100-00052 - Counterclaim (07/2019) Page 1 of 1
STATE OF VERMONT
SUPERIOR COURT
CIVIL DIVISION
Unit
Docket No.
Plaintiff
Defendant(s)
vs.
COUNTERCLAIM
My
name is
(print or type) ___________________________________________. I am a Defendant in this case.
I also have a counterclaim against the Plaintiff(s) because he/she/they did the following:
1. _________________________________________________________________________________________
2. _________________________________________________________________________________________
3. _________________________________________________________________________________________
4. _________________________________________________________________________________________
(add additional numbered lines on separate page if necessary)
I
am asking for:
1. _________________________________________________________________________________________
2. _________________________________________________________________________________________
3. _________________________________________________________________________________________
4. _________________________________________________________________________________________
(add additional numbered lines on separate page if necessary)
I
believe the following rule or law applies:
1. _________________________________________________________________________________________
2. _________________________________________________________________________________________
3. _________________________________________________________________________________________
(add additional numbered lines on separate page if necessary)
I u
nderstand that I must file this Counterclaim with the Court along with the required fee, AND mail a copy of this
Counterclaim (and any attachments) to every party in this case (all Plaintiffs and all Defendants) AND file and send to all
parties a Certificate of Service showing that I have mailed the copies to all parties.
I also understand that anything I file with the Court must be sent to every party in the case, AND I must file a Certificate
of Service form with each filing showing that I did that.
I
understand that I have to follow the Vermont Rules of Civil Procedure.
Date
_________________________ ___________________________________________
Signature
_______________________________________
Print Name
_______________________________________
Address
_______________________________________
Address 2
_______________________________________
Email
________________________________________
Phone Number