400-00841 - Stipulation & Motion to Waive Final Hearing (09/2010) Page 1 of 2
STATE OF VERMONT
SUPERIOR COURT
FAMILY DIVISION
Unit
Docket No.
Plaintiff Name
Defendant Name
v.
STI
PULATION AND MOTION TO WAIVE FINAL HEARING
The parties to the above captioned action ask the Court to gran a Final Order without a final hearing. The
parties agree as follows:
1. The parties were joined by marriage or civil union on (date of marriage) __________________________ at
(city/state/country where marriage took place) __________________________________________________
2. The parties separated on _______________ and have lived separate and apart since then. There is no
reasonable probability that they will resume their marital/civil union relationship.
3. When the Complaint was filled:
Plaintiff resided in ____________________ County, Vermont.
Defendant resided in ____________________ County, Vermont.
4. Residency in Vermont
Plaintiff has resided in the State of Vermont for at least twelve consecutive months.
Defendant has resided in the State of Vermont for at least twelve consecutive months.
5. The parties have submitted a Final Stipulation to the Court. The terms of the Stipulation resolve all
issues in this action. The parties ask the Court to incorporate all the provisions of the Final Stipulation
into a Final Order.
6. Both parties are aware of their right to appear before the Court for a final hearing. Both parties
knowingly and voluntarily waive their right to appear in person before the Court.
7. Neither party is the subject of a final abuse prevention order in a proceeding between the present
parties.
8. Each party has entered into all stipulations freely and voluntarily.
9. The parties have exchanged all financial information, including, but not limited to, information about
income, property. Assets and debts.
10. Children of the Marriage or Union:
The parties have no minor children.
The parties have minor children who are either children born into the relationship or other
children for whom there is or may be a duty of support under V.S.A. § 658.
400-00841 - Stipulation & Motion to Waive Final Hearing (09/2010) Page 2 of 2
11. Complete this paragraph only if there are minor children of this relationship:
Name of Child Date of Birth Name of Child Date of Birth
____________________ ____________ ____________________ ____________
____________________ ____________ ____________________ ____________
____________________ ____________ ____________________ ____________
Check all boxes that apply:
Both parties are represented and have been assisted by counsel with respect to their Final
Stipulation.
The Final Stipulation includes a parenting agreement that provides for parental rights and
responsibilities and addresses such matters as parent-child contact, transportation, medical
care, and schooling.
The parenting agreement calls for one parent to have sole parental rights and responsibilities.
The parenting agreement calls for shared, joint, or divided parental rights and responsibilities.
The parents hereby state that they have been and will continue to be able to communicate
effectively and work together cooperatively in matters affecting the child or children The Final
Stipulation includes a mechanism for making decisions regarding the children, including a
provision requiring mediation or arbitration in the event the parties themselves are unable to
resolve disputes concerning parental rights and responsibilities.
Both parents are in compliance with all provisions of the Final Child Support Order, a copy of
which is either on file or attached to this Stipulation.
We agree to the term of this Stipulation to Waive a Final Hearing in this action.
Dated
Signature of Plaintiff
Dated
Signature of Defendant
The parties’ attorneys, if any, certify that the proposed Final Order is approved as to form:
Dated
Signature of Plaintiff’s Attorney
Dated
Signature of Defendant’s Attorney