700-00049 – Notice of Elections and/or Waivers by Spouse (06/2020) Page 1 of 1
STATE OF VERMONT
SUPERIOR COURT PROBATE DIVISION
Unit Docket No.
In re the Estate of:
N
OTICE OF ELECTIONS AND/OR WAIVERS BY SURVIVING SPOUSE
1. Estate With Will (Testate)
Election to take the share of decedent’s estate specified in 14 V.S.A. §319 instead of the provision
made for me in the will:
☐ I waive my right to take the share of decedent’s estate specified in 14 V.S.A. §319 instead of the
provision made for me in the Will.
☐ I elect to take the share of decedent’s estate specified in 14 V.S.A. §319 instead of the provision
made for me in the Will.
☐ My spouse died without a Will and this election does not apply to me.
2. Homestead Interest pursuant to 27 V.S.A. §105
☐ I waive my right to take my spouse’s interest in the homestead pursuant to 27 V.S.A. §105.
☐ I elect to take my spouse’s interest in the homestead pursuant to 27 V.S.A. §105.
3. Household Goods
Award of Household goods and furnishings:
☐ I waive my right to request that the household goods and furnishings be awarded to me.
☐ I request that the household goods and furnishings be awarded to me. I have attached a
memorandum describing the goods and furnishings that I am requesting.
4. Support
Award of Support for Myself and/or my Minor Children
☐ I request that the court award support for myself and/or my minor children.
☐ I waive my right to request that support be awarded for myself or my minor children.
Note: An Affidavit of Income and Expenses must be filed with a request for support.
I understand that I cannot revoke any waivers set forth above and I will not be able to change my mind at a later date.
I acknowledge that I have been encouraged to seek legal advice regarding these elections and rights.
Printed Name -
