Fill and Sign the Stipulation Order Divorce 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 Enter the name of the petitioner. If joint petitioners, enter the name of the wife. In re the marriage of: Petitioner/Joint Petitioner-Wife:       First name Middle name Last name and Stipulation and Order Vacating Judgment of Divorce or Legal Separation Case No.       Enter the name of the respondent. If joint petitioners, enter the name of the husband. Respondent/Joint Petitioner-Husband:       First name Middle name Last name Enter the case number. STIPULATION It is stipulated that: 1. The parties have reconciled and are petitioning the Court for an order to vacate a judgment of A. Divorce that was granted within the last six months . B. Legal Separation that was previously granted by the Hon.       on       in the County of       in the state of       2. Both parties wish to vacate the judgment and restore the marital relationship as it existed before granting the judgment. 3. This is the entire agreement between the parties. There are no other writings or representations made between one another in this regard. Such proposed decree may be submitted to the court without further notice to either party and without prejudice, and affirmatively consents to the entry of such decree as soon as possible, so long as it properly and accurately incorporates the agreement to set aside judgment. FA-4164 Pro Se, 01/07 Stipulation and Order Vacating Judgment of Divorce or Legal Separation §767.35(6), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 2Check A or B and enter the information requested about who, when, and where the divorce or legal separation was granted. STOP! Take this document to a Notary Public BEFORE you sign it. The wife must sign. Signature of Wife       Print or Type Name       Date Have the Notary Public sign, date, and seal the document. Subscribed and sworn to before me on       Notary Public, State of Wisconsin My commission expires:       (Seal) The husband must sign. Signature of Husband       Print or Type Name       Date Have the Notary Public sign, date, and seal the document. Subscribed and sworn to before me on       Notary Public, State of Wisconsin My commission expires:       (Seal) ORDER Upon the forgoing stipulation: IT IS HEREBY ORDERED, that the judgment of divorce or legal separation granted is vacated. IT IS FURTHER ORDERED that the Clerk of Courts shall impound the record in the action and that neither the record nor any part of the record shall be offered or admitted into evidence in any action or proceeding except by special order of the court of jurisdiction upon good cause shown in any paternity proceedings under this chapter or by special order of any court of record upon a showing of necessity to clear title to real estate. Circuit Court Judge/ Court Commissioner Print or Type Name FA-4164 Pro Se, 01/07 Stipulation and Order Vacating Judgment of Divorce or Legal Separation §767.35(6), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 3 Date FA-4164 Pro Se, 01/07 Stipulation and Order Vacating Judgment of Divorce or Legal Separation §767.35(6), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 3 of 3