PRINT in INK STATE OF WISCONSIN, CIRCUIT COURT, COUNTY In RE: The marriage of Portion of Judgment Affecting Title to Real Estate Petitioner / Joint Petitioner - and - Case No. Respondent / Joint Petitioner Recording Area Name and Return Address Parcel Identification Number (PIN) The findings of fact, conclusion of law and judgment of divorce entered in the above-entitled action on , 20 Wisconsin as follows: [Insert in this section the EXACT WORDING contained in the divorce judgment concerning real property.] , affects real estate in county in the State of I certify that the foregoing portion of the judgment of divorce in the above-entitled action is true and accurate. (COURT SEAL) BY THE COURT: Clerk of Circuit Court/Deputy Clerk Title (Print or Type Name if not eSigned) Date FA-4135V, 01/09 Portion of Judgment Affecting Title to Real Estate §767.61(1), Wisconsin Statutes Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com This form shall not be modified. It may be supplemented with additional material.