Wisconsin > Statewide > Circuit Court > Family Court
Stipulation For Temporary Order Without Minor Children FA-4127 - Wisconsin
| Stipulation For Temporary Order Without Minor Children Form. This is a Wisconsin form and can be used in Family Court Circuit Court Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
FORM SUMMARY Name of Form: Form Number: Stipulation for Temporary Order Without Minor Children FA-4127V Statutory Reference: Benchbook Reference: Purpose of Form: §§767.225 and 767.34, Wisconsin Statutes This document allows the parties in an action for a divorce or legal separation without minor children to agree on how various issues such as asset allocation, debt payments, maintenance payments, and similar matters will be handled while the action is pending. The parties would fill out the document, checking boxes and writing in the information as they have agreed. Original will be filed with the court. Copies would generally be retained by both of the parties and Family Court Commissioner. Although none are necessarily required, there may be schedules attached listing property, debts, or other information that doesn't fit on the form. Financial disclosure statements may also be attached as needed. Modification; last update 10/06. Add "directly to the wife/husband" in the Medical Ins. and Payments sec. In Personal Property Division, add "that is yet to be exchange". This form should not be used if the parties have minor children. Form FA-4126, Stipulation for Temporary Order with Minor Children, should be used instead. This form is very inclusive and may include provisions that are not relevant to a particular situation. If a provision is not relevant, it should be marked accordingly. This form is the product of the Wisconsin Records Management Committee, a committee of the Director of State Court's Office. As a pro se form, its use is NOT mandatory but it is required to be accepted and distributed by the circuit courts of the State of Wisconsin. Who Completes It: Distribution of Form: Accompanying Forms: New Form/Modification: Modification: Comments: About this Form: Date: 01/17/2008 Page 1 American LegalNet, Inc. www.FormsWorkflow.com PRINT in BLACK ink Enter the name of the county in which you are filing this case. STATE OF WISCONSIN, CIRCUIT COURT, For Official Use COUNTY Enter the name of the petitioner. If joint petitioners, enter the name of the wife. In RE: The marriage of: Petitioner/Joint Petitioner-Wife: First name Middle name Last name and Enter the name of the respondent. If joint petitioners, enter the name of the husband. Respondent/Joint Petitioner-Husband: Stipulation for Temporary Order Without Minor Children First name Middle name Last name Check divorce or legal separation. Divorce-40101 Legal Separation-40201 Note: Enter the case number, if known. If not leave blank. Case No. SUMMARY OF PERSONAL INFORMATION Enter the requested information about the wife. Include area codes with the requested phone numbers. Dates of birth should be written in the following format: [month, day, year]. 1. Wife: Name Address Address City Date of birth Gross monthly income $ Employer name Address of payroll office City Phone State Zip State Fax Zip Enter the requested information about the husband. Include area codes with the requested phone numbers. Dates of birth should be written in the following format: [month, day, year]. 2. Husband: Name Address Address City Date of birth Gross monthly income $ Employer name Address of payroll office City Phone State Zip State Fax Zip FA-4127V, 01/08 Stipulation for Temporary Order Without Minor Children Page 1 of 6 §§767.225 and 767.34, Wisconsin Statutes American LegalNet, Inc. www.FormsWorkflow.com This form shall not be modified. It may be supplemented with additional material. Stipulation for Temporary Order Without Minor Children Page 2 of 6 Case No. ______________ STIPULATION The parties agree that the following terms be in effect until the final hearing of this action. For A1, check a or b. If b, enter the monthly amount of maintenance and the month and year on which the payments will begin. 1. SUMMARY OF FINANCIAL AGREEMENTS A. Maintenance (spousal support) The parties agree that temporary maintenance shall be paid as follows: 1. For the Wife: The wife gives up her right to receive maintenance at this time. a. The husband shall pay maintenance to the wife in the amount of $ b. . 20 per month beginning on the first day of the month of 2. For the Husband: The husband gives up his right to receive maintenance at this time. a. The wife shall pay maintenance to the husband in the amount of $ b. . 20 per month beginning on the first day of the month of For A2, check a or b. If b, enter the monthly amount of maintenance and the month and year on which the payments will begin. Check 1, 2, or 3. Parties may not make payments directly to each other. (See WI Stat. 767.265) B. Payments for Maintenance shall be made to the Wisconsin Support Collections Trust Fund (WI SCTF): Directly from the payer to WI SCTF (only if self-employed). 1. By income assignment from the payer's employer as indicated on page 1. 2. No maintenance is to be paid at this time. 3. C. Information about how payments are made to WI SCTF. All payments for maintenance ordered shall note the case number and the names of the parties on the face of the check, should be made payable to WI SCTF, and sent to: Wisconsin Support Collections Trust Fund Box 74400 Milwaukee, WI 53284-0400 The WI SCTF will transmit the payments to the proper persons entitled to them. Failure of an employer to pay the proper amount shall not be a defense for failure to pay the proper amount. If an employer fails to take out the correct amount for maintenance, the party paying is responsible for the full and correct amount. The party paying maintenance is responsible for payment of the annual receiving and disbursing fee to WI SCTF. 2. SUMMARY OF OTHER AGREEMENTS A. Residence: The parties do not own or rent a residence together. 1. The parties do own or rent a residence together and agree that: 2. The wife shall have temporary exclusive use of the residence and the a. husband shall leave the residence on or before The husband shall have temporary exclusive use of the residence and the b. wife shall leave the residence on or before Both parties agree to share the residence. c. Both parties agree to vacate and/or sell the residence by d. 3. Sale of Residence: The parties do not own a residence. a. The residence shall not be placed for sale at this time. b. The residence shall be placed for sale no later than c. 4. Other Real Estate: One or both of the parties own additional real estate, the agreement for temporary use of which is disclosed as an attachment. Yes, see attached agreement. a. No b. Check
|
|||||||
