remains liable to 	
creditors for all marital debts.	 	
 	Any party who suffers a loss because of a failure of the other party to pay an assigned 
debt may enforce that obligation by a 	motion 	or 	an order to show cause) 	for	 contempt of 	
court.	 	
 
E. PERSONAL 	PROP	ERTY DIVISION	 	
1. 	Division	. The parties agree to the final 	personal 	property division as indicate	d below:	 	
 	
List the property and check if the wife or husband 
will have permanent use of the property once the 	
divorce/legal separation is final.	 	
Who will have p	ossession?	 	
Wife	 = W         	Husband	 = H	 	
Household Items	 	W 	H 	
      	 	 	
      	 	 	
      	 	 	
      	 	 	
      	 	 	
Automobiles 	 	
Year, Make, Model	 	W 	H 	
      	 	 	
      	 	 	
      	 	 	
      	 	 	
Life Insurance	 	
Name of Company & Policy #	 	W 	H 	
      	 	 	
      	 	 	
Business Interests	 	
Name of Business & Address	 	W 	H 	
      	 	 	
      	 	 	
Securities: 	Stocks, Bonds, Mutual Funds, Commodity Accounts	 	
Name of Company & # of shares	 	W 	H 	
      	 	 	
      	 	 	
      	 	 	
Pension, Retirement Accounts, 	 	
Deferred Compensation, 401K Plans, IRAs, Profit Sharing, etc.	 	
Name of Company & Type of Plan	 	
W 	H 	
      	 	 	
      	 	 	
      	 	 	
Cash and Deposit (Savings & Checking) Accounts	 	
Name of Bank or Financial Institution	 	W 	H 	
      	 	 	
      	 	 	
      	 	 	
      	 	 	
 	
 
In E, c	omplete this 	
section with as much 
detail as 	possible.	 	
 
NOTE:	 There are two 	
types of property.  “Real 
estate” includes such 
things as homes and land.  
“Personal property” 
includes all other things 
such as vehicles, clothing 
and other personal items, 
furniture, bank accounts, 
and retirement or 
investm	ent accounts.	 	
 
NOTE	:  If you have 	
already divided the 
property, you must still 
disclose how you 
divided it.	 	
 
 
NOTE:	 Any and all 	
assets disclosed on the 
parties’ Financial 
Disclosure Statements 
should be included here 
and divided between the 
parties.	 	
 
If th	e parties have 	
disposed of an asset from 
the time the Financial 
Disclosure was done, to 
the final hearing, please 
indicate what was 
disposed and what 
happened to it.

Marital Settlement Agreement Without Minor Children	 	Page 	4 of 7 	Case No. 	     	               	 	
FA-4151V, 02/10  Marital Settlement	 Agreement W ithout Minor Children 	 	§767.34	, W isconsin Statutes	 	This form shall not be modified.  It may be supplemented with additional material.	 	Page 	4 of 7 	
Other Personal Property	  	
Description of Asse	t 	W 	H 	
      	 	 	
      	 	 	
      	 	 	
      	 	 	
 Se	e a	ttached	 	
2. Exchange.	  The following items still need to be exchanged between the parties	: 	
a. 	 None.	  All personal 	property has already been exchanged	 to the satisfaction of both 	
parties	. 	
b. 	 List of items: 	      	
    The exchange of 	personal 	property shall be made by 	(Date)	       	  	
according to the following arrangements:	       	
 	 	
Any 	item of 	personal 	property not listed 	in #2	(b) 	above shall be awarded to the party 	
who has possession at	 the time of the final hearing.	 	
 	
