Form841STIPULATIONANDMOTIONTOWAIVEFINALHEARING Thepartiestotheabove-captionedactionasktheCourttograntaFinalOrderwithoutafinalhearing.Thepartiesagreeasfollows:1.Thepartieswerejoinedbymarriageorcivilunionon:Dateofmarriageat.City,state,countrywheremarriagetookplace2.Thepartiesseparatedonandhavelivedseparateandapartsincethen.Thereisnoreasonableprobabilitythattheywillresumetheirmarital/civilunionrelationship.3.WhentheComplaintwasfiled:PlaintiffresidedinCounty,Vermont.DefendantresidedinCounty,Vermont.4.ResidencyinVermontPlaintiffhasresidedintheStateofVermontforatleasttwelveconsecutivemonths.DefendanthasresidedintheStateofVermontforatleasttwelveconsecutivemonths.5.ThepartieshavesubmittedaFinalStipulationtotheCourt.ThetermsoftheStipulationresolveallissuesinthisaction.ThepartiesasktheCourttoincorporatealltheprovisionsoftheFinalStipulationintoaFinalOrder.6.BothpartiesareawareoftheirrighttoappearbeforetheCourtforafinalhearing.BothpartiesknowinglyandvoluntarilywaivetheirrighttoappearinpersonbeforetheCourt.7.Neitherpartyisthesubjectofafinalabusepreventionorderinaproceedingbetweenthepresentparties.8.Eachpartyhasenteredintoallstipulationsfreelyandvoluntarily.STATEOFVERMONTSUPERIORCOURTFAMILYDIVISIONUnitDocketNo.PlaintiffDefendantNamev.Name American LegalNet, Inc. www.FormsWorkFlow.com 9.Thepartieshaveexchangedallfinancialinformation,including,butnotlimitedto,informationaboutincome,property,assets,anddebts.10.ChildrenoftheMarriageorUnion:Thepartieshavenominorchildren.Thepartieshaveminorchildrenwhoareeitherchildrenbornintotherelationshiporotherchildrenforwhomthereisormaybeadutyofsupportunder15V.S.A.247658.11.Completethisparagraphonlyifthereareminorchildrenofthisrelationship:FillinNamesandDatesofBirthforallminorchildren:NameofChildDOBNameofChildDOB NameofChildDOBNameofChildDOB NameofChildDOBNameofChildDOB Checkallboxesthatapply:BothpartiesarerepresentedandhavebeenassistedbycounselwithrespecttotheirFinalStipulation.TheFinalStipulationincludesaparentingagreementthatprovidesforparentalrightsandresponsibilities,andaddressessuchmattersasparent-childcontact,transportation,medicalcare,andschooling.Theparentingagreementcallsforoneparenttohavesoleparentalrightsandresponsibilities.Theparentingagreementcallsforshared,jointordividedparentalrightsandresponsibilities.Theparentsherebystatethattheyhavebeenandwillcontinuetobeabletocommunicateeffectivelyandworktogethercooperativelyinmattersaffectingthechildorchildren.TheFinalStipulationincludesamechanismformakingdecisionsregardingthechildren,includingaprovisionrequiringmediationorarbitrationintheeventthepartiesthemselvesareunabletoresolvedisputesconcerningparentalrightsandresponsibilities.BothparentsareincompliancewithallprovisionsoftheFinalChildSupportOrder,acopyofwhichiseitheronfileorattachedtothisStipulation.WeagreetothetermsofthisStipulationtoWaiveaFinalHearinginthisaction.DatePlaintiff222sSignatureDateDefendant222sSignature Theparties222attorneys,ifany,certifythattheproposedfinalorderisapprovedastoform:DateSignatureofPlaintiff222sAttorneyDateSignatureofDefendant222sAttorney 9/10SML American LegalNet, Inc. www.FormsWorkFlow.com