Form 400-00153 "Motion to Modify Temporary Relief From Abuse Order Prior to Scheduled Hearing" - Vermont

What Is Form 400-00153?

This is a legal form that was released by the Vermont Superior Court - a government authority operating within Vermont. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2019;
  • The latest edition provided by the Vermont Superior Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form 400-00153 by clicking the link below or browse more documents and templates provided by the Vermont Superior Court.

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Download Form 400-00153 "Motion to Modify Temporary Relief From Abuse Order Prior to Scheduled Hearing" - Vermont

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STATE OF VERMONT
SUPERIOR COURT
FAMILY DIVISION
Unit
Docket No.
Plaintiff
DOB
Defendant
DOB
MOTION TO MODIFY TEMPORARY RELIEF FROM ABUSE ORDER
PRIOR TO SCHEDULED HEARING
I am the Defendant in this case. I cannot wait until the date of the hearing specified in the Temporary Order for Relief
From Abuse because of compelling reasons detailed below in the Affidavit. I request modification of the terms of the
Order relating ONLY to:
☐ Parental Rights & Responsibilities
and/or
☐ Possession of the residence
☐ I will not be represented by an attorney
☐ I will be represented by an attorney. My attorney’s name, address and phone number are:
Attorney Information:
Name:
_________________________________________
Phone: ___________________________
Address:
________________________________________________________________________________
Date: ___________________________
Defendant’s Signature: _________________________________
Printed Signature: _____________________________________
Affidavit in Support of Motion to Modify Temporary Relief From Abuse Order
In support of this request to modify the Order, subject to the penalties for perjury, I state the following facts to be true
to the best of my knowledge and belief about the present situation. The compelling reasons for modification of the
Order are:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
I swear or affirm that the facts set forth in this petition are true and correct to the best of my knowledge and belief.
Date: ___________________________
Defendant’s Signature:
_______________________________
Printed Signature:
_______________________________
Signed and sworn to before me:
Date: ___________________________
Expiration Date: ___________________
Signature of Notary: ___________________________________
NOTICE
This affidavit will be served on Plaintiff with the Motion to Modify.
WARNING:
MAKING FALSE STATEMENTS IN THIS AFFIDAVIT IS A CRIME SUBJECT TO A TERM OF IMPRISONMENT OR A FINE, OR
BOTH AS PROVIDED BY 13 V.S.A. §2904.
400-00153 – Motion to Modify Temporary RFA Order Prior to Scheduled Hearing (01/2019)
Page 1 of 1
STATE OF VERMONT
SUPERIOR COURT
FAMILY DIVISION
Unit
Docket No.
Plaintiff
DOB
Defendant
DOB
MOTION TO MODIFY TEMPORARY RELIEF FROM ABUSE ORDER
PRIOR TO SCHEDULED HEARING
I am the Defendant in this case. I cannot wait until the date of the hearing specified in the Temporary Order for Relief
From Abuse because of compelling reasons detailed below in the Affidavit. I request modification of the terms of the
Order relating ONLY to:
☐ Parental Rights & Responsibilities
and/or
☐ Possession of the residence
☐ I will not be represented by an attorney
☐ I will be represented by an attorney. My attorney’s name, address and phone number are:
Attorney Information:
Name:
_________________________________________
Phone: ___________________________
Address:
________________________________________________________________________________
Date: ___________________________
Defendant’s Signature: _________________________________
Printed Signature: _____________________________________
Affidavit in Support of Motion to Modify Temporary Relief From Abuse Order
In support of this request to modify the Order, subject to the penalties for perjury, I state the following facts to be true
to the best of my knowledge and belief about the present situation. The compelling reasons for modification of the
Order are:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
I swear or affirm that the facts set forth in this petition are true and correct to the best of my knowledge and belief.
Date: ___________________________
Defendant’s Signature:
_______________________________
Printed Signature:
_______________________________
Signed and sworn to before me:
Date: ___________________________
Expiration Date: ___________________
Signature of Notary: ___________________________________
NOTICE
This affidavit will be served on Plaintiff with the Motion to Modify.
WARNING:
MAKING FALSE STATEMENTS IN THIS AFFIDAVIT IS A CRIME SUBJECT TO A TERM OF IMPRISONMENT OR A FINE, OR
BOTH AS PROVIDED BY 13 V.S.A. §2904.
400-00153 – Motion to Modify Temporary RFA Order Prior to Scheduled Hearing (01/2019)
Page 1 of 1