400 - 00837 Kids Notice of Appearance & Intent to Represent Myself + Answer to Complaint (01/2018) 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 C ourt. No attorney will represent me in this case unle ss an attorney or I notify the C ourt 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 C ourt to the other party in this case. All C ourt papers may be mailed to me by first class mail at the address listed below. Nam e: Date of Birth: Street Address: City/State/Zip: Mailing Address (if different from Street Address) : City/State/Zip: Email Address: Daytime Phone: Ev ening Phone: ANSWER TO COMPLAINT FOR DIVORCE, LEGAL SEPARATION, CIVIL UNION DISSOLUTION (Please facts in each paragraph of the C omplaint.) 1. Residence a. My Residence: Agree Disagree b. Residence: Agree Disagree 2. Date and Place of Marriage or Civil Union : Agree Disagree 3. Grounds for Divorce , Legal Separation, Dissolution : Agree Disagree 4. Minor Children of the Parties Agree Disagree 5. Facts Related to UCCJEA Jurisdiction: Agree Disagree 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. ( f orm 400 - 00813 B ) 7. Public Assistance : Agree Disagree 8. Earlier Actions for Divorce, Legal Separation, Dissolution, or Annulment: Agree Disagree 9. Relief from Abuse or protective order proceedings: Agree Disagree 10. Military Status: Agree Disagree American LegalNet, Inc. www.FormsWorkFlow.com 400 - 00837 Kids Notice of Appearance & Intent to Represent Myself + Answer to Complaint (01/2018) Page 2 of 2 C omplaint, 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 Parental Rights and Responsibilities Legal Parental Rights and Responsibilities: Shared Jointly Given Solely to: Myself Plaintiff Physical Parental Rights and Responsibilities: Shared Jointly Given Solely to: Myself Plaintiff Parent Child Contact for Myself Plaintiff Child Support, Medical Support and/or Maintenance Supplement. 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