Fill and Sign the Wi Legal Separation 497430924 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 In RE: The marriage of Petitioner/Joint Petitioner-Wife:       First name Middle name Last name Address (Street, City, State and Zip) andEnter the name and address of the petitioner. If joint petitioners, enter the name of the wife. Motion and Order Converting Legal Separation to Divorce 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 Address (Street, City, State and Zip)Enter the case number. MOTION 1. A legal separation was granted on (date)       2. More than one year has elapsed since this legal separation was granted. 3. I ask the court to issue an order converting the legal separation to a divorce. 4. I have attached a completed vital statistics form. 5. Former Surnames: A. I request that any former surnames approved at the time of the final judgment of legal separation be made effective. B. I did not request a former surname at the time of the final judgment, but I am now requesting the right to use my former surname of       . C. I am not requesting the right to use my former surname at this time. Sign and print your name. Enter the date on which you signed your name. Note: This signature does not need to be notarized. u Signature       Print or Type Name       Date FA-4163V, 01/09 Motion and Order Converting Legal Separation to Divorce §§765.03(2), 767.35 and 767.395, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 2In 1, enter the date [month, day, year] on which the legal separation was granted. Check A, B, or C. If B, enter the former surname. Motion and Order Converting Legal Separation to Divorce Page 2 of 2 Case No. Error: Reference source not found ____________ ORDER 1. The judgment of legal separation is converted to a judgment of divorce. 2. Any party may resume the use of a former legal surname approved in the Findings of Fact, Conclusions of Law and Judgment or as requested in this motion. 3. The Findings of Fact Conclusions of Law and Judgment and Marital Settlement Agreement , Proposed Marital Settlement, or Divorce Judgment Addendum previously entered in the legal separation remain in effect without modification. The parties are notified that: It is unlawful for any person who is or has been a party to an action for divorce in any court in this state, or elsewhere, to marry again until 6 months after judgment of divorce is granted, and the marriage of any such person solemnized before the expiration of 6 months from the date of the granting of judgment of divorce shall be void. BY THE COURT: For Court Use Only. Circuit Court Judge/Circuit Court Commissioner       Print or Type Name       Date FA-4163V, 01/09 Motion and Order Converting Legal Separation to Divorce §§765.03(2), 767.35 and 767.395, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2