Free Instructions - New Hampshire


File Size: 24.0 kB
Pages: 1
File Format: PDF
State: New Hampshire
Category: Probate
Word Count: 309 Words, 1,867 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.courts.state.nh.us/forms/nhjb-2302-p-instructions.pdf

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Instructions for completing Voluntarily Mediated Agreement
(NHJB-2302-FP) (RSA 170-B:14)

Form use. The purpose of this form is to meet the provisions of RSA 170-B:14 which provides for voluntarily mediated agreements in adoptions involving the Department of Health and Human Services. During the mediation session, the parties would agree on the terms of the agreement, and then complete the form at the conclusion of the mediation session.

Top part of form ·COURT NAME: Enter the name of the county probate court where the document will be filed. (example: Belknap County Probate Court; Rockingham County Probate Court). ·CASE NAME: Enter the birth name of the child who will be adopted (example: Adoption of John Adams; Adoption of Susan Jones). ·CASE NUMBER: Leave blank if not yet assigned by court OR fill in case number if it is known. Read the statements #1 through #5. On the lines provided, enter the specific details of this agreement between the parties. Signature section All parties to this agreement must sign and date this form on the appropriate lines provided. This form must be signed in the presence of a Notary Public or Justice of the Peace. They will complete the section immediately following. Child's assent Complete this section ONLY if the adoptive child is 14 years of age or older. The child must sign the form on the Child Signature line and date it in the appropriate space to the left. Order This section will be completed by the judge once the document is filed with the court and reviewed in detail by the judge.

Review the completed form for accuracy prior to filing it with the court. If completing this form on-line, some fields may be filled in automatically based on entries in other fields. If more space is needed for any question, please attach additional sheets of paper.

NHJB-2302-FP Instructions (10/01/06)

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