Fillable NOTICE OF APPEARANCE a nd INTENT TO REPRESENT (Vermont Judiciary)

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NOTICE OF APPEARANCE a nd INTENT TO REPRESENT (Vermont Judiciary)

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400-00905 – Notice of Appearance & Intent to Represent Myself + Motion to Enforce (04/2012) Page 1 of 2
STATE OF VERMONT
SUPERIOR COURT
FAMILY DIVISION
Unit
Docket No.
Plaintiff Name
Defendant Name
v.
NOTICE OF
APPEARANCE
a
nd
INTENT TO
REPRESENT M
YS
ELF
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: ________________________________________________
Street Address: _______________________________________ City/State/Zip: ___________________________
Mailing Address
(if different from Street Address): __________________________________________________________
City/State/Zip: _______________________________________ Email Address: ___________________________
Daytime Phone: ______________________________________ Evening Phone: __________________________
MOTION TO ENFORCE
1. I am the ☐ Plaintiff ☐ Defendant in this case.
2. I request enforcement of an order issued on (date)____________________.
by ☐ this court
☐ another court (Name & Address of Court) ___________________________________.
3. Under the terms of the Order, the other party is required to:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
4. The other party has failed to meet his/her obligation(s) under the Order as follows:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
5. I know that the other party is aware of his/her obligation under the Order because:
_________________________________________________________________________________
6. The is the __________ time I have filed a petition to enforce this provision against the other party.
400-00905 – Notice of Appearance & Intent to Represent Myself + Motion to Enforce (04/2012) Page 2 of 2
REQUEST TO THE COURT
I request that the Court:
☐ Order the other party to comply with the Orders of the Court.
☐ Order the other party to:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
☐ Order the other party to pay the costs for bringing this motion.
☐ Grant any other relief this Court determines is appropriate.
I hereby swear or affirm that the information above is true to the best of my knowledge and belief.
Dated
Signature Defendant
Signed and sworn to or affirmed before me:
Notice: Use this form to request enforcement of any provision of a temporary or final order EXCEPT provisions
related to child support, spousal maintenance or maintenance supplement. There is a separate form for
enforcement of child support, spousal maintenance or maintenance supplement.
Date Signature of Notary Public Expiration Date
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NOTICE OF APPEARANCE a nd INTENT TO REPRESENT (Vermont Judiciary)

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Completed 30 July 2020

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