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AND COUNTERCLAIM NOTICE OF APPEARANCE, ANSWER TO THE (Vermont Judiciary)

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400-00837 - Notice of Appearance Answer to Complaint Counterclaim (02/2019) Page 1 of 2
STATE
OF
VERMONT
SUPERIOR COURT
FAMILY DIVISION
Unit
Docket No.
Plaintiff Date Of Birth Defendant Date Of Birth
V.
NOTICE OF APPEARANCE, ANSWER TO THE COMPLAINT
AND COUNTERCLAIM
I intend to represent myself and hereby enter my appearance with the Court. No attorney will
represent me in this case unless an attorney or I notify the Court otherwise.
I understand that IT IS MY RESPONSIBILITY TO:
1.
Notify the Court in writing if I change my address or phone number;
AND
2.
Send copies of any papers I file with the Court to the other party in this case.
All Court papers may be mailed to me by first class mail at the address listed below.
Name: __________________________________________ Date of Birth: __________________
Street Address: ___________________________________ City/State/Zip: _________________
Mailing Address (if different from Street Address): _______________________________________________
City/State/Zip: ___________________________________ Email Address: ________________
Daytime Phone: __________________________________ Evening Phone: ________________
ANSWER TO COMPLAINT
FOR DIVORCE, LEGAL SEPARATION, CIVIL UNION DISSOLUTION
I am the Defendant in this case. This is my answer to the facts in the Plaintiff’s Complaint: (Please
refer to the Plaintiff’s Complaint and check whether you agree or disagree with the facts in each paragraph of the
Complaint.)
1. Residence
a. My Residence: ☐ Agree ☐ Disagree
b. Plaintiff’s Residence: ☐ Agree ☐ Disagree
2. Date and Place of Marriage or Civil Union: ☐ Agree ☐ Disagree
3. Grounds for Divorce, Legal Separation, Dissolution: ☐ Agree ☐ Disagree
4. Property, Assets and Debts: I have listed all of the property, assets and debts that my
spouse and I own either jointly or solely that are known to me, in the Financial Affidavit that
I am filing with this Answer. (Form 400-00813A)
5. Public Assistance: ☐ Agree ☐ Disagree ☐ Don’t know
6. Earlier Actions for Divorce, Legal Separation,
Dissolution, or Annulment: ☐ Agree ☐ Disagree
7. Relief from abuse or protective order proceedings: ☐ Agree ☐ Disagree
8. Military Status: ☐ Agree ☐ Disagree
400-00837 - Notice of Appearance Answer to Complaint Counterclaim (02/2019) Page 2 of 2
If you disagree with any of the facts in Plaintiff’s Complaint, please write the paragraph number
below and state the facts you believe to be true:
COUNTERCLAIM
Based on the facts stated above, I ask that the Family Court grant me: (check each box that applies)
☐ Decree of Divorce
☐ Decree of Legal Separation
☐ Decree of Dissolution
☐ Division of Property (divide our marital property, assets and debts).
☐ Spousal Maintenance (Alimony).
☐ Court costs.
☐ Attorney fees.
☐ Name change: I would like to resume my former name of __________________________.
I hereby swear or affirm that the information above is true to the best of my knowledge and belief.
Dated
_________________________ _____________________________
Signature Defendant
Signed and sworn to or affirmed before me:
Date Signature of Notary Public Expiration Date
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AND COUNTERCLAIM NOTICE OF APPEARANCE, ANSWER TO THE (Vermont Judiciary)

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Completed 30 July 2020

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