Petition For Correction Of Death Record {188} | Pdf Fpdf Doc Docx | Vermont

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Petition For Correction Of Death Record {188} | Pdf Fpdf Doc Docx | Vermont

Petition For Correction Of Death Record {188}

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

Alternate TextLast updated: 8/17/2006

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Probate Court Form 188 Petition for Correction of Death Record STATE OF VERMONT PROBATE COURTDISTRICT OF _______________________ IN RE ____________________ PETITION FOR CORRECTION OF DEATH RECORD TO THE HONORABLE PROBATE COURT FOR THE DISTRICT AFORESAID: Comes ___________________________________ of ___________________________ in theCounty of _________________________ and the State of Vermont, and respectfully represents that ________________________________________________ a resident of __________________________ (Name of Decedent) County of ______________________________ and State of Vermont, died on the _____________ day of_____________________________, 20 _____. That the record of - His - Her - death appears in the records of the Clerks office of the - Town - Cityof ___________________________ County of ___________________________ and 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 omissions in said record should correctly appear as follows, to wit:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________ That your petitioner prays that said Court, after due notice and hearing, find the facts with respectto the Record of Death of decedent, issue a decree setting forth the facts found and fill our a corrected DeathCertificate in the usual form, and file such certificate with the Clerk of the Town - City - of ________________________________, County of ____________________________ and State of Vermont.Dated: __________________________ Signed _____________________________ Print Name: _________________________ Address: ____________________________ ____________________________________ Telephone: (____) ____________________

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