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THE STATE OF NEW HAMPSHIRE (State of New Hampshire)

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U.S.A. forms for State of New Hampshire

BROWSE STATE OF NEW HAMPSHIRE (NH) FORMS

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NHJB-2072-F (01/01/2020) Page 1 of 5
THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us
Court Name:
Case Name:
Case Number:
(if known)
TEMPORARY DECREE ON PETITION FOR DIVORCE,
LEGAL SEPARATION, OR CIVIL UNION DISSOLUTION
This decree is (choose one):
Agreed to by Parties Proposed By
Ordered by the Court after hearing on at which petitioner respondent appeared.
1. Type of Case: (choose one)
DIVORCE
LEGAL SEPARATION
CIVIL UNION DISSOLUTION
2. Parenting Plan and Uniform Support Order N/A
See attached Parenting Plan and Uniform Support Order
3. Dependents N/A
The parties shall claim the minor child(ren) and/or other qualifying relative as dependent(s) for
all income tax purposes, in the following manner:
Petitioner, if otherwise qualified under federal/state law, shall be entitled to claim
as tax dependent(s) for all years even years odd years other
Respondent, if otherwise qualified under federal/state law, shall be entitled to claim
as tax dependent(s) for all years even years odd years other
A parent may only claim a child as a dependent if that parent is current on child support for the
applicable tax year.
4. Guardian ad Litem Fees N/A
See Order on Appointment of Guardian ad Litem
Other:
5. Alimony N/A
See attached Uniform Alimony Order.
Clear Form
Case Name:
Case Number:
TEMPORARY DECREE ON PETITION FOR DIVORCE, LEGAL SEPARATION, OR CIVIL UNION DISSOLUTION
NHJB-2072-F (01/01/2020) Page 2 of 5
6. Health Insurance for Spouse N/A
Each party shall be responsible for his/her own medical and dental insurance and for paying all
of his/her own unreimbursed medical, dental, optical, and other expenses not otherwise
covered by insurance.
shall maintain health insurance for the benefit of
on a temporary basis.
shall be responsible for payment of the premiums.
7. Life Insurance N/A
Each party shall maintain existing life insurance policies. No change in beneficiaries or the
amount of coverage shall be made and no encumbrances shall be placed on the policies.
shall maintain a life insurance policy in the minimum
amount of $ designating as trustee for the
benefit of the child(ren).
Other:
8. Motor Vehicles N/A
Each party is awarded the use of the vehicles in his/her possession. Each party shall be
responsible for all expenses as to the vehicles in his/her possession, including car payments,
maintenance, registration and insurance.
Other:
9. Furniture and Other Personal Property N/A
is awarded the following animal(s):
Care for animal(s) shall be provided by:
Each party is awarded the temporary use of the furniture, furnishings, and other personal
property currently in his/her possession.
Petitioner is awarded the temporary use of the following specific items of personal property:
Respondent is awarded the temporary use of the following specific items of personal property:
Case Name:
Case Number:
TEMPORARY DECREE ON PETITION FOR DIVORCE, LEGAL SEPARATION, OR CIVIL UNION DISSOLUTION
NHJB-2072-F (01/01/2020) Page 3 of 5
10. Retirement Plans and Other Tax-Deferred Assets N/A
Each party shall maintain any pension, retirement, 401(k), IRA, or other retirement account in
his/her name, and no reduction in, or encumbrance thereon, shall be made.
Other:
11. Other Financial Assets N/A
Each party is awarded the use of any bank accounts currently in his/her name.
Each party is awarded the use of any stocks, bonds, or other investments currently in his/her
name.
Other:
12. Business Interests of the Parties N/A
is awarded the temporary control of the
business, including the payment of all expenses for the business, known as
Other:
13. Division of Debt N/A
The parties shall each be responsible for any debt they have incurred after the date of
separation.
Petitioner shall be responsible for payment of the following debts:
Respondent shall be responsible for payment of the following debts:
14. Marital/Civil Union Home N/A
is awarded the temporary exclusive
occupancy of the marital/civil union home located at:
shall be responsible for the payment of
the mortgage, insurance, and real estate taxes for the marital home and all expenses for this
property.
Other:
Case Name:
Case Number:
TEMPORARY DECREE ON PETITION FOR DIVORCE, LEGAL SEPARATION, OR CIVIL UNION DISSOLUTION
NHJB-2072-F (01/01/2020) Page 4 of 5
15. Other Real Property N/A
is awarded the temporary exclusive
occupancy of the real estate located at:
shall be responsible for the payment of the
mortgage, insurance, and real estate taxes for this property and all expenses for this property.
Other:
16. Restraints against the Property
The parties are enjoined and restrained from selling, transferring, encumbering, hypothecating,
concealing or in any other manner whatsoever disposing of any property, real or personal, belonging
to either or both of them except by written agreement of the parties, for reasonable and necessary
expenses of living or in the ordinary course of investing, or by further order of the Court.
17. Restraining Order N/A
is restrained and enjoined from entering
the home or the place of employment of the other party, and from harassing, intimidating or
threatening the other party or his/her relatives or other household members.
Other:
18. Other Requests
Attorney's Fees: Any party that unreasonably fails to comply with this decree or other court
orders (including "Uniform Support Order") may be responsible to reimburse the other party for
whatever costs, including reasonable attorney’s fees, that may be incurred in order to enforce
compliance.
Change in address or employment: Each party shall promptly notify the court and the other
party of any change in his/her address or telephone number, and notify the other party of any
material change in employment as long as there are any continuing obligations under this
decree. “Material change” will include availability of medical, dental or life insurance and any
substantial increase or decrease in earnings or other income.
Miscellaneous:
I/we request that the Court approve this temporary decree.
Date Signature of Petitioner
Date Signature of Attorney/Witness for Petitioner
Date Signature of Respondent
Date Signature of Attorney/Witness for Respondent
Top of 1st Page
Case Name:
Case Number:
TEMPORARY DECREE ON PETITION FOR DIVORCE, LEGAL SEPARATION, OR CIVIL UNION DISSOLUTION
NHJB-2072-F (01/01/2020) Page 5 of 5
I certify that on this date I provided a copy of this document to (other party) or to
(other party’s attorney) by: Hand-delivery OR US Mail OR
E-mail (E-mail only by prior agreement of the parties based on Circuit Court Administrative Order).
Date Signature
Recommended:
Date Signature of Marital Master
Printed Name of Marital Master
So Ordered:
I hereby certify that I have read the recommendation(s) and agree that, to the extent the marital
master/judicial referee/hearing officer has made factual findings, she/he has applied the correct legal
standard to the facts determined by the marital master/judicial referee/hearing officer.
Date Signature of Judge
Printed Name of Judge
Top of 1st Page
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THE STATE OF NEW HAMPSHIRE (State of New Hampshire)

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Completed 16 December 2021

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