NHJB-2201-DFP (08/29/2014) Page 1 of 1
THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us
Court Name:
Case Name:
Case Number:
(if known)
MOTION:
I,
state the following facts and request the following relief:
Date Signature
Telephone Address
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
ORDER
Motion granted. Motion denied.
Recommended:
Date Signature of Marital Master/Referee
Printed Name of Marital Master/Referee
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
