FA-4105V, 10/06 Summons-Without Minor Children 247247767.215(2m) and 801.095, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 2 Enter the name of the county in which you are filing this case. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY Enter your name (you are the petitioner). IN RE : THE MARRIAGE OF Petitioner Name (First, Middle and Last) Address Address City State Zip and Enter your address. On the far right, check divorce or legal separation. Summons Without Minor Children D ivorce - 40101 Legal Separation - 40201 Case No. (your spouse is the respondent). Respondent Name (First, Middle and Last) Address Address City State Zip 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. Enter the name and address of the identified government office. 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 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 office: Clerk of Court Name of county Address Address City, State, and 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. 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 require reasonable accommodations due to a disability to participate in the court process, please call prior to the scheduled court date. Please note that the court does not provide transportation. American LegalNet, Inc. www.FormsWorkFlow.com FA-4105V, 10/06 Summons-Without Minor Children 247247767.215(2m) and 801.095, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2 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 American LegalNet, Inc. www.FormsWorkFlow.com