400-00810 – Notice of Appearance & Intent to Represent Myself + Objection to Wage Withholding (09/2010) Page 1 of 2
NOTICE OF
APPEARANCE
a
nd
INTENT TO
REPRESENT M
YS
ELF
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: ______________________________________________
Street Address: _____________________________________ City/State/Zip: _______________________
Mailing Address (if different from Street Address): _____________________________________________________
City/State/Zip: _____________________________________ Email Address: _______________________
Daytime Phone: ___________________________________ Evening Phone: _______________________
OBJECTION TO WAGE WITHHOLDING
Pursuant to 15 V.S.A. §782
1. I am the ☐ Plaintiff ☐ Defendant in this case.
2. A petition has been filed requesting that support should be withheld from my wages.
3. I object to the petition because:
☐ the petition incorrectly states the amount of my current support obligation.
☐ the petition incorrectly states the amount that I owe in unpaid support.
☐ my support payments are not overdue by more than 7 days.
☐ I am not the person whom the Court ordered to pay support to the petitioner.
☐ Other reason (please explain) ____________________________________________________________
_________________________________________________________________________________
