Free Microsoft Word - nhjb-2205-f.Doc - New Hampshire

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

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

REQUEST FOR CERTIFIED COPY OF DIVORCE DECREE OR VITAL STATISTICS

Please send a certified copy of my Divorce Decree ($15.00) and all accompanying paperwork to me at the following address:

The Vital Statistics Form is required in order to remarry and/or to return to your maiden name after divorce. The document may also be required for other purposes. Please send a certified copy of my Vital Statistics Form ($5.00) to me at the following address:

I have enclosed a $15.00 payment (for Divorce Decree).

I have enclosed a $5.00 payment (for Vitals Statistics Form).

Date

Signature

NHJB-2205-F (04/10/2009)

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