Form 836CU No Kids SUPERIOR COURT ______________ Unit Plaintiff Name DOB STATE OF VERMONT FAMILY DIVISION Docket No.______________ Defendant Name DOB v. Street Address Apt. or P.O. Box Number City Phone (Daytime) Plaintiff's E-mail Address State Zip Phone (Evening) Street Address Apt. or P.O. Box Number City Phone (Daytime) Defendant's E-Mail Address State Zip Phone (Evening) Attorney Name and Phone Number Attorney Name and Phone Number SUMMONS THIS SUMMONS IS DIRECTED TO: ____________________________. Name of Defendant 1. PLAINTIFF ______________________ IS SEEKING A DISSOLUTION. The Plaintiff's Name of Plaintiff complaint begins on the next page. Do not throw these papers away. They are official papers that affect your rights. 2. TO PROTECT YOUR RIGHTS YOU SHOULD REPLY WITHIN 20 DAYS. Your written response is called an Answer. You can get an official court form for an Answer to a Dissolution Complaint at any Vermont family court or on the Judiciary web site at http://www.vermontjudiciary.org/eforms/default.aspx. 3. YOU MUST RESPOND TO EACH CLAIM. In your Answer you must state whether you agree or disagree with each paragraph of the complaint. If you believe the Plaintiff should not be given everything asked for in the complaint, you should say so in your Answer. 4. IF YOU DO NOT FILE AN ANSWER OR FILE AN APPEARANCE, THE COURT IS NOT REQUIRED TO NOTIFY YOU OF HEARINGS IN THIS MATTER. If you do not attend the court hearings, the plaintiff may receive everything requested in the complaint. You will not get a chance to tell your side of the story. 5. YOU MUST GIVE OR SEND A COPY OF YOUR ANSWER TO THE PLAINTIFF . If the Plaintiff has an attorney, you must give or send a copy of your answer to the Plaintiff's attorney. 6. YOU MUST GIVE OR SEND YOUR ORIGINAL ANSWER TO THE COURT at this address: Name and Address of Court: 7. LEGAL ASSISTANCE: You may wish to get help from a lawyer. Even if you cannot get legal help, you must still give the court a written Answer to protect your rights. Court Clerk American LegalNet, Inc. www.FormsWorkFlow.com Date COMPLAINT FOR DISSOLUTION FACTS The Plaintiff states that the following facts are true: 1. Residence: (A) I am now a resident of ________________________, ____________________ . County State (B) I have resided in Vermont for 6 full months. Defendant is now a resident of ________________, ______________________. County State Defendant has resided in Vermont for 6 full months. 2. Civil Union: We entered into a civil union at (city) ___________________________, (state)___________________________ on (month, date, year) _____________________ 3. Separation: The other party and I separated on (month, day, year): ________________. 4. Property, Assets and Debts: I have listed all of the property, assets and debts that the other party and I own either together or separately that are known to me, in the Financial Affidavit that I am filing with this Complaint. 5. Public Assistance: I receive assistance from the Division of Economic Services (DES). (examples: Food Stamps, Reach Up) The other party receives assistance from the Division of Economic Services (DES). 6. Earlier actions for dissolution: I have not filed for dissolution in any court against this spouse AND as far as I know, the other party has not filed for dissolution against me. I have filed OR the other party has filed for dissolution before the date of the filing of this petition. (If you check this box, you must fill in the information below. Use an additional page if necessary.) Type of Action Who Filed Where Filed (Court, County, State) Year Filed Please attach a copy of any Court Order issued in a case listed above. 7. Relief from abuse or protective order proceedings: I have not filed a complaint for relief from abuse or a request for a protective order against this AND, as far as I know, the other party has not filed such an action against me. I have filed a complaint for relief from abuse or a request for a protective order against this spouse OR the other party has filed a complaint for relief from abuse or a request for a protective order against me. (If you check this box, you must complete the information below. Use an additional page if necessary.) American LegalNet, Inc. www.FormsWorkFlow.com Type of Action Who Filed Where Filed (Court, County, State) Year Filed 8. Please attach a copy of any Court Order issued in a case listed above. Military Service: The other party is in the military service. The other party is not in the military service. I am in the military service. I am not in the military service. REQUEST FOR RELIEF I ask that the Family grant me: (check each box that applies) 1. Decree of Dissolution 2. Division of Property (divide our property, assets and debts). 3. Spousal Maintenance (Alimony). 4. Court costs. 5. Attorney fees. 6. Name change: I would like to resume my former name of: ____________________. I have attached a written agreement signed by the other party and myself. I ask that the court issue an order in this case that includes the provisions of our written agreement. (In order to qualify for the reduced filing fee, the attached agreement must cover all the issues that the plaintiff seeks to have the court resolve.) I hereby swear or affirm that the information above is true to the best of my knowledge and belief. Signature of Plaintiff Signed and sworn to or affirmed before me: Date Signature of Notary Public Expiration Date American LegalNet, Inc. www.FormsWorkFlow.com
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