Fill and Sign the Motion for Notice Form

PRINT in BLACK ink Enter the name of the county in which this case is filed. STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use Check marriage or paternity. If paternity, enter initials of child. In re the Marriage Paternity of:       Petitioner/Joint Petitioner-Wife :       First name Middle name Last name       Current Mailing Address (Street, City, State and Zip) andEnter the name and address of the petitioner. If joint petitioners, enter the name of the wife. Motion for and Notice of New (De Novo) Hearing Case No.       Enter the name and address of the respondent. If joint petitioners, enter the name of the husband. Respondent/Joint Petitioner-Husband:       First name Middle name Last name       Current Mailing Address (Street, City, State and Zip)Enter the case number. To: Name       I request a new hearing on the following issues decided on       by Circuit Court Commissioner       : Child Support/Maintenance/Family Support Legal Custody/Physical Placement Property Other       1. I have attached a copy of the signed Order from the above hearing date. 2. I have not yet received a copy of the signed Order from the above hearing. The De Novo Hearing is scheduled: Before:       Circuit Court Judge Location:             Date:       Time:       a.m./p.m. FA-4130 Pro Se, 10/06 Motion for and Notice of New (De Novo) Hearing §757.69(8), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 2For Court Use Only: The Clerk will complete this section.Enter the name of the other spouse/parent. Check 1 or 2. If 1, attach a copy of the signed order.Enter the date {month, day, year} that the order was signed, the name of the circuit court commissioner who granted the order, and mark the boxes that describe the issue(s) you want heard again. If you need help in this matter because of a disability, please call :       Sign and print your name. Enter the date on which you signed your name. Note: This signature does not need to be notarized. Signature       Print or Type Name       Date Note: A copy of this request must be served by mail on all other parties who appeared at the original hearing. FA-4130, 01/05 Joint Petition for Divorce No Children Wis. Stats. §767.085 Page 2 of 2