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Dated at this day of 20 Tel Signature Subscribed and sworn to before me at this day of 20. Notary Public RETURN TO FILING FEE 25. PETITION FOR NON-RESIDENT MINISTER TO PERFORM MARRIAGE CEREMONY TO THE HONORABLE PROBATE COURT WITHIN AND FOR SAID DISTRICT Now comes of and respectfully states that in accordance with Title 18 5144 of the Vermont Statutes Annotated he/she hereby applies for Special Authorization to solemnize the marriage in now planned for Town date mailing address That the...

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