Wisconsin > Statewide > Circuit Court > Family Court
Response And Counterclaim FA-4113 - Wisconsin
| Response And Counterclaim Form. This is a Wisconsin form and can be used in Family Court Circuit Court Statewide . |
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FORM SUMMARY Name of Form: Form Number: Response and Counterclaim FA-4113V Statutory Reference: Benchbook Reference: Purpose of Form: §§767.215 and 822.09, Wisconsin Statutes To provide the respondent with a formal document to reply to a petition for divorce/legal separation. Pro Se person who has been sued for a divorce or legal separation. Original filed with the court, copies prepared by the respondent and served on the Family Court Commissioner and the other parties named in the original Summons for divorce/legal separation. Generally none. Modification; last update 10/06. Added additional instructions. This form can be used regardless of whether there are or are not minor children of the marriage. If there are minor children of the marriage, in order to comply with the Uniform Child Custody Jurisdiction Act, the form must be notarized. If there are no minor children of the parties, the document does not have to be notarized. 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 PRINT in BLACK ink STATE OF WISCONSIN, CIRCUIT COURT, Enter the name of the county in which this case was filed by your spouse. Enter your spouse's name (he/she is the petitioner). For Official Use COUNTY In RE: The marriage of: Petitioner: On the far right, check if your spouse filed for divorce or legal separation. Enter your name (you are the respondent). First name Middle name Last name and Response and Counterclaim Respondent: Divorce-40101 Legal Separation-40201 First name Middle name Last name Enter the case number. Case No. RESPONSE I am the respondent in this action. A. I accept all the statements made in section A of the Petition to be true and correct. Yes No I am making the following changes: Read through section A, section B, section C, and section D of the Petition. If all the statements are true, check yes in the appropriate section. If any statement or fact is untrue or incorrect, check no in the appropriate section and enter the correct information on the lines. B. I accept all the statements made in section B of the Petition to be true and correct. Yes No I am making the following changes: C. I accept all the statements made in section C of the Petition to be true and correct. Yes No I am making the following changes: D. I accept all the statements made in section D of the Petition to be true and correct. Yes No I am making the following changes: FA-4113V, 01/08 Response and Counterclaim Page 1 of 2 §§767.215 and 822.29, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Response and Counterclaim Page 2 of 2 Case No. ____________ COUNTERCLAIM I REQUEST THE FOLLOWING RELIEF FROM THE COURT: Check 1, 2, or 3. If 2, explain why you are requesting a legal separation and not a divorce. A. A judgment of: 1. 2. Divorce: This marriage is irretrievably broken. Legal Separation: This marriage is broken and the reason I am requesting a legal separation and not a divorce is: 3. Dismissal of this action. B. Enter other orders as it deems just and equitable. STOP! If you have minor children, take this document to a Notary Public BEFORE you sign it. After you have been sworn by a Notary Public, sign and print your name and date the document in front of the Notary Public. If you do not have minor children, sign, print your name and date. A Notary is not required. Have the Notary Public sign, date, and seal the document. Signature Print or Type Name Date Subscribed and sworn to before me on (Seal) Notary Public, State of Wisconsin My commission expires: FA-4113V, 01/08 Response and Counterclaim Page 2 of 2 §§767.215 and 822.29, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material.
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