THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) MOTION TO WAIVE FILING FEES I, Petitioner Respondent in the above entitled matter, hereby request that the Court waive the filing fee and service fees in this case as I do not have the financial ability to pay for these fees. I have attached a financial affidavit, signed under oath. In support of this motion, it is stated as follows: Wherefore, it is respectfully requested that this Court waive the filing fee and service fees in this case. Date Signed COURT ORDER Motion Granted. Motion Denied . Motion granted, in part. Filing fee reduced, party to pay $ Sheriff's Fees Waived Payment of the Filing Fee may be assessed against either party at a further hearing. Sheriff's Fees Not Waived. Service may be made by certified mail, return receipt requested. 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 NHJB-2341-F (01/01/2011) (formerly AOC 007-008) Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com