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

Form 400-00153 is a Vermont Superior Court form also known as the "Motion To Modify Temporary Relief From Abuse Order Prior To Scheduled Hearing". The latest edition of the form was released in January 1, 2019 and is available for digital filing.

Download an up-to-date Form 400-00153 in PDF-format down below or look it up on the Vermont Superior Court Forms website.

ADVERTISEMENT
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
ADVERTISEMENT