Free Petition to Change Court Order - New Hampshire

Clear Form

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

Court Name: Case Name: Case Number:

PETITION TO CHANGE COURT ORDER
1. Your Name Date of Birth Residence Address Mailing Address (if different) Telephone Number (Home) 2. Other Party's Name Date of Birth Residence Address Mailing Address (if different) Telephone Number (Home) 3. List minor children born to or adopted by the parties: Name Date of Birth Name Date of Birth (Work) E-mail Address (optional) (Work) E-mail Address (optional)

4.

What part of the court order(s) do you want the court to change? (Check any that apply) The date of the most recent court order (if known): Child Support Only Legal Separation to Divorce Parenting Plan Child Support and Parenting Plan Alimony Other

5. What have you done to resolve matters before you filed this Petition To Change Court Order?

NHJB-2062-FS (04/09/2009)

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Case Name: Case Number: PETITION TO CHANGE COURT ORDER

6. What, specifically, do you want the court to order? (Please attach additional page(s) if necessary)

7. Why should the court change the current orders? (List each reason separately.)

8.

Please check one of the following regarding public assistance. No public assistance (TANF) is now being or has within the last 6 months been provided, nor is medical assistance (Medicaid) presently being provided, for any minor child of the parties. The N. H. Department of Health and Human Services is providing or has provided within the last 6 months public assistance (TANF) and/or medical assistance (Medicaid) for a minor child or children of the parties. If you check this box, you must mail copies of this petition and the Personal Data Sheet (NHJB-2077-FS) to DHHS at: New Hampshire Department of Health and Human Services Division of Child Support Services - Legal Unit 129 Pleasant Street Concord, NH 03301

9. By filing this petition, you are asking that the Court: Change the current orders as stated above; Schedule a hearing; Other:

Grant any other orders which may be appropriate.
Signature of Attorney (if any) Printed Name, Address and Phone Number of Attorney Signature of Party Filing Petition to Change Court Order Bar # Date

Subscribed and sworn to before me, at
County

, State of

on
Date

My Commission Expires
Signature of Notarial Officer

NHJB-2062-FS (04/09/2009)

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