For e-Filing only
THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us
Court Name:
Case Name:
Case Number:
(if known)
MOTION:
1. I am filing this motion on my own behalf.
OR
I am a person authorized by court rules to appear on behalf of another in this case. I am filing this
motion on behalf of
2. The facts supporting this motion are:
3. With this motion, I am requesting the following relief:
4. The other party does does not agree with the relief requested in this motion.
OR
I was unable to or did not obtain the other party’s opinion on this motion because:
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Case Name:
Case Number:
MOTION:
Filing Statement:
I am filing this pleading on my own behalf. The information contained in this pleading is true to
the best of my knowledge and belief. I understand that making a false statement in this pleading may
subject me to criminal penalties.
OR
I am an attorney filing this pleading on behalf of my client or I am a person authorized by court
rules to appear on behalf of another. To the extent this pleading contains facts not apparent in the
case file, I am attaching an affidavit or statement signed under penalty of criminal prosecution
attesting to the truth of those facts.
I state that on this date I am sending a copy of this document as required by the rules of the
Circuit Court. I am electronically sending this document through the court’s electronic filing system to
all attorneys and to all other parties who have entered electronic service contacts (email addresses)
in this case. I am mailing or hand-delivering copies to all other interested parties.
Name of Filer
/s/
Signature of Filer Date
Law Firm, if applicable Bar ID # of attorney Telephone
Address E-mail
City State Zip code
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