F. DIVISION OF REAL ESTATE	 	
1. 	 Neither party owns any real estate at this time.	 	
2. 	 One or both parties own real estate at this time.	 	
 	a. 	 Primary Residence	. The parties o	wn a primary residence located at: 	 	
Address 	      	 	
City 	      	 State 	      	 Zip 	      	 	
Parcel Identification Number 	(Tax Key Number)	        	 	
  Attached	 is a legal	 description	 of this	 property.	   	 	
 	1. 	 This	 primary residence sh	all be awarded to the	 	
 	 	A. 	 wife	 	
 	 	B. 	 husband	 	
and that party shall be responsible for outstanding financial obligations, and 
the other party shall be held harmless from any liability. Other provisions 
including refinancin	g requirements, if any: 	      	 	
 	 	 See attached	 	
2. 	 This	 residence shall be placed on the market for sale.	 	
A. Pending sale, the residence shall be occupied	, used	, or 	managed	 by	  	
 	1. 	 wife.	 	
 	2. 	 husband.	 	
 	3. 	 shared equally.	 	
 	4. 	 other: 	 	   	 	 	 	
 	B. Pending sale, the mortgage, taxes, a	nd insurance shall be paid by	 	
 	 	1. 	 wife.	 	
 	 	2. 	 husband.	 	
 	 	3. 	 shared equally.	 	
 	 	4. 	 other	:  	   	 	 	 	
C. Pending sale, any necessary repairs, special assessments and other 
sale	-rel	ated expenses shall be paid by	 	
1. 	 wife.	 	
2. 	 husband.	 	
3. 	 shared equally.	 	
4. 	 other	:  	   	 	 	 	
The money from the sale of this residence shall be used to pay the usual 
costs of a sale and prorations, and any balance on the existing mortgage.  
Upon payment of all costs, the proceeds left from the sale shall be 	divided 	
between the parties as follows:	 	
  	a. The wife to receive 	      	%.	 	
  	b. The husband to receive 	      	%.	 	
In 2, check a or b.  If b, 
list the items and 
indicate when and how 
any 	exchange of 	
personal property will 
take place.	 	  
 
If more space is necessary, mark the box and attach 
additional sheets.	 	
 
In F, c	heck 1 or 2.	 	 
If 2, and the parties 
own a primary 
residence, check a.  	 	 
If a, enter the address 
and Parcel 
Identification Number, 
which can be found on 
your real estate tax 
bill.	   	 
Attach a copy of the 
legal description.	 	 
Check 1 or 2.  	 	 
If 1, check A or B and 
enter other provisions, 
if any.	 	
 
If 2, check 1, 2, 3, or 4 
in A, 	B, and 	C for	 the 	
responsibility for other 
expenditures that 
occur while the 
property is being sold.	 	 
Enter	 the percentage 	
each party shall	 	
receive in a	 and b.  	
The total amount must 
equal 100	 %.

Marital Settlement Agreement Without Minor Children	 	Page 	5 of 7 	Case No. 	     	               	 	
FA-4151V, 02/10  Marital Settlement	 Agreement W ithout Minor Children 	 	§767.34	, W isconsin Statutes	 	This form shall not be modified.  It may be supplemented with additional material.	 	Page 	5 of 7 	
b. 	 Other Real Estate	. One or both of the parties own additional real estate, including 	
any timesha	re interests, which is disclosed and divided as set forth in the attached 	
Schedule A.	 	
 
 Transfer of Title.	  Both parties understand that this marital settlement agreement alone will 	
not transfer title to one party or the other, but such a transfer requires	 a fully executed 	Quit 	
Claim Deed	 and a 	Wisconsin Real Estate Transfer Return	 signed by the parties.  The 	
party awarded a parcel of real estate shall be responsible for having the necessary 
documents prepared.	 	
 
G.	 EQUALIZATION OF MARITAL PROPERTY DIVISION	. 	
1. 	 No payment is required to be made to equalize the marital property division	 because	 	
 	a. 	 the property and debt division are equalized to the satisfaction of the parties.	 	
 	b. 	 equalization has been ac	complished through a division of real estate sale proceeds.	 	
 
