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Vermont Financial Affidavit: Property and Assets Form

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Vermont Financial Affidavit: Property and Assets Form
Vermont Financial Affidavit: Property and Assets Form
STATE OF VERMONT
SUPERIOR COURT
FAMILY DIVISION
Unit
Docket No.
Plaintiff
Defendant
DOB
DOB
Name
Name
V.
FORM 813 B - FINANCIAL AFFIDAVIT: Property and Assets
My Name and Address:
I am: (Please check appropriate box)
Plaintiff
Defendant
Other
INSTRUCTIONS: You are required to complete and file the 813B if-
1. You are a party in a newly filed divorce, civil union dissolution, legal separation or annulment and you and the
other party have minor children; OR
2. You are ordered by the Court to complete and file this form or the other party requests that you fill out the form
as part of the discovery process.
DEADLINE FOR FILING: This form must be filed with the court before or at your first case manager's conference.
If no conference is scheduled it must be filed at least five days before your first scheduled court hearing.
YOU MUST SEND A COPY OF YOUR COMPLETED FORM TO THE OTHER PARTY AT THE SAME
TIME THAT YOU FILE IT WITH THE COURT.
When you have completed the form and filled in all the required information, you must sign the Affirmation section
below and have your signature notarized.
AFFIRMATION
I have read and filled in all the information requested.
I hereby affirm of my own knowledge that the facts and financial information I have stated are true and correct as of
the date of this Affirmation and that I am not omitting any source or amount of income or other information requested
on this form. I understand that any false information may constitute perjury by me. I also understand that if I fail to
provide the required information or give misinformation, the judge may order sanctions against me.
Signature of person making affidavit
Sworn to me on
, 20
My Commission Expires:
Notary Public
/ / ,20
12
10/10 SML
Street
Name
/ / / /
State
Town/City
Zip
Vermont Financial Affidavit: Property and Assets Form
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