NHJB-3058-F (01/01/2019) Page 1 of 2 THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: UNIFORM ALIMONY ORDER Name, Residence and Mailing Address of Person Name, Residence and Mailing Address of Ordered to Pay Support (Obligor) Person Receiving Support (Obligee) D.O.B. Telephone: D.O.B. Telephone: E-mail Address: E-mail Address: Name of Employer: Name of Employer: Address of Employer: Address of Employer: Alimony was contested and is denied because OR Alimony was contested and is ordered because OR Alimony is based on an agreement of the parties. Alimony is to be paid as follows: Term alimony: $ per (week, month, etc.) by (method of payment) until (date payments will end) OR (number of) payments of $ , which ends upon completion of all payments. The following special circumstances warrant an adjustment from the formula amounts and/or durational limits: American LegalNet, Inc. www.FormsWorkFlow.com Case Name: Case Number: UNIFORM ALIMONY ORDER NHJB-3058-F (01/01/2019) Page 2 of 2 Reimbursement alimony: $ per (week, month, etc.) by (method of payment) until (date of termination) Support ordered is payable by immediate income assignment. The Court finds that there is good cause to suspend the immediate income assignment because: Obligor and obligee have agreed in writing. Payments have been timely and it would be in the best interest of any minor child(ren) because: Full retirement age and/or actual retirement age will impact payments as follows Security under RSA 458:19-aa, VI is required as follows Alimony arrearage: $ as of , payable $ per (week, month, etc.) Recommended: Date Signature of Marital Master Printed Name of Marital Master So Ordered: I hereby certify that I have read the recommendation(s) and agree that, to the extent the marital master/judicial referee/hearing officer has made factual findings, she/he has applied the correct legal standard to the facts determined by the marital master/judicial referee/hearing officer. Date Signature of Judge Printed Name of Judge American LegalNet, Inc. www.FormsWorkFlow.com