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Marital Settlement Agreement (Without Minor Children) FA-4151 - Wisconsin
| Marital Settlement Agreement (Without Minor Children) Form. This is a Wisconsin form and can be used in Family Court Circuit Court Statewide . |
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PRINT in INK Enter the name of the county in which this case is filed. Enter the name of the petitioner. If joint petitioners, enter the name of the wife. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY In RE: The marriage of Petitioner/Joint Petitioner-Wife: For Official Use First name Middle name Last name and Enter the name of the respondent. If joint petitioners, enter the name of the husband. Check divorce or legal separation. Enter the case number. Respondent/Joint Petitioner-Husband: Marital Settlement Agreement Without Minor Children Divorce-40101 Legal Separation-40201 First name Middle name Last name Case No. Warning: Subject to court approval, the terms of this agreement will be included in your judgment of divorce or legal separation. Be sure you understand it completely. 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 laws that may apply to you. In A, check 1 or 2. If 2, enter the reason you are asking for a legal separation and not a divorce. 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. 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 not 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 wife is not requesting maintenance at this time, but leaves open her right to request it until . Her right to request 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 maintenance 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 request 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. §767.34, Wisconsin Statutes American LegalNet, Inc. www.FormsWorkFlow.com 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. FA-4151V, 02/10 Marital Settlement Agreement Without Minor Children This form shall not be modified. It may be supplemented with additional material. Page 1 of 7 Marital Settlement Agreement Without Minor Children Page 2 of 7 Case No. 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, check a, b, c, d, e or f. If d, enter 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 begin, and the interest rate percentage for arrearages. In D, for 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. 3. Payments shall be made a. no payments are ordered. b. to the Wisconsin 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-employed). 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 record 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 WI 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. monthly income withholding by the WI 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. 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, each 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 shall be responsible for the payment of each debt: Payment to Balance Paid by Paid by Shared Payment for (Creditor) Due Wife Husband 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 FA-4151V, 02/10 Marital Settlement Agreement Without Minor Children §767.34, Wisconsin Statutes American LegalNet, Inc. www
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