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Pc 134 H:\Probateforms\Forms\Form No. 134 - Notice of Apperance Paternity Custodial Rights.wpd

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Probate Court Form No. 134
Notice of Appearance, Acknowledgment of
Paternity and Claim of Custodial Rights
STATE OF VERMONT PROBATE COURT
DISTRICT OF _______________________
IN RE THE ADOPTION OF DOCKET NO. ______________
___________________________
NOTICE OF APPEARANCE, ACKNOWLEDGMENT OF
PATERNITY AND CLAIM OF CUSTODIAL RIGHTS
I, __________________________________, acknowledgment that I am the father of
_____________________________________________, the child who is the subject of the petition for
adoption of which I have received notice.
I hereby enter my appearance. My address and telephone number (or that of my lawyer) are:
_____________________________________
_____________________________________
( ____) _______________________________
I do/do not (circle one) claim the right to custody of the child.
I do/ do not (circle one) consent to the adoption.
Date: _____________________ ________________________________
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Pc 134 H:ProbateformsFormsForm No. 134 - Notice of Apperance Paternity Custodial Rights.wpd

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Completed 3 July 2020

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