2. 	 A payment of $	      	 is required to equalize the marital property division. 	 	
a. Th	is payment shall be made by the	 	
1. 	 wife to the husband.	 	
2. 	 husband to the wife. 	 	
b. This payment	 	
1. 	 was	 made.	 	
2. 	 sh	all be made in a lump sum payment no later than 	(Date)	       	, 20	      .  	
3. 	 shall be paid in the amount of 	$       per month beginning  	          	 , 20	     . 	
c. The am	ount shall earn interest until paid in full at the rate of 	      % per year	 from the 	
date	 	
1. 	 of the final hearing.	 	
2. 	 the payment was due.	 	 	
H. TAXES	. 	
1. Year of Divorce/Legal Separation.	 	
 	The parties agree t	o file their income tax returns for the year of the divorce/legal 	
separation consistent with the rules of the IRS, W isconsin Department of Revenue, and 
Wisconsin’s Marital Property law.  	 	
 	The parties understand that their marital status on the last day of	 the year determines 	
their filing status for that year, whether married or single.  	 	
 	The parties acknowledge that each 	is responsible for seeking tax advice from a tax 	
professional with regard to issues of this divorce/legal separation.	 	
 	
2. Years Before Di	vorce/Legal Separation.	 	
 	a. 	 Tax returns for all previous years have been filed.	 	
 	b. 	 The parties agree to file returns for the previous tax years as follows:	 	
 	 	1.	 share preparation expenses, tax liability	 and	/or	 refund equally.	 	
 	 	2.	 Other:	       	 	 	
I. LEGAL NAME RESTORATION	.  	
 1. 	 Neither party requests the	 right to	 use a former legal surname.	 	
 2. 	 The w	ife requests the 	right to use 	a former legal surname of	       	. 	
 3. 	 The h	usb	and requests the 	right to use 	a former legal surname of	       	. 	 	Note:	 If this is an action for legal separation, the court cannot allow a spouse to resume a  former  legal 
surname unless and until the judgment is converted to a divorce.	 	 
J. 	OT	HER AGREEMENTS	. 	
We understand that any oral agreements are not enforceable by the court.	 	
1. 	 We have no other agreements, written or oral, concerning this marriage.	 	
2. 	 We have attached written agreements concerning this m	arriage, copies of which are 	
attached.	 	
In 2, check a or b.	 	
 
If b, check 1 or 2.	 	
 
If 2, indicate how the 
parties agree to handle 
the filing (expense and 
refund, if any).	 	
 
In I, check 1, 2, or 3. 	 	  
If 2 or 3, enter the 
former	 surname.	 	 
 
In J, check 1 or 2.	 	
 
If 2, attach any 
additional agreements.	 	
In G, c	heck 1 or 2.	 	
 
If 1, check a or b.  	 	
 
If 2, enter the amount	. 	
 
In a, check 1 or 2.	 	
 
In b, check 1, 2 or 3.  
If 2, enter the date  
[month, day, year].  	 	
If 3, enter the amount 
and date.	 	
 
In c, enter the 
percentage and check 
1 o	r 2.	 	
 
If the parties own 
other real estate 
(including any 
timeshare interests), 
check b, complete	 the 	
attached Schedule A 
found at the end of this 
document.

Marital Settlement Agreement Without Minor Children	 	Page 	6 of 7 	Case No. 	     	               	 	
FA-4151V, 02/10  Marital Settlement	 Agreement W ithout Minor Children 	 	§767.34	, W isconsin Statutes	 	This form shall not be modified.  It may be supplemented with additional material.	 	Page 	6 of 7 	
K. AGREEMENTS and UNDERSTANDINGS	. 	
We understand and agree	: 	
 	We could each get an attorney to review this agreement.	 	
 	This form was provided as a convenience and may NOT cover all issues.	 	
 	This agreement may have tax consequ	ences and that seeking tax advice is suggested.	 	
 	We have 	each 	fully disclosed	 each	 of our income, debts, assets and liabilities to each 	
other.	 	
 	Maintenance is deductible by the payer and taxable to the payee.	 	
 	Any court order regarding the division of propert	y is final as of the date of the final 	
hearing and can never be changed.	 	
 	There are certain legal presumptions under W isconsin law, such as marital property 
should be divided 50/50.	 	
 	
