400 - 0087 2 Stipulation of Parentage (07/2018) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT FAMILY DIVISION Unit Docket No. Plaintiff DOB Defendant DOB V. STIPULATION OF PARENTAGE The parties hereby stipulate and agree as follows: We , and , Name Name Name (if applicable)are the parents of the child(ren) named below: Name of Child: Date of Birth: Name of Child: Date of Birth: Name of Child: Date of Birth: Name of Child: Date of Birth: Name of Child: Date of Birth: We waive the right to a hearing on the issue of parentage . APPROVED AS TO FORM Dated Printed Name Signature Dated Plainti Signature Dated Signature Dated Dated Dated Printed Name Signature Dated American LegalNet, Inc. www.FormsWorkFlow.com