PRINT in INK Enter the name of the county in which this case is filed. Enter the name and address of the petitioner. If joint petitioners, enter the name of the wife. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY In RE: The marriage of Petitioner/Joint Petitioner-Wife First name Middle name Last name Address Address City State Zip Enter the name and address of the respondent. If joint petitioners, enter the name of the husband. and Respondent/Joint Petitioner-Husband: First name Middle name Last name Order Dismissing Divorce/Legal Separation Case No. Address Enter the case number. Address City State Zip Based on the stipulation dismissing divorce or legal separation filed on [Date] THE COURT ORDERS: This action is dismissed without further costs to either of the parties. THIS IS A FINAL ORDER FOR PURPOSES OF APPEAL IF SIGNED BY A CIRCUIT COURT JUDGE. BY THE COURT: Circuit Court Judge/Circuit Court Commissioner , For Court Use Only. Title (Print or Type Name if not eSigned) Date FA-4143VB, 11/13 Order Dismissing Divorce/Legal Separation §§767.323 and 807.05 Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. American LegalNet, Inc. www.FormsWorkFlow.com