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P R IN T i n B LA C K i n k FA -4 12 7V , 0 1/0 8 S tip ula tio n f o r T em pora ry O rd er – W it h out M in or C hil d re n § § 76 7.2 25 a n d 7 67.3 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 6 E nte r t h e n am e o f t h e c o unty i n w hic h y o u a re f ilin g t h is c ase . S TA TE O F W IS C O NSIN , C IR CUIT C O URT, C O UNTY E nte 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 I n 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. N ote : E nte r t h e c ase n um ber, i f k n ow n. I f n ot l e av e b la n k. 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 S tip ula tio n f o r T em po ra ry O rd er W it h out M in o r 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. SU M M AR Y O F P ER SO NAL IN FO RM ATIO N 1 . Wif e : N am e A ddre ss A ddre ss C it y Sta te Z ip D ate o f b ir th G ro ss m onth ly in co m e $ E m plo ye r n am e A ddre ss o f p a yro ll o ffic e C it y Sta te Z ip P ho ne Fax 2. Husb an d: N am e A ddre ss A ddre ss C it y Sta te Z ip D ate o f b ir th G ro ss m onth ly in co m e $ E m plo ye r n am e A ddre ss o f p a yro ll o ffic e C it y Sta te Z ip P ho ne Fax E nte r t h e r e q ueste d i n fo rm atio n a b out t h e w if e . I n clu de a re a c o des w ith t h e r e q ueste d p ho ne n um bers . D ate s o f b ir th s h ould b e w ritte n i n t h e f o llo w in g f o rm at: [ m onth , d ay , y ear] . E nte r t h e r e q ueste d i n fo rm atio n a b out t h e h usb an d. I n clu de a re a c o des w ith t h e r e q ueste d p ho ne n um bers . D ate s o f b ir th s h ould b e w ritte n i n t h e f o llo w in g f o rm at: [ m onth , d ay , y ear] . Stip ula tio n f o r T em pora ry O rd er – W it h out M in or C hild re n Page 2 o f 6 Case N o. _ _____________ FA -4 12 7V , 0 1/0 8 S tip ula tio n fo r T em pora ry O rd er – W it h out M in or C hild re n §§7 67.2 2 5 a nd 7 6 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 2 o f 6 S TIP U LA TIO N T he p artie s a g re e t h at t h e f o llo w in g t e rm s b e in e ff e ct u ntil t h e f in al h earin g o f t h is a ctio n. 1. S U M M AR Y O F F IN AN C IA L A G REEM EN TS A. M ain te n an ce ( s p ousal s u pport) T he p artie s a gre e t h at te m pora ry m ain te n ance s h all b e p aid a s f o ll o w s: 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 a t th is tim e. b. T he h usb and s h all p ay 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 nin g o n th e f ir s t d a y o f th e m onth o f 2 0 . 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 a t t h is t im e. b . T he w if e s h a ll p a y 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 nin g o n th e f ir s t d a y o f th e m onth o f 2 0 . B . P aym en ts f o r M ain te n an ce s h all b e m ade to t h e W is c o nsin S up port C olle ctio ns T ru st F und ( W I S C TF): 1 . D ir e ctly f r o m th e p a ye r t o W I S C TF ( o nly if s elf -e m plo yed ). 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 o n p a g e 1 . 3 . N o m ain te na nce is t o b e p aid a t th is tim e. C . In fo rm atio n a b out h ow p aym en ts a re m ad e t o W I S C TF. A ll p a ym ents f o r m ain te na nce o rd ere d s h all n ote th e c a se n um ber a nd th e n am es o f th e p artie s o n t h e f a ce o f th e c h eck , s h ould b e m ade p a ya ble to W I S C TF, a n d s e nt t o : W is co nsin S up port C olle ctio ns T ru st F und B ox 7 4 40 0 M il w auke e, W I 5 3284-0 4 00 T he W I S C TF w ill tr a nsm it th e p aym ents t o th e p ro per p ers o ns e ntit le d to t h em . F ail u re o f a n e m plo ye r t o p ay t h e p ro per a m ount s h all n ot b e a d efe nse f o r f a ilu re to p a y t h e p ro per a m ount. If a n e m plo ye r f a ils to ta ke o ut t h e c o rre ct a m ount f o r m ain te n ance , t h e p arty p a yin g is r e sp onsib le f o r th e f u ll a n d c o rre ct a