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