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Affidavit (Family Court)

If an affiant wishes to support a complaint that has been submitted to a family court, the following affidavit has to be executed.

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Form 804

AFFIDAVIT

In support of the complaint, motion, petition or objection filed in this case,
subject to the penalties for perjury, I state the following facts, which are true to

the best of my knowledge and belief: 
Date

Signature

Subscribed and sworn to before me: 
Expiration Date

Date

Signature of Notary

1/11 SML

                                                                         STATE OF VERMONT
SUPERIOR COURT                                                                                                  FAMILY DIVISION
                                 Unit                                                                                           Docket No.



 v.  Defendant's Name  DOB
Plaintiff's Name  DOB
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