THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us
Clear Form
Court Name: Case Name: Case Number:
(if known)
AFFIDAVIT OF NON-COHABITATION
I, matter, first being duly sworn, say: I have not cohabited with since .
, the petitioner in the above-entitled
Date
Signature of Petitioner
State of This instrument was acknowledged before me on My Commission Expires Affix Seal, if any
, County of by
Signature of Notarial Officer / Title
NHJB-2198-FS (12/06/2006) (formerly AOC 005-008)
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