700-00062 Motion to Amend or Terminate Order (06/2019) Page 1 of 1
STATE OF VERMONT
SUPERIOR COURT
PROBATE DIVISION
Unit
Docket No.
In re Guardianship of :
Motion to Modify, Continue or Terminate Guardianship Order
I request that this minor Guardianship Order issued by this Court on be
As grounds for my request, I state under oath that:
1. I am:
2. My request is based on the following: Check the appropriate box
Modification: I want the Court to modify the following provision(s) in the guardianship
order:
I am requesting this change because:
Termination: I want the Court to terminate the Guardianship Order. I am requesting this change
because:
Continue: I am the guardian of the child and the child’s has
requested that the guardianship be terminated and custody returned to him/her. I disagree with
this request and want the guardianship to continue because:
Respectfully submitted,
Date
Signature of Petitioner
Petitioner’s Mailing Address
Petitioner’s Phone Number
Subscribed and sworn before me on:
My commission expires on:
Date of Expiration
Signature of Notary