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Summons And Complaint For Civil Union Dissolution-Notice Of Appearance-And Affidavit Of Child Custody Form. This is a Vermont form and can be use in Family Court Statewide.
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Tags: Summons And Complaint For Civil Union Dissolution-Notice Of Appearance-And Affidavit Of Child Custody, 836CU, Vermont Statewide, Family Court
COURT
COUNTY . .
. . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:
Form 836 CU
Vermont
County
Index No.
Docket Number
Family Court
:
Calendar No.
SUMMONS, COMPLAINT FOR CIVIL :
UNION DISSOLUTION
JUDICIAL SUBPOENA
Plaintiff(s)
NOTICE OF APPEARANCE AND AFFIDAVIT OF CHILD CUSTODY
Plaintiff’s Name
-against-
:
Defendant’s Name
:
Street Address
Street Address
Town/City
State
Zip Code
VTown/City
.
:
State
Zip Code
Defendant(s)
:
......................................................
SUMMONS
To the above-named Defendant:
You are hereby summoned and required to serve upon the Plaintiff at the address listed above an Answer to
the THE PEOPLE OF THE STATE OF NEW upon you.
attached Complaint that has been served YORK
You must also file a copy of your Answer
TO
with the Court at the following address:
Name and Address of the Court
GREETINGS:
You mustWE COMMAND summons within and excuses beingthe aside, you and each of you attend before
answer this YOU, that all business (20) days of laid date of service.
,
the Honorable
at the
Court
If you fail to answer the Complaint within twenty days, a Default Judgment may be entered against
located at
County of
you and the Court may grant the relief demanded by the plaintiff in the Complaint.
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Under most circumstances, your answer must state as a counterclaim any related claim which you may
have against the plaintiff, or you will thereafter be barred from making such claim in any other action.
Court Clerk
Date
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
COMPLAINT FOR CIVIL UNION DISSOLUTION
Witness, Honorable
, one of the Justices of the
Town/City
County
State
Court in resides in County,
day of
, 20
1. (a) Plaintiff
(b) ___ Plaintiff has resided in Vermont continuously until the present day since
2. (a) Defendant resides in
Date
(Attorney must sign above and type name below)
Town/City
County
Attorney(s) for
(b) ___ Defendant has resided in Vermont continuously until the present day since
Date
Date
3. Plaintiff and Defendant received a Certificate of civil union on
Town/City
State
at
State
Office and P.O. Address
4. The following are the biological or adoptive children of said civil union:
Name of Child
Date of Birth
Name of Child
Date of Birth
Name of Child
Date of Birth
Form 836 CU 10/00
Name of Child
Telephone No.:
Name of Child
Facsimile No.:
E-Mail Address:
Name of Child
Mobile Tel. No.:
Date of Birth
Date of Birth
Date of Birth
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Calendar No.
:
JUDICIAL SUBPOENA
5. The parties own the following property singly or jointly:
Plaintiff(s)
-against-
:
:
:
Defendant(s)
:
......................................................
6. The following actions for divorce, annulment, civil union dissolution, abuse prevention or separate support
THE PEOPLE OF THE STATE OF NEW YORK
have been brought by either party against the other: ____ None,
or:
TO
GREETINGS:
( ___ A certified copy of the complaint and docket entries in the previous action is attached.)
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
7. Defendant has/will have lived separate and apart fromat the
the plaintiff for six consecutive months and the resumption
the Honorable
Court
of the County of relationship is not reasonably probable. The parties separated on Date
civil union
located at
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
8. ___or adjourned ___ Defendantand or has been a as a witness in this action on thefrom of the Department of
Plaintiff date, to testify is give evidence recipient of public assistance part the VT
Social Welfare.
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
PLAINTIFF REQUESTS THE FOLLOWING RELIEF:
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
___ 1. Dissolution of civil union.
___ 2. That the Court award ___ the plaintiff
Witness, Honorable
the minor children.
Court in
County,
day of
___ the defendant legal rights and responsibilities for
, one of the Justices of the
___ 3. That the Court award ___ the plaintiff
for the minor children.
___ the defendant physical rights and responsibilities
, 20
(Attorney must sign above and type name below)
___ 4. That the Court award ___ the plaintiff
___ the defendant suitable parent/child contact.
___ 5. That the Court award payment of suitable child support money.
Attorney(s) for
___ 6. That the Court award ___ the plaintiff
___ the defendant suitable maintenance supplement.
___ 7. That the Court award ___ the plaintiff
___ the defendant P.O. Address
suitable maintenance.
Office and
___ 8. That the Court award ___ the plaintiff
the civil union.
___ the defendant a suitable portion of the property of
Telephone No.:
Facsimile
___ 9. That the Court award the plaintiff costs and attorney’s fees. No.:
E-Mail Address:
___10. Such other relief as is just and equitable.
Mobile Tel. No.:
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,
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
NOTICE OF APPEARANCE
:
Index No.
Calendar No.
I, the Plaintiff in this case, enter my pro se appearance; I will represent myself. Unless I or an attorney
:
JUDICIAL SUBPOENA
Plaintiff(s)
notify you otherwise, no attorney will represent me in this case.
-against-
:
All court papers may be mailed to me by first class mail at the address listed above. I understand that it
:
is my responsibility to notify the Court of any change in my mailing address. I understand that if I send anything
to the Court, I must send copies to Defendant or Defendant’s attorney.
:
I can be reached by telephone at the following numbers. :
Defendant(s)
......................................................
Telephone Number (day)
Telephone Number (evening)
THE PEOPLE OF THE STATE OF NEW YORK
TO
AFFIDAVIT OF CHILD CUSTODY
I. With regard to each child named in the above complaint, the child: (use an additional page if you need more space)
GREETINGS:
A. now lives: at ___ my address ___ the address listed below:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable in the places listed below within thethe five years: Court
at last
B. has lived
located at
County of
the
(give in the
inC. has lived withon the
room
, the following people during , 20 past, five yearso'clock current address):and at any recessed
day of
at
noon,
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
II
A. Have you participated as a party, witness, or in any other capacity in any litigation concerning the
custody of the child(ren)Honorable
yes**
Witness, named above, in Vermont or in any other state? ___ , one of the___ no of the
Justices
Court in you have information of any custody proceeding concerning the child(ren) named above pending
County,
day of
, 20
B. Do
in a court in Vermont or in any other state? ___ yes**
___ no
(Attorney must sign above and type name below)
C. Do you know of any person not a party to these proceedings who has physical custody of the child(ren)
named above or claims to have custody or visitation rights with respect to the child(ren)? ___ yes** ___ no
(** If you answered “yes”, please explain on another page)
Attorney(s) for
Notice: During this proceeding, you must inform the court if you learn of any other custody proceeding
concerning the child(ren).
Date
Signature of Plaintiff
Subscribed and sworn to before me:
Date
Form 836 CU 10/00
Signature of Notary Public
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
Expiration Date
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