700-00026 – Appointment of Resident Agent (10/2017) Page 1 of 1

STATE OF VERMONT

SUPERIOR COURT PROBATE DIVISION

Unit Docket No.:

In re:

☐ Estate ☐ Guardianship

APPOINTMENT OF RESIDENT AGENT I have been appointed as Fiduciary in the above matter, but am not a resident of the State of Vermont. I appoint (Resident Agent Name): __________________________________________________________________ to serve as my agent and accept service of any legal process.

Date Fiduciary Signature __________________________________________________ Fiduciary Printed Name

ACCEPTANCE OF APPOINTMENT AS RESIDENT AGENT I accept the appointment as resident agent.

Date Resident Agent Signature __________________________________________________ Resident Agent Printed Name

Resident Agent Information: Mailing Address: _______________________________________________

_______________________________________________

Phone: _______________________________________________

Email Address: _______________________________________________