NHJB-2978-D (08/01/2021) Page 1 or 2
I am charged with a:
Violation Class B Misdemeanor Class A Misdemeanor Felony
I did not pay my fine because:
I did not appear for my court date because:
I REQUEST THAT THE COURT
Vacate the default Vacate the $50 administrative fee
Recall the warrant Establish a time payment schedule
Schedule a hearing
Date Signature
**Address (indicate any address changes below) Printed Name
Town, State, Zip Code Telephone (cell)
** Change of address notification Effective immediately Effective on
Clerk Review (For use in defaults in appearance on Violations, Class B Misdemeanors and/or non-payment of fines on
Violations, Class A & B misdemeanors)
:
VACATE EBW
Fine ONLY - No ability/partial ability to pay – collect payment (if any), schedule next hearing and
issue Notice of Cleared Default
Fine ONLY - Ability to pay – Clerk to collect fine and administrative fee and issue Notice of
Cleared Default (no further hearing)
Failure to Appear - schedule next hearing before court and issue Notice of Cleared Default
DEFAULT FEE UNPAID, TO BE ADDRESSED AT COURT HEARING.
Date Signature of Clerk
Printed Name of Clerk
THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us
Court Name:
Case Name:
Case Number:
(if known)
MOTION TO VACATE DEFAULT AND/OR RECALL WARRANT
