400-00999 – Motion to Modify Spousal Maintenance (10/2018) Page 1 of 2
STATE OF VERMONT
SUPERIOR COURT
FAMILY DIVISION
Unit
Docket No.
Name
DOB
V.
Name
DOB
NOTICE OF APPEARANCE & INTENT TO REPRESENT MYSELF
I intend to represent myself and hereby enter my appearance with the Court. No attorney will represent me in this case
unless an attorney or I notify the Court otherwise.
I
understand that IT IS MY RESPONSIBILITY TO:
1. Notify the Court in writing if I change my address or phone number; and
2. Send copies of any papers I file with the Court to the other party in this case.
All Court papers may be mailed to me by first class mail at the address listed below.
Name: __________________________________________ Date of Birth: ______________________
Street Address: ___________________________________ City/State/Zip: _____________________
Mailing Address
(if different from Street Address): ___________________________________________________
City/State/Zip: ___________________________________ Email Address: _____________________
Daytime Phone: __________________________________ Evening Phone: _____________________
MOTION TO MODIFY SPOUSAL MAINTENANCE
1.
I am the Plaintiff Defendant
2.
The other party is the Plaintiff Defendant
3.
I request that the Court modify a Spousal Maintenance Order issued on (date) _____________________.
4.
The obligation under the current Order is that:
I am required to pay $__________ per __________ in Spousal Maintenance
(Spousal Support/Alimony).
The other party is required to pay $__________ per __________ in Spousal Maintenance
(Spousal Support/Alimony).
5.
I am requesting that the Court modify the Spousal Maintenance Order by:
increasing the monthly support amount.
decreasing the monthly support amount.
6.
There has been a real, substantial and unanticipated change in circumstances because: (check all that apply)
M
y income has decreased.
My income has increased.
Other party’s income has increased.
Other party’s income has decreased.
I am unemployed.
Other party is unemployed.
I am disabled because: _ ________________________
7.
In support of this motion, I have attached an Affidavit of Income and Expenses.
400-00999 – Motion to Modify Spousal Maintenance (10/2018) Page 2 of 2
REQUEST TO THE COURT
I request that the Court:
Increase Spousal Maintenance (Spousal Support/Alimony) obligation $ per month.
Decrease Spousal Maintenance (Spousal Support/Alimony) obligation $_ per month.
Grant any other relief this Court determines is appropriate.
I he
reby swear or affirm that the information above is true to the best of my knowledge and belief.
Dated
_________________________ ____________________________
Signature
Sig
ned and sworn to or affirmed before me:
Date Signature of Notary Public Expiration Date