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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

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NHJB-2076-F (03/25/2013) Page 1 of 2
THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us
Court Name:
Case Name:
Case Number:
(if known)
EX PARTE (EMERGENCY) MOTION
Your Name:
Other Party’s Name:
A. What ex parte orders do you want the court to make?
B. Describe the reasons that you feel are important supporting your request for ex parte orders
and describe the immediate and irreparable injury, loss or damage that will happen to you,
your child(ren) or your property if the ex parte orders are not granted before the other party has
an opportunity to be heard on this matter. List each separately.
C. Notification:
1. What efforts have you made to notify the other parties of your appearance at court today
and your request for ex parte orders?
Instructions
Clear Form
Case Name:
Case Number:
EX PARTE (EMERGENCY) MOTION
NHJB-2076-F (03/25/2013) Page 2 of 2
2. What were the results of those efforts?
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).
I verify the truth and accuracy of all facts alleged within this document to the best of my belief and
further verify that all facts contained in this document are alleged in good faith. By affixing my
signature to this document I acknowledge my understanding that any false statements made in this
document may subject me to criminal penalties and the penalties of perjury which may include a fine
or imprisonment or both.
Date Signature
Attorney for Party (if any) Signature of Party Date
Printed Name, Address, E-mail, and Phone Number of Attorney
**Printed name accepted without notarization during COVID19**
**Printed name accepted without notarization during COVID19**
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THE STATE OF NEW HAMPSHIRE (State of New Hampshire)

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Completed 4 January 2022

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