Fillable Form 100 00053 (Vermont Judiciary)

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Form 100 00053 (Vermont Judiciary)

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100-00053 - Motion (07/2019) Page 1 of 1
STATE OF VERMONT
SUPERIOR COURT
CIVIL DIVISION
Unit
Docket No.
Plaintiff
Defendant(s)
vs.
MOTION ________________________________________
My name is (print or type) ___________________________________________.
I am asking the Court to do the following:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
(add additional lines on separate page if necessary)
The reasons I need this is because:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
(add additional lines on separate page if necessary)
I believe the following rule or law applies:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
(add additional lines on separate page if necessary)
I am attaching a Certificate of Service.
Date
_________________________ ___________________________________________
Signature
_______________________________________
Print Name
_______________________________________
Address
_______________________________________
Address 2
_______________________________________
Email
________________________________________
Phone Number
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Form 100 00053 (Vermont Judiciary)

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Completed 18 July 2020

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