m ount. T he p arty p a yin g m ain te n ance is r e sp o nsib le f o r p a ym ent o f th e a n nua l r e ce iv in g a nd d is b urs in g f e e t o W I S C TF. 2 . S U M M AR Y O F O TH ER A G REEM EN TS A. R esid en ce: 1 . T he p artie s d o n ot o w n o r r e nt a r e sid ence t o geth e r. 2 . T he p artie s d o o w n o r r e nt a r e sid e nce t o geth er a nd a gre e th at: a . T he w if e s h a ll h a ve te m pora ry e xclu siv e u se o f th e r e sid e nce a n d th e h usb an d s h a ll le ave th e r e sid e nce o n o r b efo re . b . T he h usb an d s h a ll h a ve t e m pora ry e xclu siv e u se o f th e r e sid e nce a nd t h e w if e s h all le a ve t h e r e sid e nce o n o r b efo re . c . B oth p artie s a gre e t o s h are th e r e sid ence . d . B oth p artie s a gre e t o v a ca te a n d/o r s e ll t h e r e sid e nce b y . 3 . S ale o f R esid en ce: a. T he p artie s d o n ot o w n a r e sid ence . b . T he r e sid ence s h all n ot b e p la ce d f o r s a le a t th is tim e. c . T he r e sid ence s h all b e p la ce d f o r s a le n o la te r th a n 4 . 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 ddit io nal r e a l e sta te , t h e a gre em ent f o r te m pora ry u se o f w hic h is d is clo se d a s a n a tta ch m ent. a . Y es, s e e a tta ch ed a gre em ent. b . N o For A 1, c h eck a o r b . I f b , e n te r t h e m onth ly a m ount o f m ain te n an ce a n d t h e m onth a n d y ear o n w hic h t h e p ay m en ts w ill b eg in . F or A 2, c h eck a o r b . I f b , e n te r t h e m onth ly a m ount o f m ain te n an ce a n d t h e m onth a n d y ear o n w hic h t h e p ay m en ts w ill b eg in . C heck 1 , 2 , o r 3 . P artie s m ay n ot m ak e p ay m en ts d ir e ctly t o e a ch o th er. ( S ee W I S ta t. 7 6 7.2 6 5) C heck 1 o r 2 . I f 2 , c h eck a , b , c o r d . I f a , b o r d e n te r t h e d ate [ m onth , d ay , y ear] . F or 3 , c h eck a , b , o r c . I f c , e n te r t h e d ate . F or 4 , c h eck a o r b . I f a , a tta ch t h e a g re ed u po n a rra n gem en ts . Stip ula tio n f o r T em pora ry O rd er – W it h out M in or C hild re n Page 3 o f 6 Case N o. _ _____________ FA -4 12 7V , 0 1/0 8 S tip ula tio n fo r T em pora ry O rd er – W it h out M in or C hild re n §§7 67.2 2 5 a nd 7 6 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 3 o f 6 B . P ers o nal P ro perty D iv is io n: T he p artie s a gre e th a t th e w if e s h a ll b e a w ard e d th e t e m pora ry e xclu siv e u se o f th e p ers o n al p ro perty in h er p osse ssio n a n d th e h usb and s h a ll b e a w ard e d t h e t e m pora ry e xclu siv e u se o f th e p ers o na l p ro perty in h is p osse ssio n. 1 . w it h n o e xce p tio ns. 2 . e xce pt f o r th e f o ll o w in g p ro perty : L is t t h e p ro perty t h at is y e t t o b e e xch an ged a n d c h eck i f t h e w if e o r h usb an d w ill h ave t e m pora ry u se o f t h e p ro perty u ntil t h e d iv o rc e/le g al s ep ara tio n is f in al. W ho h as p osse ssio n ? W if e = W H usb an d = H W ho w ill h ave p osse ssio n ? W if e = W H usb an d = H Househ old It e m s W H W H A uto m obile s Y ear, M ake , M odel W H 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 W H C heckin g a n d S av in gs A cco unts N am e o f B ank o r F in ancia l In stit u tio n W H W H O th er P ers o nal P ro perty D escrip tio n o f A sse t W H W H A ny e xch an ge o f p ro perty 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 : C heck 1 o r 2 . I f 2 , c o m ple te t h e c h art o n t h e r ig ht i n dic atin g w ho h as a n d w ho w ill h av e p osse ssio n w hile t h e c ase i s p en din g. I f p ro perty n eed s t o b e e x ch an ged , e n te r t h e d ate [ m onth , d ay , y ear] b y w hic h t h e p ro perty s h all b e e x ch an ged , a n d desc rib e h ow i t w ill b e e x ch an ged . Stip ula tio n f o r T em pora ry O rd er – W it h out M in or C hild