Fill and Sign the How to File an Answer to a Complaint in the Superior Court of Form

400 - 00837 Kids – Notice of Appearance & Intent to Represent Myself + Answer to Complaint (01/2018) Page 1 of 2 STATE OF VERMONT SUPERIOR COURT FAMILY DIVISION Unit Docket No. Plaintiff Date Of Birth Defendant Date Of Birth V. NOTICE OF APPEARANCE , ANSWER TO THE COMPLAINT AND COUNTERCLAIM I intend to represent myself and hereby enter my appearance with the C ourt. No attorney will represent me in this case unle ss an attorney or I notify the C ourt otherwise. I understand that IT IS MY RESPONSIBILITY TO: 1. Notify the Court in writing if I change my address or phone number; AND 2. Send copies of any papers I file with the C ourt to the other party in this case. All C ourt papers may be mailed to me by first class mail at the address listed below. Nam e: ________ _______________ __ ______ ___________ Date of Birth: __________________ Street Address: ___________ ________________________ City/State/Zip: _________ __ _____ _ Mailing Address (if different from Street Address) : ______ _ ______________________ _ _________________ City/State/Zip: _____________ ______________________ Email Address: ___________ _____ Daytime Phone: ____________________ _ _____________ Ev ening Phone: _____ ____ _______ ANSWER TO COMPLAINT FOR DIVORCE, LEGAL SEPARATION, CIVIL UNION DISSOLUTION I am the Defendant in this case. This is my answer to the facts in the Plaintiff’s Complaint: (Please refer to the Plaintiff’s Complaint and check whether you agree or disagree with the facts in each paragraph of the C omplaint.) 1. Residence a. My Residence: ☐ Agree ☐ Disagree b. Plaintiff’s Residence: ☐ Agree ☐ Disagree 2. Date and Place of Marriage or Civil Union : ☐ Agree ☐ Disagree 3. Grounds for Divorce , Legal Separation, Dissolution : ☐ Agree ☐ Disagree 4. Minor Children of the Parties ☐ Agree ☐ Disagree 5. Facts Related to UCCJEA Jurisdiction: ☐ Agree ☐ Disagree Property, Assets and Debts: I have listed all of the property, assets and debts that my spouse and I own either jointly or solely that are known to me, in the Financial Affidavit that I am filing with this Answer. ( f orm 400 - 00813 B ) 7. Public Assistance : ☐ Agree ☐ Disagree ☐ Don’t know 8. Earlier Actions for Divorce, Legal Separation, Dissolution, or Annulment: ☐ Agree ☐ Disagree 9. Relief from Abuse or protective order proceedings: ☐ Agree ☐ Disagree 10. Military Status: ☐ Agree ☐ Disagree 6. 400 -00837 Kids – Notice of Appearance & Intent to Represent Myself + Answer to Complaint (01/2018) Page 2 of 2 If you disagree with any of the facts in Plaintiff’s Complaint, please write the paragraph number below and state the facts you believe to be true: COUNTERCLAIM Based on the facts stated above, I ask that the Family Court grant me: (check each box that applies ) ☐ Decree of Divorce ☐ Decree of Legal Separation ☐ Decree of Dissolution ☐ Parental Rights and Responsibilities Legal Parental Rights and Responsibilities: ☐ Shared Jointly ☐ Given Solely to: ☐ Myself ☐ Plaintiff Physical Parental Rights and Responsibilities: ☐ Shared Jointly ☐ Given Solely to: ☐ Myself ☐ Plaintiff ☐ Parent Child Contact for ☐ Myself ☐ Plaintiff ☐ Child Support, Medical Support and/or Maintenance Supplement. ☐ Division of Property (divide our marital property, assets and debts). ☐ Spousal Maintenance (Alimony). ☐ Court costs. ☐ Attorney fees. ☐ 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 Defendant Signed and sworn to or affirmed before me: Date Signature of Notary Public Expiration Date