Verified Petition For Issuance Of Certificate Of Presumed Death {PE 58A} | Pdf Fpdf Docx | Vermont

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Verified Petition For Issuance Of Certificate Of Presumed Death {PE 58A} | Pdf Fpdf Docx | Vermont

Verified Petition For Issuance Of Certificate Of Presumed Death {PE 58A}

This is a Vermont form that can be used for Probate Court within Statewide.

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Form PE 58A STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No. In re ESTATE OF VERIFIED PETITION FOR ISSUANCE OF CERTIFICATE OF PRESUMED DEATH I, Name of Petitioner state that Name of Person : 1. W as a resident of this probate unit ; 2. Has been absent for a continuous period of five years ; 3. Has not been heard from or, after diligent search, been seen, during this period; and 4. 5. This person was last seen alive on Date I am related to Name of Deceden t in that I am his/her Spouse, child, other near relative To the best of my knowl edge, and belief, the following s tatements are true about this person: D at e of Birth / / Birthplace (Town and State) Marital Status Spouse/Civil Union Partner Last Residence Ever in U.S. Armed Forces Veteran of Any War Occupation Business/Industry Education Hispanic Origin Race Sex Therefore, I request the Court to direct the Chief Medical Examiner to complete and sign a certificate of presumed death of this person. Attached are: (1) Entry fee of [see instructions] (2) One or more affidavits of diligent search for the person. (3) List of Interested Persons [Probate Form 2] PETITIONER SIGNATURE: Petitioner Signature Date Petitioner name Mailing Address City, State, Zip Telephone Number Email $ Decedent American LegalNet, Inc. www.FormsWorkFlow.com Consent of Interested Persons By our signatures below, we, the interested persons in any estate of the absent person who is the subject of this petition, consent to this petition. We under stand that, if all the interested persons do not sign below, a hearing may be scheduled by the Court and notice of that hearing will be given to all interested persons by the petitioner or the Court. Signature Printed Name Date Oath At Town, State on Date / / Name of Pet itioner a knowledge, information and belief and that, insofar as based on information, the petitioner believes this information to be true. Date Signature of R egister, Judge or Notary Public Expiration Date / / American LegalNet, Inc. www.FormsWorkFlow.com

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