Fill and Sign the Represent Me in This Case unless an Attorney or I Notify the Court Otherwise Form

Form 810 STATE OF VERMONT SUPERIOR COURT FAMILY DIVISION ______________ Unit Docket No.______________ Plaintiff Defendant Name DOB v. Name DOB NOTICE OF APPEARANCE and INTENT TO REPRESENT MYSELF I intend to represent myself and hereby enter my appearance with the court. No attorney will represent me in this case unless an atto rney or I notify the court otherwise. I understand that IT IS MY RESPONSIBILITY to: 1. Notify the Court in writing if I chan ge my address or phone number; and 2. Send copies of any papers I file with the court to the other party in this case. All court papers may be mailed to me by first class mail at the address listed below. My Street Address My Mailing Address (if different): Town/City State Zip Town/City State Zip Phone Number (day) Phone Number (day) E Mail Address OBJECTION TO WAGE WITHHOLDING Pursuant to 15 V.S.A. §782 1. I am the  Plaintiff  Defendant in this case 2. A petition has been filed requesting that support be withheld from my wages. 3. I object to the petition because:  The petition incorrectly states the amount of my current support obligation.  The petition incorrectly states the amount that I owe in unpaid support.  My support payments are not overdue by more than 7 days.  I am not the person whom the Court or dered to pay support to the petitioner.  Other reason: (please explain) REQUEST TO THE COURT I request that the Court: Deny the Petition for Wage withholding and Grant any other relief this Court determines is appropriate. I hereby swear or affirm that th e information above is true to the best of my knowledge and belief. Signed and sworn to before me: 9/10 SML Signature Date Date Signature of Notary Public Expiration Date