L. VOLUNTARY EXECUTION / NATURE OF AGREEMENT	. 	
We assume equal responsibility 	for the entire content of this agreement. We have entered into 	
this marital settlement agreement freely and voluntarily and not because of any undue 
influence.  In some instances, the agreement represents a compromise of disputed issues.  
We believe the te	rms to be fair and reasonable under the circumstances.  	 	 
We acknowledge that there may be substantial legal and tax implications with regard to this 
agreement.  We understand that lack of knowledge of the law may not be sufficient to 
convince the court th	at relief from these provisions is required.  We acknowledge that each of 	
us has the right to seek the advice of our own personal attorney.  	 	
 	
M.	 MUTUAL / GENERAL RELEASE	. 	
We release each other from any claim of any nature that may exist. Neither of us may, a	t any 	
time hereafter, sue the other, or our heirs, personal representatives, and assigns, for the 
purpose of enforcing any or all of the rights relinquished and/or waived under this agreement.  
We agree that in the event any suit shall be commenced, this r	elease, when pleaded, shall 	
constitute a complete defense to any such claim or suit so instituted by the other party.  We 
understand that this mutual and general release shall not become effective until this 	Marital 	
Settlement Agreement	 is approved by the 	court.	 	
 
N. FULL DISCLOSURE AND RELIANCE	. 	
We warrant to each other that there has been an accurate, complete, and current disclosure 
of all income, assets, debts, and liabilities.  We understand and agree that deliberate failure to 
provide complete disclosure 	constitutes perjury under 	§767.27	, W is. Stats. and a fraud upon 	
the court.  The property referred to in this agreement represents all the property in which 
either party has any interest.  This agreement is based on our financial disclosure statements.  
We 	relied on these financial representations when entering into this agreement.	 	
 
O.	 RESTRAINING ORDER	. 	
We agree to never interfere with the personal liberty of the other, or to go on the premises 
occupied by the other as a residence except with permission of tha	t party.	 	
 
P. EXECUTION OF DOCUMENTS	. 	
Now, or in the future, on demand, we agree to execute and deliver any and all documents that 
may be necessary to carry out the terms and conditions of this agreement.	 	
 
Q.	 DIVESTING OF PROPERTY RIGHTS	. 	
Except as otherwise prov	ided for in this agreement, we give up all rights to the property 	
awarded to the other.	 	 	
All property awarded to a party shall be the separate property of that party. 	 	
 	We shall have the right to manage our separate property as if we had never been married	.

Marital Settlement Agreement Without Minor Children	 	Page 	7 of 7 	Case No. 	     	               	 	
FA-4151V, 02/10  Marital Settlement	 Agreement W ithout Minor Children 	 	§767.34	, W isconsin Statutes	 	This form shall not be modified.  It may be supplemented with additional material.	 	Page 	7 of 7 	
R. SURVIVAL OF AGREEMENT AFTER JUDGMENT	. 	
We agree that the provisions of this agreement shall survive any subsequent judgment of 
divorce and shall have independent legal significance.  This agreement is a legally binding 
contract, entered into for good 	and valuable consideration.  It is contemplated that in the 	
future either of us may enforce this agreement in this or any other court of competent 
jurisdiction.	 	
 
S. JURISDICTION	. 	
This county shall have jurisdiction for all disputes unless otherwise agreed to 	in writing or as 	
provided under Wisconsin Statutes.	 	
 
T. APPROVAL OF COURT REQUIRED	.  	
We have read this agreement and agree with its terms.  We submit this	 Marital Settlement 	
Agreement	 to the court for approval, and request the court to incorporate its terms i	n the final 	
judgment. Once approved by the court, we understand that either of us may enforce this 
agreement in this or any other court of competent jurisdiction.	 	
 	
U. WAIVER OF APPEARANCE	. 	
We	 agree that the court 	may	 proceed with the final hearing without fur	ther notice, and 	consent to 	
judgment being entered on the petition, pursuant to the terms of this 	Marital Settlement 	
Agreement	 even if the respondent or one of the joint petitioners does not appear.	 	
 	
