THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) REGISTRATION OF FOREIGN JUDGMENT The Judgment Creditor, files this Foreign Judgment in accordance with NH RSA 524-A. Judgment Creditor will provide a certified copy of a valid, existing judgment, along with any documents modifying the judgment, that were entered in the State/Commonwealth of . 1. Judgment Creditor Name Telephone Mailing Address 2. Attorney Name, if applicable Telephone Mailing Address Bar ID# 3. Judgment Debtor Name Telephone Post Office (Mailing) Address Filing Party222s Verification: I verify the truth and accuracy of all facts alleged within this document to the best of my belief and further verify that all facts contained in this document are alleged in good faith. By affixing my signature to this document I acknowledge my understanding that any false statements made in this motion are punishable as perjury which may include a fine or imprisonment or both. Name of Filer Signature of Filer Date Law Firm, if applicable Bar ID # of attorney Telephone Address E-mail City State Zip code NHJB-4016-Se (07/01/2018) Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com