400 - 00836NR Complaint for Non - Resident Divorce No Children (01/2018) Page 1 of 5 STATE OF VERMONT SUPERIOR COURT FAMILY DIVISION Unit Docket No. Plaintiff Name Defendant Name v . Plaintiff Information: Name: Date of Birth: Street Address: City/State/Zip: Mailing Address (if different from Street Address) : City/State/Zip: Email Address: Daytime Phone: Even ing Phone: A ttorney Name: Attorney Phone: Defendant Information: Name : Date of Birth: Street Address: City/State/Zip: Mailing Address (if different from Street Address) : City/State/ Zip: Email Address: Daytime Phone: Eveni ng Phone: Attorney Name: Attorney Phone: SUMMONS THIS SUMMONS IS DIRECTED TO: Name of Defendant 1. PLAINTIFF IS SEEKING A Name of Plaintiff DIVORCE CIVIL UNION DISSOLUTION The official papers that affect your rights. 2. TO PROTECT YOUR RIGHTS, YOU SHOULD REPLY WITHIN 21 DAYS. Your written response is called an Answer. You can get an official court form for an Answer to a Divorce Complaint at any Vermont Family Court or on the Judiciary web site at http://www.vermontjudiciary.org. 3. YOU MUST RESPOND TO EACH CLAIM. In your Answer you must state whether you agree or disagree with each paragraph of the Complaint. If you believe the Plaintiff should not be given everyt hing asked for in the Complaint, you should say so in your Answer. 4. IF YOU DO NOT FILE AN ANSWER OR FILE AN APPEARANCE, THE COURT IS NOT REQUIRED TO NOTIFY YOU OF HEARINGS. If you do not attend the court hearings, the Plaintiff may receive everything requested in the C omplaint. You will not get a chance to tell your side of the story. American LegalNet, Inc. www.FormsWorkFlow.com 400 - 00836NR Complaint for Non - Resident Divorce No Children (01/2018) Page 2 of 5 5. YOU MUST GIVE OR SEND A COPY OF YOUR ANSWER TO THE PLAINTIFF . If the Plaintiff has an attorney, you must give or send a copy of your answer to the plaintiff's attorney. 6. YOU MUST GIVE OR SEND YOUR ORIGINAL ANSWER TO THE COURT at this address: 7. LEGAL ASSISTANCE: You may wish to get help from a lawyer. Even if you cannot get legal help, you must still give the C ourt a written Answer to protect your rights. Dated Signature of Court Clerk American LegalNet, Inc. www.FormsWorkFlow.com 400 - 00836NR Complaint for Non - Resident Divorce No Children (01/2018) Page 3 of 5 COMPLAINT FOR DIVORCE/DISSOLUTION FACTS The Plaintiff states that the following facts are true: 1. Residence: (A) I am now a resident of , . County State Upon information and belief, the state where I reside will not recognize our Vermont marriage/civil union for purposes of divorce/dissolution. (B) Defendant is now a resident of , . County State Upon information and belief, the state where I reside will not recognize our Vermont marriage/civil union for purposes of divorce/dissolution. 2 . Marriage: We were married in Vermont in , City Stat e on and are still married. M onth / D ate/ Y ear Civil Union: Our c ivil union took place at , City State on and it has never been dissolved . 3. Grounds for Divorce/Dissolution: The reason I am asking for a D ivorce Dissolution Is that: Six Month Separation: We have or will have lived separate and apart for more than six (6) consecutive months and it is not reasonably probable that we can resume our relationship. The Defendant and I separated on : . M onth /Date /Y ear this field is required Other: (Please explain) 4. Children of the Marriage/Civil Union: There are no minor children of the marriage/civil union. 5. Property, Assets and Debts: The Defendant and I have reached a complete agreement (stipulation) with respect to all matters related to our divorce including the division of our personal property, assets and debts, the allocation of any real estate we may own, and spousal maintenance (alimony). A signed written agreement (stipulation) i s attached to this Complaint. 6. Public Assistance: I receive assistance from th e Division of Economic Services . The Defendant receives public assistance from the Division of Economic Services. American LegalNet, Inc. www.FormsWorkFlow.com 400 - 00836NR Complaint for Non - Resident Divorce No Children (01/2018) Page 4 of 5 7. Earlier actions for divorce, legal separation, dissolution , annulment: I have not filed for divorce, legal separation, dissolution or annulment in any court against the Defendant, as far as I know, the Defendant has not filed for divorce, legal separation, dissolution or annulment against me. I have filed OR the Defendant has filed for divorce, legal separation, dissolution or annulment before the date of the filing of this petition . ( If you check this box, you must complete the information below. Use an additional page if necessary.) Type of Action Who Filed Where Filed Year Filed (Court, County, State) Please attach a copy of any Court Order issued in a case listed above. 8. Relief from abuse or protective order proceedings: I have not filed a complaint for relief from abuse or a request for a protective order against the Defendant AND, as far as I know, the Defendant has not filed such an action against me. I have filed a complaint for relief from abuse or a request for a protective order against the Defendant OR the Defendant has filed a complaint for relief from abuse or a req uest for a protective order against me. ( If you check this box, you must complete the information below. Use an additional page if necessary.) Type of Action Who Filed Where Filed Year Filed (Court, County, State) Please attach a copy of any Court Order issued in a case listed above. 9. Military Service : My spouse is in the military service. My spouse is not in the military service. I am in the military service. I am not in the military service. American LegalNet, Inc. www.FormsWorkFlow.com 400 - 00836NR Complaint for Non - Resident Divorce No Children (01/2018) Page 5 of 5 REQUEST FOR RELIEF 1. I ask that the Family Court grant me: ( check each box that applies ) Decree of Divorce Decree of Dissolution 2. Division of Property as provided in the attached stipulation. 3. Spousal Maintenance (Alimony) as provided in the attached stipulation . 4. Court costs. 5 . 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 of Plaintiff Printed Name Signed and sworn to or affirmed before me: REMEMBER TO INCLUDE YOUR SIGNED STIPULATION WITH THIS FILING. Date Signature of Notary Public Expiration Date American LegalNet, Inc. www.FormsWorkFlow.com