Vermont > Statewide > Probate Court
Petition For Correction Of Birth Certificate 200 - Vermont
| Petition For Correction Of Birth Certificate Form. This is a Vermont form and can be used in Probate Court Statewide . |
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Probate Court Form No. 200 Petition for Correction of Birth Certificate STATE OF VERMONT PROBATE COURTDISTRICT OF _______________________ IN RE __________________________ PETITION FOR CORRECTION OF BIRTH CERTIFICATE TO THE HONORABLE PROBATE COURT FOR THE DISTRICT AFORESAID: Comes ________________________________________ of ____________________________ inthe County of ________________and the State of Vermont, and respectfully represents that they were born in theTown - City of __________________________ in the County of ____________________ and the State ofVermont, on the _______________ day of ____________________ 20_____. That the record of their birth appears in the records of the Clerks Office of the Town - City of______________________________ County of __________________________ and the State of Vermont,(a copy of which is hereto attached) and That said record contains the following errors and omissions, viz:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ That said erroneous facts and omission in said record should correctly appear as follows, to wit:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _______ WHEREFORE, your petitioner prays that said court, after due notice and hearing, find the facts withrespect to the Record of Birth of your petitioner, issue a decree setting forth the facts found and fill out acorrected Certificate of Birth in the usual form, and file such certificate with the Clerk of the Town - Cityof ________________________________, County of _______________________and State of Vermont, Dated: __________________________ Signed _____________________________ Print Name: _________________________ Address: ____________________________ ____________________________________ Telephone: (____) ____________________
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