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SHERIFFS RETURN OF SERVICE (Vermont Judiciary)

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100-00261 Sheriff’s Return of Service (04/2015) Page 1 of 1
STATE OF VERMONT
SUPERIOR COURT
CIVIL DIVISION
Unit
Docket No.:__________________________
Plaintiff(s)
Defendant(s)
vs.
SHERIFF’S RETURN OF SERVICE
Give this form to the sheriff or constable if the defendant does not send an answer
in response to the mailed Summons and Complaint.
☐ Summons ☐ Default Judgment Order
☐ Complaint ☐ Motion for Trustee Process
☐ Answer form ☐ List of Exemptions
☐ Information and Instructions for the Defendant ☐ Trustee’s Disclosure Form
☐ Attachment(s) ☐ Other _________________________
__________________________________________________________________________________________________
STATEMENT OF SERVICE FEES
SERVICE $ ________
MILEAGE ( _______ miles @ _______ per mile ) $ ________
TOTAL $ ________
Less Deposit $ ________
REFUND OR BALANCE DUE $ ________
__________________________________________________________________________________________________
RETURN OF SERVICE
On ___________________ (Date), I served the documents checked above by delivering a copy to:
☐ The defendant named at the following address: _______________________________________________________.
☐ A person of suitable age and discretion residing at the named defendant’s address:
Person’s Name: __________________________________________________________________________________
Age: ________ Relation to Defendant: ______________________________________________________________
Address: _______________________________________________________________________________________
☐ Other (give name and address)
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
___________________________________
Signature of Serving Officer
IMPORTANT:
The plaintiff must send the Original Copy of the Return of Service to the Court immediately after service has been completed.
Keep a copy for your records.
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SHERIFFS RETURN OF SERVICE (Vermont Judiciary)

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Completed 30 July 2020

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