STATE OF VERMONT SUPERIOR COURT Unit CONSENT I. ACTION OF THE COURT OR A PARTY TO WHICH CONSENT IS GIVEN (To be filled out by person seeking consent) PROBATE DIVISION Docket No.: Describe in detail the action for which consent is requested. Attach documents containing any request for action. _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Dated: Signature II. CONSENT I, ___________________________________, an interested party in the above entitled action, consent to the following action to be taken by the Court or a party: _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ as described in more detail above. I understand that based on this consent the Court or the party may take the specified action with no further notice to me and without affording me an opportunity to be heard. Dated: Signature Print Address Telephone 700-00155 - Consent (08/2015) American LegalNet, Inc. www.FormsWorkFlow.com Page 1 of 1