The wife must sign 
and print her name.	 	
Enter the date on	 	
which she signed her 
name.	 	
Note:	 This signature 	
does not need to be 
notarized.	 	
 	
 
►	 	 	
Wife	 	
      	 	
Print or Type Name	 	
      	 	
Date	 	
 The husband must 
sign and print his 
name.  	 	
Enter the date on 
which he signed his 
name.	 	
Note:	 This	 signature 	
does not need to be 
notarized.	 	
 
 
►	 	 	
Husband	 	
      	 	
Print or Type Name	 	
      	 	
Date

PRINT in 	INK	 	
FA-4151V, 02/10  Marital S	ettlement	 Agreement W ithout Minor Children 	 	§767.34	, W isconsin Statutes	 	This form shall not be modified.  It may be supplemented with additional material.	 	Page 	1 of 1 	- 1 - 	
SCHEDULE A 	– DIVISION OF OTHER REAL ESTATE	 	
A. 	 Parcel 2: 	The parties own other real estate located at: 	 	
Address  	      	 	
City  	      	 State  	      	  Zip  	      	 	
Parcel Identification Number (Tax Key Number)  	      	 	
 	Attached	 is a legal	 description	 of this	 property.	 	 	
1. 	 This	 primary 	property 	shall be awarded to the	 	
A. 	 wife	 	
B. 	 husband	 	
and that party shall be responsible for outstanding financial obligations, and the other party shall be held 
harmless from any liability. Other provisions including ref	inancing requirements, if any: 	      	 	
 	 	 See attached	 	
2. 	 This	 property	 shall be placed on the market for sale.	 	
A. Pending sale, the 	property	 shall be occupied	, used	, or managed	 by 	
 	1. 	 wife.	 	
 	2. 	 husband.	 	
 	3. 	 shared equally.	 	
 	4. 	 other: 	      	 	
B. Pending sale, the mortgage, taxes, a	nd insurance shall be paid by	 	
1. 	 wife.	 	
2. 	 husband.	 	
3. 	 shared equally.	 	
4. 	 other	:        	
C. Pending sale, any necessary repairs, special assessments and other sale	-related expenses shall be 	
paid by	 	
 	1. 	 wife.	 	
 	2. 	 husband.	 	
 	3. 	 shared equally.	 	
 	4. 	 other	:       	 	
The money from the sale of this real estate shall be used to pay the usual costs of a sale and 
prorations, and any balance on the existing mortgage.  Upon payment of all costs, the	 proceeds left 	
from the sale shall be divided between the parties as follow:	 	
   a. The wife to receive 	      	%.	 	
   b. The husband to receive 	      	%.	 	
B. 	 Parcel 3: 	The parties own other real estate located at: 	 	
Address  	      	 	
City 	      	 State  	      	 Zip  	      	 	
Parcel Identification Number (Tax Key Number) 	      	 	
 	Attached	 is a legal	 description	 of this	 property.	 	 	
1. 	 This	 primary 	property	 shall be awarded to the	 	
A. 	 wife	 	
B. 	 husband	 	
and that party shall be responsible for outstanding financial obligations, and the other party shall be held 
harmless from any liability. Other provisions includ	ing refinancing requirements, if any: 	      	 	
 	 	 See attached	 	
2.  	 This	 property	 shall be placed on the market for sale.	 	
A. Pending sale, the 	property	 shall be occupied	, used	, or managed	 by 	
 	1. 	 wife.	 	
 	2. 	 husband.	 	
 	3. 	 shared equally.	 	
 	4. 	 other: 	      	 	
B. Pending sale, the mortgage, taxes, a	nd insurance shall be paid by	 	
 	1. 	 wife.	 	
 	2. 	 husband.	 	
 	3. 	 shared equally.	 	
 	4. 	 other	:       	 	
C. Pending sale, any necessary repairs, special assessments and other sale	-related expenses shall be 	
paid by	 	
1. 	 wife.	 	
2. 	 husband.	 	
3. 	 shared equally.	 	
4. 	 other	: