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Summons And Complaint For Divorce-Notice Of Appearance-And Affidavit Of Child Custody 836 - Vermont
| Summons And Complaint For Divorce-Notice Of Appearance-And Affidavit Of Child Custody Form. This is a Vermont form and can be used in Family Court Statewide . |
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Form 836 SUMMONS, COMPLAINT FOR DIVORCE, NOTICE OF APPEARANCE, AND AFFIDAVIT OF CHILD CUSTODY Vermont County Docket Number Family Court Plaintiffs Name Defendants Name V S Street Address - Street Address Town/City State Zip Code Town/City State Zip Code SUMMONS To the above-named Defendant: You are hereby summoned and required to serve upon the Plaintiff at the address listed above an Answer to the attached Complaint that has been served upon you. You must also file a copy of your Answer with the Court at the following address: Name and Address of the Court . You must answer this summons within twenty (20) days of the date of se rvice. If you fail to answer the Complaint within twenty days, a Default Judgment may be entered against you and the Court may grant the relief demanded by the plaintiff in the Complaint. Under most circumstances, your answer must state as a counterclaim any r elated claim which you may have against the plaintiff, or you will thereafter be barred from making such claim in any other action. Court Clerk Date COMPLAINT FOR DIVORCE Town/City County State 1. (a) Plaintiff resides in Date (b) Plaintiff has resided in Vermont continuously until the present day sinc e Town/City County State 2. (a) Defendant resides in Date (b) Defendant has resided in Vermont continuously until the present day sinc e Date Town/City State 3. Plaintiff and Defendant were married on at 4. The following minor children were born of said marriage: Nameof Child Dateof Birth Name of Child DateofBirth Name of Child Dateof Birth Name of Child DateofBirth Nameof Child Dateof Birth Name of Child DateofBirth Rev. 6/02 SML <<<<<<<<<********>>>>>>>>>>>>> 2 Form 836 page 2 5. The parties own the following property singly or jointly: 6. The following actions for divorce, annulment, abuse prevention or sep arate support have been brought previously by either party against the other:None, or: ( A certified copy of the complaint and docket entries in the previous act ion is attached.) 7. Defendant has/will have lived separate and apart from the plaintiff f or six consecutive months and the Date resumption of a marital relationship is not reasonably probable. The par ties separated on 8. Plaintiff Defendant is or has been a recipient of public assistance from the VT De partment of PATH.PLAINTIFF REQUESTS THE FOLLOWING RELIEF: 1. Divorce from the bonds of matrimony. 2. That the Court award the plaintiff the defendant legal rights and responsibilities for the minor children. 3. That the Court award the plaintiff the defendantphysical rights and responsibilities for the minor children. 4. That the Court award the plaintiff the defendantsuitable parent/child contact. 5. That the Court award payment of suitable child support and medical su pport. 6. That the Court award the plaintiff the defendantsuitable maintenance supplement. 7. That the Court award the plaintiff the defendantsuitable spousal maintenance. 8. That the Court award the plaintiff the defendanta suitable portion of the property of the marriage. 9. That the Court award the plaintiff costs and attorneys fees. 10. Such other relief as is just and equitable. Rev. 6/02 SML <<<<<<<<<********>>>>>>>>>>>>> 3 Form 836 page 3 NOTICE OF APPEARANCE I, the Plaintiff in this case, enter my pro se appearance; I will represent myself. Unless I or an attorney notify you otherwise, no attorney will represent me in this case. All court papers may be mailed to me by first class mail at the address listed above. I understand that it is my responsibility to notify the Court of any change in my mailing add ress. I understand that if I send anything to the Court, I must send copies to Defendant or Defendants at torney. I can be reached by telephone at the following numbers. Telephone Number (day) Telephone Number (evening) AFFIDAVIT OF CHILD CUSTODY 1. With regard to each child named in the above complaint, the child: ( use an additional page if you need more space) A. now lives: at my address the address listed below: B. has lived in the places listed below within the last five years: C. has lived with the following people during the past five years (give their current address): 2. A. Have you participated as a party, witness, or in any other capacity i n any litigation concerning the custody of the child/ren named above, in Vermont or in any other state?yes** no B. Do you have information of any custody proceeding concerning the chil d/ren named above pending in a court in Vermont or in any other state?yes** no C. Do you know of any person not a party to these proceedings who has ph ysical custody of the child/ren name above or claims to have custody or visitation rights with respect t o the child/ren?yes** no (** If you answered yes",please explain on another page) Notice: During this proceeding, you must inform the court if you learn o f any other custody proceeding concerning the child/ren. Date Signature of Plaintiff Subscribed and sworn to before me: Date Signature or Notary Public Expiration Date Rev. 6/02 SML
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