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In Re: DOB MERITS STIPULATION delinquent pursuant to (Vermont Judiciary)

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400-00108S - Merits Stipulation (01/2020) Page 1 of 1
STATE OF VERMONT
SUPERIOR COURT
FAMILY DIVISION
Unit
Docket No.
In Re: DOB
MERITS STIPULATION
The undersigned parties agree that the above named child Child/Youth is:
☐ delinquent pursuant to 33 V.S.A. § 5102(10) ☐ youthful offender 33 V.S.A. § 5102(29)
and
committed the following delinquent act(s):
______________________________________________________________________________
______________________________________________________________________________
☐ a Child in Need of Care or Supervision pursuant to 33 V.S.A. § 5102(3)
based on the following facts: (check all applicable boxes.)
☐ all facts set forth in the affidavit
☐ the following paragraphs in the affidavit:
☐ the following facts not included in, or different from the affidavit:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
☐ The parties agree that the following issues may also be addressed at disposition:
_______
________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
☐ The parties agree to waive the disposition case plan.
☐ The school where the child is currently enrolled (if stipulation is to a ''listed'' delinquent act,
33 V.S.A. § 5118): __________________________________
Dated:
_____________________________
__________
_________________________ ___________________________________
Attorney for Parent Parent
___________________________________ ___________________________________
Attorney for Parent Parent
___________________________________ ___________________________________
Attorney for Child Child/Youth (if applicable)
___________________________________ ___________________________________
Deputy State’s Attorney Guardian ad Litem (if applicable)
___________________________________ ___________________________________
DCF (if in custody) Other
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In Re: DOB MERITS STIPULATION delinquent pursuant to (Vermont Judiciary)

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Completed 30 July 2020

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