Fillable AFFIDAVIT Plaintiff Date Of Birth Defendant Date Of (Vermont Judiciary)

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AFFIDAVIT Plaintiff Date Of Birth Defendant Date Of (Vermont Judiciary)

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400-00804 – Affidavit (10/2019) Page 1 of 1
STATE
OF
VERMONT
SUPERIOR COURT
FAMILY DIVISION
Unit
Docket No.
Plaintiff Date Of Birth Defendant Date Of Birth
V.
AFFIDAVIT
In support of the complaint, motion, petition or objection filed in this case, subject to the penalties for perjury,
I state the following facts, which are true to the best of my knowledge and belief.
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Dated
_____________________________ ___________________________________
Signature
Signed and sworn to or affirmed before me:
Date Signature of Notary Public Expiration
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AFFIDAVIT Plaintiff Date Of Birth Defendant Date Of (Vermont Judiciary)

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Completed 30 July 2020

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