The Vermont Statutes Online
§ 811. Procedure; form
A person of age and sound mind may change his or her name by making, signing, sealing, and acknowledging before the judge of the Probate Division of the Superior Court of the district in which the person resides, an instrument in the following form:
STATE OF VERMONT
________________________ District. }
Be it remembered, that I, A. B. of __________________ in the county of ________________________________, will be hereafter known and called ____________________________.
In witness whereof I hereunto set my hand and seal this ____________ day of ____________, 20 ________.
A.B. (L. S.)
(Amended 1993, No. 174 (Adj. Sess.), § 4; 2009, No. 154 (Adj. Sess.), § 238a, eff. Feb. 1, 2011.)