Instructions
Clear Form
THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us
Court Name: Case Name: Case Number:
(if known)
PETITION/MOTION
1. Petitioner Name Mailing Address Petitioner Name Mailing Address 2. Attorney Name Mailing Address 3. The petitioner(s) states as follows: Telephone Bar ID# Telephone Telephone
NHJB-2128-P (06/04/2008) (formerly AOC 077-003)
Page 1 of 2
Case Name: Case Number: PETITION/MOTION
4. The petitioner(s) asks that the court grant the following:
I certify that a copy of this document has been provided to the parties who have filed an appearance for this case or who are otherwise interested parties.
Date
Petitioner Signature (must be signed in presence of notarial officer)
Date
Petitioner Signature (must be signed in presence of notarial officer)
State of This instrument was acknowledged before me on
, County of by
Date Petitioner(s)
My Commission Expires Affix Seal, if any
Signature of Notarial Officer / Title
ORDER Petition/motion is granted. Petition/motion is denied.
Date
NHJB-2128-P (06/04/2008) (formerly AOC 077-003)
Judge
Page 2 of 2
Top of 1st Page