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Fill and Sign the I Request that This Minor Guardianship Order Issued by This Court on Form

Fill and Sign the I Request that This Minor Guardianship Order Issued by This Court on Form

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STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No. In re Guardianship of : Motion to Modify, Continue or Terminate Guardianship Order I request that this minor Guardianship Order issued by this Court on be As grounds for my request, I state under oath that: 1. I am: 2. My request is based on the following: Check the appropriate box ☐ Modification: I want the Court to modify the following provision(s) in the guardianship order: I am requesting this change because: ☐ Termination: I want the Court to terminate the Guardianship Order. I am requesting this change because: ☐ Continue: I am the guardian of the child and the child’s has requested that the guardianship be terminated and custody returned to him/her. I disagree with this request and want the guardianship to continue because: Respectfully submitted, Date Signature of Petitioner Petitioner’s Mailing Address Petitioner’s Phone Number Subscribed and sworn before me on: date My commission expires on: Date of Expiration 700-00062 – Motion to Amend or Terminate Order (06/2019) Signature of Notary Page 1 of 1

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