☐ Estate ☐ Guardianship
APPOINTMENT OF RESIDENT AGENT
I have been appointed as Fiduciary in the above matter, but am not a resident of the State of Vermont.
I appoint (Resident Agent Name): __________________________________________________________________ to serve as my agent
and accept service of any legal process.
Date Fiduciary Signature
__________________________________________________
Fiduciary Printed Name
ACCEPTANCE OF APPOINTMENT AS RESIDENT AGENT
I accept the appointment as resident agent.
Date Resident Agent Signature
__________________________________________________
Resident Agent Printed Name
Resident Agent Information:
Mailing Address: _______________________________________________
_______________________________________________
Phone: _______________________________________________
Email Address: _______________________________________________
