Motion To Modify Extend Vacate Relief From Abuse Order Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Motion To Modify Extend Vacate Relief From Abuse Order Form. This is a Vermont form and can be use in Family Court Statewide.
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Tags: Motion To Modify Extend Vacate Relief From Abuse Order, 153, Vermont Statewide, Family Court
Form 153
STATE OF VERMONT
MOTION TO MODIFY/EXTEND/VACATE RELIEF FROM ABUSE ORDER
Vermont
Family Court
County
Plaintiff's Name
Docket Number
Defendant's Name
Date of Birth
/
/
VS.
An Order for relief from abuse was entered in the above case on:
The
Plaintiff
Defendant
Date of Birth
/
/
Date
requests that this Order of the Court be:
Modified as follows:
Extended until (date)
Vacated.
.
Affidavit in Support of Request:
In support of this request, subject to the penalties for perjury, I state the following facts to be true to the best of
my knowledge and belief. Specifically describe the facts that support your request.
Signature of Petitioner
Date
Subscribed and sworn to before me.
Signature of Notary Public
Date
Expiration Date
NOTICE!
This affidavit will be served on opposing party with the motion to modify/extend/vacate relief from abuse.
WARNING:
MAKING FALSE STATEMENTS IN THIS AFFIDAVIT IS A CRIME SUBJECT TO A TERM OF
IMPRISONMENT OR A FINE, OR BOTH AS PROVIDED BY 13 V.S.A. ยง2904.
Rev. 9/06 SML
Distribution: Original ~ Court; 1 Copy ~ Plaintiff; 1 Copy ~ Defendant; 1 Copy ~ File
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