400-00844 226 Acceptance of Service (05/2019)Page 1 of 1 Vermont Superior Court Docket Number: Plaintiff Defendant v. ACCEPTANCE OF SERVICE I hereby accept service of the: Summons and Complaint for: Divorce Legal Separation Parentage Annulment Civil Union Dissolution Parentage Affidavit Military Affidavit Affidavit of Child Custody Pro Se Appearance by Plaintiff Defendant Completed Form 813 by Plaintiff Defendant Blank 813 Blank Answer/Counter Claim/Notice of Appearance Blank Motion Response form Notice of Attorney Appearance Affidavit to Support Filing Affidavit of Non-Compliance Public Defender Application Hearing Cancellation Notice Notice of Hearing Information Sheet Vermont Department of Health Form Other: ORDER(S): MOTION(S): Child Support Amended Interim Temp Final Proposed PRR/PCC Amended Interim Temp Final Proposed Parentage Entry Order Re: MPR # Scheduling Order Interim Domestic Order Order to Attend Pro Se Education Order to Attend COPE Education Program QDRO (Qualified Domestic Relations Order) Genetic Testing Final Order: Divorce, Parentage, Dissolution, Legal Separation, etc. Other: Enforce Child Support Final Order PRR PCC Spousal Maintenance Modify Child Support PRR PCC Spousal Maintenance Request for License Suspension Contempt Child Support Other To Show Cause 226 Civil Contempt Vacate Order Dismiss For Emergency Relief Other: I waive all other forms of service. Plaintiff Defendant PLEASE DATE AND SIGN THIS ACCEPTANCE OF SERVICE AND RETURN TO THE COURT. THE OTHER DOCUMENTS ARE FOR YOUR RECORDS. Date Plaintiff/Defendant Signature American LegalNet, Inc. www.FormsWorkFlow.com