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700-00049 – Notice of Election s 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: NOT ICE OF ELECTION S AND/OR WAIVER S BY SPOUSE TO TH E UNIT OF THE PROBATE DIVISION: 1. Estate With Will (Testate) Election to take the share of decedent’s estate specified in 14 V.S.A. §319 instead of the provision mad e for me in the will: ☐ I waive my right to take the share of decedent’s estate specified in 14 V.S.A. §319 instead of the provision made fo r me in the Will. ☐ I elect to take the share of decedent’s estate specified in 14 V.S.A. §319 instead of the provision made for me in the Will. ☐ My spouse died without a Will and this election does not apply to me. 2. Homestead Interest p ursuant to 27 V.S.A. §105 ☐ I waive my right to take my spouse’s interest in the homestead pursuant to 27 V.S.A. § 105. ☐ I elect to take my spouse’s interest in the homestead pursuant to 27 V.S.A. §105. 3. Household Goods Award 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 a memorandum describing the goods and furnishings that I am requesting. 4. Support Award of Support for Myself and/or my Minor Children ☐ I 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