12 V.S.A. § 6042: Perjury before person or board authorized to examine witnesses

Indictment Against a Person for Committing Perjury Before a Person, or Board Consisting of More Than One Person, Authorized by Law to Examine Witnesses Under Oath

STATE OF VERMONT, Be it remembered that at a

............................ County, ss. } term of the Superior Court begun

and held at .............................. , within and for the county of ..................... , aforesaid, on the .................... day of ................................... A.D. 20.......... , the grand jurors within and for the county of ................................... , upon their oath present that ........................ of ................................... in the county of ................................... on the .................... day of ........... .............. A.D. 20........ , before (here insert the name of the person or board before whom the perjury was committed) the said (here insert the name of the person or board before whom the perjury was committed) then and there having authority to examine said (here insert name of respondent) under oath (here specify the matter then under consideration) committed the crime of perjury, by testifying in substance as follows: (here insert the matter claimed to be false) which said testimony was material in said proceeding, against the peace and dignity of the State.