700-00049 226 Notice of Elections and/or Waivers by Spouse (11/2018)Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No. In re the Estate of: NOTICE OF ELECTIONS AND/OR WAIVERS BY SPOUSE TO THE UNIT OF THE PROBATE DIVISION: 1.Estate With Will (Testate)Election to take the share of decedent222s estate specified in 14 V.S.A. 247319 instead of the provisionmade for me in the will: I waive my right to take the share of decedent222s estate specified in 14 V.S.A. 247319 instead of theprovision made for me in the Will.I elect to take the share of decedent222s estate specified in 14 V.S.A. 247319 instead of the provisionmade for me in the Will.My spouse died without a Will and this election does not apply to me. Homestead Interest pursuant to 27 V.S.A. 247105I waive my right to take my spouse222s interest in the homestead pursuant to 27 V.S.A.247105.I elect to take my spouse222s interest in the homestead pursuant to 27 V.S.A. 247105.Household GoodsAward of Household goods and furnishings:I waive my right to request that the household goods and furnishings be awarded to me.I request that the household goods and furnishings be awarded to me. I have attached amemorandum describing the goods and furnishings that I am requesting.SupportAward of Support for Myself and/or my Minor ChildrenI request that the court award support for myself and/or my minor children.I waive my right to request that support be awarded for myself or my minor children.Note: An Affidavit of Income and Expenses must be filed with a request for support. I understand that I cannot revoke any waivers set forth above and I will not be able to change my mind at a later date. I acknowledge that I have been encouraged to seek legal advice regarding these elections and rights. Dated: Signature Printed Name - Surviving Spouse American LegalNet, Inc. www.FormsWorkFlow.com