100-00261 Sheriff’s Return of Service (04/2015) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT CIVIL DIVISION Unit Docket No.:__________________________ Plaintiff(s) Defendant(s) vs. SHERIFF’S RETURN OF SERVICE Give this form to the sheriff or constable if the defendant does not send an answer in response to the mailed Summons and Complaint. ☐ Summons ☐ Default Judgment Order ☐ Complaint ☐ Motion for Trustee Process ☐ Answer form ☐ List of Exemptions ☐ Information and Instructions for the Defendant ☐ Trustee’s Disclosure Form ☐ Attachment(s) ☐ Other _________________________ __________________________________________________________________________________________________ STATEMENT OF SERVICE FEES SERVICE $ ________ MILEAGE ( _______ miles @ _______ per mile ) $ ________ TOTAL $ ________ Less Deposit $ ________ REFUND OR BALANCE DUE $ ________ __________________________________________________________________________________________________ RETURN OF SERVICE On ___________________ (Date), I served the documents checked above by delivering a copy to: ☐ The defendant named at the following address: _______________________________________________________. ☐ A person of suitable age and discretion residing at the named defendant’s address: Person’s Name: __________________________________________________________________________________ Age: ________ Relation to Defendant: ______________________________________________________________ Address: _______________________________________________________________________________________ ☐ Other (give name and address) ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ___________________________________ Signature of Serving Officer IMPORTANT: The plaintiff must send the Original Copy of the Return of Service to the Court immediately after service has been completed. Keep a copy for your records.

STATE OF VERMONT SUPERIOR COURT CIVIL DIVISION Unit … · STATE OF VERMONT SUPERIOR COURT CIVIL DIVISION Unit Docket No.:_____ Plaintiff(s) Defendant(s) vs. SHERIFF’S RETURN OF

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100-00261 Sheriff’s Return of Service (04/2015) Page 1 of 1

STATE OF VERMONT SUPERIOR COURT CIVIL DIVISION

Unit Docket No.:__________________________ Plaintiff(s)

Defendant(s) vs.

SHERIFF’S RETURN OF SERVICE

Give this form to the sheriff or constable if the defendant does not send an answer

in response to the mailed Summons and Complaint.

☐ Summons ☐ Default Judgment Order

☐ Complaint ☐ Motion for Trustee Process

☐ Answer form ☐ List of Exemptions

☐ Information and Instructions for the Defendant ☐ Trustee’s Disclosure Form

☐ Attachment(s) ☐ Other _________________________

__________________________________________________________________________________________________ STATEMENT OF SERVICE FEES

SERVICE $ ________ MILEAGE ( _______ miles @ _______ per mile ) $ ________ TOTAL $ ________ Less Deposit $ ________ REFUND OR BALANCE DUE $ ________ __________________________________________________________________________________________________

RETURN OF SERVICE On ___________________ (Date), I served the documents checked above by delivering a copy to:

☐ The defendant named at the following address: _______________________________________________________.

☐ A person of suitable age and discretion residing at the named defendant’s address: Person’s Name: __________________________________________________________________________________

Age: ________ Relation to Defendant: ______________________________________________________________

Address: _______________________________________________________________________________________

☐ Other (give name and address)

______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________

___________________________________

Signature of Serving Officer

IMPORTANT: The plaintiff must send the Original Copy of the Return of Service to the Court immediately after service has been completed.

Keep a copy for your records.