Fill and Sign the Publication Summons Form

PRINT in INK Enter the name of the county in which this case is filed. STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use Enter your name. In Re: The marriage of Petitioner:       First name Middle name Last name andOn the far right, check divorce or legal separation. Publication Summons D ivorce-40101 Legal Separation-40201 Case No.       Enter your spouse’s name. Respondent:       First name Middle name Last nameEnter the case number. THE STATE OF WISCONSIN, TO THE PERSON NAMED ABOVE AS RESPONDENT: You are notified that the petitioner named above has filed a Petition for divorce or legal separation against you. You must respond with a written demand for a copy of the Petition within 45 days from the day after the first date of publication. The demand must be sent or delivered to the court at: Clerk of Court,       County Courthouse, Address       Address       City       State       Zip       and to Name       Address       Address       City       State       Zip       It is recommended, but not required, that you have an attorney help or represent you. If you do not demand a copy of the Petition within 45 days, the court may grant judgment against you for the award of money or other legal action requested in the Petition , and you may lose your right to object to anything that is or may be incorrect in the Petition . A judgment may be enforced as provided by law. A judgment awarding money may become a lien against any real estate you own now or in the future, and may also be enforced by garnishment or seizure of property. FA-4122V, 01/09 Publication Summons §§767.215, 801.095 and 801.10, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 2Enter the name and address of the county in which this case is filed. Enter your name and address. Publication Notice Page 2 of 2 Case No. Error: Reference source not found _________ You are further notified that if the parties to this action have minor children, violation of § 948.31, Wis. Stats., (Interference with custody by parent or others) is punishable by fines and/or imprisonment: If you and the petitioner have minor children, documents setting forth the percentage standard for child support established by the department under §49.22(9), Wis. Stats., and the factors that a court may consider for modification of that standard under §767.511(1m), Wis. Stats., are available upon your request from the Clerk of Court. You are notified of the availability of information from the Circuit Court Commissioner as set forth in § 767.105, Wis. Stats. §767.105 Information from Circuit Court Commissioner. (2)Upon the request of a party to an action affecting the family, including a revision of judgment or order under sec. 767.59 or 767.451: (a)The Circuit Court Commissioner shall, with or without charge, provide the party with written information on the following, as appropriate to the action commenced: 1. The procedure for obtaining a judgment or order in the action. 2. The major issues usually addressed in such an action. 3. Community resources and family court counseling services available to assist the parties. 4. The procedure for setting, modifying, and enforcing child support awards, or modifying and enforcing legal custody or physical placement judgments or orders. (b)The Circuit Court Commissioner shall provide a party, for inspection or purchase, with a copy of the statutory provisions in this chapter generally pertinent to the action. If you require reasonable accommodations due to a disability, in order to participate in the court process, please call:       at least ten (10) working days prior to the scheduled court date. Please note that the court does not provide transportation. 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 Notice to Printers: Do not print the instructional text in the boxes along the left-hand column when publishing this summons. FA-4122V, 01/09 Publication Summons §§767.215, 801.095 and 801.10, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2