Form 806
STATE OF VERMONT SUPERIOR COURT Unit
FAMILY DIVISION Docket No.
Plaintiff
Defendant
Name
DOB
Name
DOB
v.
MOTION FOR DEFAULT JUDGMENT Under oath, I, _______________________________, state that the Print Name
facts are true on information and belief: 1. I filed this action with the court on _________________________. Date of filing
2. Defendant was served with the summons, complaint and all other paperwork related to the filing of this case on ________________. An acceptance of service Date of service
or a return of service has been filed with the court. 3. Defendant has not filed an answer and it has been at least 20 days since the date on which s/he was served. 4. Defendant is not in the military service. 5. Defendant is not a minor (under 18 years of age). 6. Defendant is not incompetent. I hereby swear or affirm that the information above is true to the best of my knowledge and belief. Date
Signature Please Print Name
Signed and sworn to before me: Date
9/10 SML
Signature of Notary Public
Expiration Date