re n Page 4 o f 6 Case N o. _ _____________ FA -4 12 7V , 0 1/0 8 S tip ula tio n fo r T em pora ry O rd er – W it h out M in or C hild re n §§7 67.2 2 5 a nd 7 6 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 4 o f 6 C . D eb ts a n d L ia b ilit ie s 1 . E ach o f th e p artie s s h a ll b e r e sp o nsib le f o r th e f o ll o w in g d e bts a n d lia bilit ie s: P aym en t f o r: P aym en t t o : P aid b y w if e P aid b y h usb an d S hare d eq uall y M ortg a ge R ent C ar 1 C ar 2 I n su ra nce -H om e I n su ra nce -A uto I n su ra nce -M edic a l I n su ra nce -L if e L oans-S tu d ent L oans-P ers o na l L oans-O th er C re dit C ard 1 C re dit C ard 2 C re dit C ard 3 C re dit C ard 4 O th er O th er O th er 2. T he p artie s a g re e a n d u nders ta n d: · Unle ss o th erw is e a gre ed u pon in t h e o rd er, e ach p arty s h all p a y h is o r h er o w n f u tu re m onth ly h ouse ho ld e xp ense s. · 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 th e o th er p arty c o nce rn in g th at d ebt. · Both p artie s a re r e str a in ed fr o m m akin g a n y f u rth er d e bts a ga in st t h e c re d it o f th e o th er p arty . · Any d e bt in cu rre d a fte r th e d ate o f th is o rd er s h all b e t h 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 a ll n ot m ake a n y d em an ds u p on t h 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 th at e ach p arty r e m ain s lia b le t o 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 ne d d e bt m ay e nfo rc e th at o b lig atio n b y a n o rd er to s h o w c a use f o r c o nte m pt o f c o urt. D. In co rp ora tio n o f A gre em en t In to T em pora ry O rd er T he p artie s a gre e th at th is s tip u la tio n s h all b e s u bm it te d to th e c o urt f o r a p pro va l a nd a ll p artie s r e quest th at th e c o u rt m ake th is s tip ula tio n a te m pora ry o rd er o f th e c o urt. E . The p artie s a g re e t h at: This c o urt h as ju ris d ic tio n o ve r th e m arria ge a nd t h e p artie s in d iv id uall y . Both p artie s f r e ely a nd v o lu nta rily , w it h o ut a ny f o rc e o r c o erc io n, e n te r in to a nd s ig n t h is a gre em ent. W rite t h e n am es o f t h e c re d ito rs t o w hom t h e p artie s o w e m oney . T hen c h eck t h e b ox t o i n dic ate w ho w ill t e m pora ril y m ak e t h e m in im um m onth ly p ay m en t t o e ach c re d ito r. Stip ula tio n f o r T em pora ry O rd er – W it h out M in or C hild re n Page 5 o f 6 Case N o. _ _____________ FA -4 12 7V , 0 1/0 8 S tip ula tio n fo r T em pora ry O rd er – W it h out M in or C hild re n §§7 67.2 2 5 a nd 7 6 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 5 o f 6 Both p artie s h ave f u ll y d is clo se d a ll in fo rm atio n a bout in co m e, e xp e nse s, a sse ts a nd d ebts t o e ach o th er. This a gre em ent is b ase d o n c o m pro m is e b etw ee n th e p artie s, b ut a s a w ho le , is f a ir a nd r e aso na ble . A c o urt m ay e nfo rc e th e te rm s o f th is a gre em ent th ro u gh th e p ow ers o f c o nte m pt o f c o urt. 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 ot n eed t o b e n ota riz ed . Sig natu re o f W if e P rin 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 ot n eed t o b e n ota riz ed . Sig natu re o f H usb a nd P rin t o r T yp e N am e D ate T E M PO RAR Y O RDER 1 . The a gre em ent o f th e p artie s a s s e t o u t in th is s tip ula tio n is a do pte d b y th e c o urt. 2 . The p artie s a re o rd ere d t o c o m ply w it h th is a gre em ent w hile t h is d iv o rc e /le ga l s e p ara tio n a ctio n is p end in g u n le ss th is o rd er is c h a nge d b y a la te r c o urt o rd er. 3 . The c o urt f u rth er o rd ers : A . In co m e T ax R etu rn s. T he p artie s a gre e to f ile t h eir in co m e ta x r e tu rn s c o nsis te nt w it h t h e r u le s o f th e IR S, W is c o nsin D epartm