Fill and Sign the Summons Wisconsin Form

PRINT in BLACK ink Enter the name of the county in which you are filing this case. STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use Enter your name (you are the petitioner). In re the marriage of: Petitioner:       First name Middle name Last name       Address       Address       City State Zip andEnter your address. On the far right, check divorce or legal separation. Summons Without Minor Children D ivorce-40101 Legal Separation-40201 Case No.       Enter your spouse’s name (your spouse is the respondent). Respondent:       First name Middle name Last name       Address       Address       City State ZipEnter your spouse’s address. Note: Leave case number blank; the clerk will add this. The State of Wisconsin, to the person named above as respondent: You are notified that your spouse has filed a lawsuit or other legal action against you. The Petition , which is attached, states the nature and basis of the legal action. Within 20 days of receiving this Summons , you must provide a written response, as that term is used in ch. 802, Wis. Stats., to the Petition . The court may reject or disregard a response that does not follow the requirements of the statutes. The response must be sent or delivered to the following government offices: Clerk of Court Name of county       Address       Address       City       State       Zip       The response must also be mailed or delivered within 20 days to the petitioner at the address above. It is recommended, but not required, that you have an attorney help or represent you. FA-4105.draft Pro Se, 07/06 Summons-Without Minor Children §§767.085(2m) and 801.095, 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 2 identified government offices. DO NOT leave these lines blank. You must obtain these addresses and fill them in, or your Summons will be incomplete and will harm your case. This information may be available in the local phone book under listings for the county or from your local Clerk of Court’s office. If you do not provide a proper response within 20 days, the court may grant judgment against you, 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 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. 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       Name Printed or Typed       Date FA-4105.draft Pro Se, 07/06 Summons-Without Minor Children §§767.085(2m) and 801.095, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2