Free Petition to Register Foreign Order in Affidavit Form - Nebraska

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THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us

Court Name: Case Name: Case Number:
(if known)

PETITION TO REGISTER FOREIGN ORDER IN AFFIDAVIT FORM
One (1) Certified Copy And One (1) Photocopy Of The Order Must Be Attached Support or Alimony - No filing fee Divorce, Custody, Civil Union Dissolution, Visitation, etc. - Filing Fee required 1. Your Name Date of Birth Your Address 2. Other Party's Name Date of Birth Other Party's Address 3. List minor children born to or adopted by the parties: Name Date of Birth Name Date of Birth E-mail Address Telephone E-mail Address Telephone

4.

What type of case are you asking the Court to Register? Divorce/Legal Separation Child Support Other

(One (1) certified copy and one (1) photocopy must be attached.)

Custody/Parental Rights and Responsibilities Civil Union Dissolution

5. 6. 7. 8.

In what state(s) was this case heard? Is the case still pending (open) or closed? Is there a hearing scheduled? Yes No

If yes, what is still pending? The present address / P.O. Box of the child(ren)

9.

The actual state(s) and residences where the child(ren) has lived within the last five years:

NHJB-2063-FS (12/27/2006)

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Case Name: Case Number:

PETITION TO REGISTER FOREIGN ORDER IN AFFIDAVIT FORM 10. The names and present addresses of the person(s) with whom the child(ren) has lived during the last five years?

11. Have you participated as a party, witness or in any other capacity in any other litigation concerning the custody or parental rights and responsibilities of the same child(ren) in this or any other state? Yes No If yes, please explain: 12. Do you know of any person not a party to the proceedings who has physical custody or residential responsibility of the child(ren) or claims to have custody, visitation rights or residential responsibilities with respect to the child(ren)? Yes No If yes, please provide name and address: 13. State, in your own words, why you want to register this Order:

Questions #14-#16 answer for SUPPORT CASES ONLY. 14. A description and the location of any property (house, cars, etc.) owned by the person ordered to pay support. 15. How much child support is owed as of this date? 16. I have notified the N.H. Division of Human Services that I am filing this petition. Yes No

The Petitioner respectfully requests the Court: A. Register the attached order: (Please check any of the following that apply.) Child Support Only Divorce/Legal Separation Alimony B. Child Support & Custody/Visitation/Parenting Plan Custody/Visitation/Parenting Plan Other

Civil Union Dissolution

Grant any other relief which may be appropriate.
Petitioner Signature Date

Attorney for Petitioner (if any) Printed Name, Address, E-mail, and Phone Number of Attorney

State of This instrument was acknowledged before me on My Commission Expires Affix Seal, if any
NHJB-2063-FS (12/27/2006)

, County of by
Signature of Notarial Officer / Title
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