Fillable Supplemental Affirmation (Vermont Judiciary)

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Supplemental Affirmation (Vermont Judiciary)

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4.10.2020
Affirmation for COVID-19 Emergency filings
(This supplemental form replaces the current requirement of notarization during the
Judiciary’s limited public access period)
I declare that the above statement is true and accurate to the best of my knowledge and
belief. I understand that if the above statement is false, I will be subject to the penalty
of perjury or other sanctions in the discretion of the court
Date: ________________
Signature: ____________________________
Printed Name: _________________________
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Supplemental Affirmation (Vermont Judiciary)

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Completed 15 July 2020

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