STATE OF VERMONT SUPERIOR COURT Unit In re Guardianship of : PROBATE DIVISION Docket No.: MOTION FOR LICENSE TO MORTGAGE OR LEASE REAL ESTATE or PERSONAL PROPERTY Part I. Request for License I, __________________________________, request a license to (check one) Name of Guardian mortgage OR lease personal property owned by the Respondent and described as follows: Property Description Instructions: For real estate, list each parcel separately using additional sheets if necessary. For each parcel, include the following information about the deed(s) transferring the property to the respondent: the book and page number of the deed(s); the town and state where the deed is filed in the land records; the date of the deed; and the name(s) of the grantor(s) and grantee(s) on the deed(s). For personal property, describe the property. In support of this motion, I state: (complete the statement as appropriate.) 1. It is necessary to mortgage the property because: MORTGAGE LEASE 2. The terms of the proposed mortgage are: a. Amount: $_____________. b. Interest Rate: _________% c. Duration: ________ years months. 1. It is necessary to lease the property because: 2. The term of the lease is _______ years months. 3. The proposed lessee is: _______________________________. PG85 ­ Motion for License to Mortgage or Lease Real Estate (09/2014) American LegalNet, Inc. www.FormsWorkFlow.com Page 1 of 2 Dated Signature of Guardian Guardian's Name Printed Guardian's Address Guardian's Phone Number Part II: Oath Town, State Date Name of Guardian At on appeared and made oath that the duties granted by this license shall be discharged faithfully, according to law, and in a manner that would be most beneficial to the respondent. Date Signature of Register, Judge or Notary Public Expiration Date Part lll: Consent of Interested Persons By our signatures, we consent to the granting of this license. We understand that if all these persons do not sign below, a hearing will be scheduled by the court and notice of that hearing will be given to all interested persons. Signature Printed Name Date PG85 ­ Motion for License to Mortgage or Lease Real Estate (09/2014) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com