ent o f R eve n ue, a n d W is c o nsin ’s C om m unit y P ro perty la w . B . Modif ic atio n a n d W aiv er. A m odif ic a tio n o r w aiv e r o f a n y o f th e p ro vis io ns o f th is a gre em ent s h all b e e ffe ctiv e o n ly if it is m ade in w rit in g a nd is d a te d a n d s ig n ed b y a ll p artie s a nd a p pro ve d b y th e c o urt. C . Restr a in in g O rd er. B oth p artie s a re r e str a in ed f r o m in te rfe rin g w it h t h e p ers o na l li b erty o f th e o th er, f r o m e ncu m berin g o r d is p osin g o f a sse ts o r p ro perty , a nd f r o m in cu rrin g d ebts o r c re d it in t h e n am e o f th e o th er p arty . D . C han ge o f E m plo yer/A dd re ss . B oth p artie s s h a ll n otif y th e C le rk o f C ourts a nd t h e c o unty C hil d S upp ort A gen cy w it h in 1 0 d a ys o f a n y c h ange o f a ddre ss o r c h a ng e o f e m plo ye rs . N otic e s h all a ls o b e s e nt a t th e s a m e tim e t o th e o th er s p o use u n le ss c o nta ct is p ro h ib it e d b y c o u rt o rd er. E . Fail u re to a b id e b y th ese te m pora ry o rd ers is p u nis h a ble a s c o nte m pt o f c o urt p urs u ant t o c h . 7 85 W is . S ta ts . A ll te m pora ry o rd ers a re m ade w it h out p re ju dic e to t h e r ig h ts o f e it h er p arty a t th e tim e o f th e f in al h e arin g. F. Both p artie s a re p ro h ib it e d fr o m e ncu m berin g, c o nce alin g, d am agin g, d estr o yin g , t r a nsfe rrin g, s e lli n g, g iv in g a w ay, o r r e m ovin g f r o m th is s ta te a n y o f h is , h er o r th eir p ro perty w it h o ut p erm is sio n o f th e c o urt, o r w rit t e n c o nse nt o f b oth p artie s, e xce pt in t h e u su al c o urs e o f b usin ess, o r in o rd er to s e cu re n ece ssit ie s. Stip ula tio n f o r T em pora ry O rd er – W it h out M in or C hild re n Page 6 o f 6 Case N o. _ _____________ FA -4 12 7V , 0 1/0 8 S tip ula tio n fo r T em pora ry O rd er – W it h out M in or C hild re n §§7 67.2 2 5 a nd 7 6 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 6 o f 6 G . Neit h er p arty c a n d is co nne ct a n y u til it y s e rv ic e s o r c a u se a n y o th er e ss e ntia l s e rv ic e s o f t h e r e sid ence o f th e o th er p arty t o b e d is co n tin ue d w it h out w rit te n c o nse n t o f th e p artie s o r f u rth er o rd er o f th e c o urt. H . Each p arty is r e sp o nsib le f o r h is o r h er o w n f u tu re u nin su re d m edic a l, d e nta l, o rth odo ntic , h osp it a l, p syc h ia tr ic , c o unse li n g, d ru g a nd o th er h e alt h e xp ense s. I . Both p artie s s h a ll m ain ta in a ll c u rre nt b enefic ia rie s o n a ll lif e , m edic a l, h osp it a l, a uto m obil e , h ouse h old , o r o th er in su ra nce a n d in a ny c u rre nt w ills w hile t h is a ctio n is p end in g. J . Purs u an t to § 7 67.7 5(a ) W is . S ta ts ., th is t e m pora ry o rd er f o r m ain te n an ce c o nstit u te s a n a ssig nm ent o f a ll c o m m is s io ns, e arn in gs, s a la rie s, w ages, p e nsio n b e nefit s , b ene fit s u nder c h . 1 0 2 o r 1 08 W is . S ta ts ., a nd o th er m one y d ue o r to b e d ue in th e f u tu re to th e W is co nsin S up port C olle ctio ns T ru st F und a s w ill b e s u ffic ie nt to m eet th e m ain te nance o rd ere d h ere . K . Purs u an t to § 7 67.7 5(2 r) W is . S ta ts ., if m ain te n ance is to b e p a id , th e a ssig nm ent o f p ara gra ph “ j” a bo ve is e ffe ctiv e im m edia te ly , a n d th e e m plo ye r o f th e p arty p a yin g s h all b e n otif ie d o f th e a ssig nm ent o f in co m e im m edia te ly . 4. Fail u re to c o m ply w it h t h e t e rm s o f th is o rd er m ay r e su lt in p unis h m ent f o r c o nte m pt o f c o urt u nder c h . 7 8 5 W is . S ta ts . BY T H E C O URT: F or C ou rt U se O nly Cir c u it C ourt J u d ge /C ir c u it C ourt C om mis sio ne r P rin t o r T yp e N am e D ate