400-00837 - Notice of Appearance Answer to Complaint Counterclaim (02/2019) Page 1 of 2 STATE OF VERMONT SUPERIOR COURT FAMILY DIVISION Unit Docket No. Plaintiff Date Of Birth Defendant Date Of Birth V. NOTICE OF APPEARANCE, ANSWER TO THE COMPLAINT AND COUNTERCLAIM I intend to represent myself and hereby enter my appearance with the Court. No attorney will represent me in this case unless an attorney or I notify the Court otherwise. I understand that IT IS MY RESPONSIBILITY TO: 1. Notify the Court in writing if I change my address or phone number; AND 2. Send copies of any papers I file with the Court to the other party in this case. All Court papers may be mailed to me by first class mail at the address listed below. Name: Date of Birth: Street Address: City/State/Zip: Mailing Address (if different from Street Address): City/State/Zip: Email Address: Daytime Phone: Evening Phone: ANSWER TO COMPLAINT FOR DIVORCE, LEGAL SEPARATION, CIVIL UNION DISSOLUTION I am the Defendant in this case. This is my answer to the facts in the Plaintiff222s Complaint: (Please refer to the Plaintiff222s Complaint and check whether you agree or disagree with the facts in each paragraph of the Complaint.) 1. Residence a. My Residence: Agree Disagree b. Plaintiff222s Residence: Agree Disagree 2. Date and Place of Marriage or Civil Union: Agree Disagree 3. Grounds for Divorce, Legal Separation, Dissolution: Agree Disagree 4. Property, Assets and Debts: I have listed all of the property, assets and debts that my spouse and I own either jointly or solely that are known to me, in the Financial Affidavit that I am filing with this Answer. (Form 400-00813A) 5. Public Assistance: Agree Disagree Don222t know 6. Earlier Actions for Divorce, Legal Separation, Dissolution, or Annulment: Agree Disagree 7. Relief from abuse or protective order proceedings: Agree Disagree 8. Military Status: Agree Disagree American LegalNet, Inc. www.FormsWorkFlow.com 400-00837 - Notice of Appearance Answer to Complaint Counterclaim (02/2019) Page 2 of 2 If you disagree with any of the facts in Plaintiff222s Complaint, please write the paragraph number below and state the facts you believe to be true: COUNTERCLAIM Based on the facts stated above, I ask that the Family Court grant me: (check each box that applies) Decree of Divorce Decree of Legal Separation Decree of Dissolution Division of Property (divide our marital property, assets and debts). Spousal Maintenance (Alimony). Court costs. Attorney fees. Name change: I would like to resume my former name of . I hereby swear or affirm that the information above is true to the best of my knowledge and belief. Dated Signature Defendant Signed and sworn to or affirmed before me: Date Signature of Notary Public Expiration Date American LegalNet, Inc. www.FormsWorkFlow.com