700-00155 - Consent (03/2017) Page 1 of 1
STATE OF VERMONT
SUPERIOR COURT
PROBATE DIVISION
Unit
Docket No.:
In re:
CO
NSENT
I. ACTION OF THE COURT OR A PARTY TO WHICH CONSENT IS GIVEN
(To be filled out by person seeking consent)
Describe in detail the action for which consent is requested. Attach documents containing any request for
action.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Dated:
Signature
II. CONSENT
I, ___________________________________, an interested party in the above entitled action, consent to
the following action to be taken by the Court or a party:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
as described in more detail above. I understand that based on this consent the Court or the party may
take the specified action with no further notice to me and without affording me an opportunity to be
heard.
Dated:
Signature
Print Address
Telephone