Statement Of Adoptive Parent Expenses {PC 137} | | Vermont

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Statement Of Adoptive Parent Expenses {PC 137} |  | Vermont

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Statement Of Adoptive Parent Expenses {PC 137}

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FORM 137. STATEMENT OF ADOPTIVE PARENT EXPENSESSTATE OF VERMONTPROBATE COURTDISTRICT OF DOCKET NO: IN RE ADOPTION OF:Adoptive Parent Expenses 15A V.S.A. 247 3-702Child222s Name:Name(s):Address:Birthparents222 Names (if known):Telephone #:DateName of RecipientAddress of RecipientPurpose of PaymentTOTALSI/we swear and affirm that the expenses listed above are the only disbursements we have made in connection with the adoption of the child listed above.Signed: Adoptive ParentDateSigned: Adoptive ParentDateSworn before me on in in the County of , State of . My commission expires on: Notary Public American LegalNet, Inc.

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