Petition And Affidavit For Expedited Hearing
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Petition And Affidavit For Expedited Hearing Form. This is a New Hampshire form and can be use in Probate Court Statewide.
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Tags: Petition And Affidavit For Expedited Hearing, NHJB-2169-P, New Hampshire Statewide, Probate Court
THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us
Court Name:
Case Name:
Guardianship of
Case Number:
(if known)
PETITION AND AFFIDAVIT FOR EXPEDITED HEARING
(RSA 464-A:4, IV)
I/We,
, under oath, hereby request an
expedited hearing under RSA 464-A:4, IV, and hereby depose and say:
In my/our opinion, an expedited hearing for the finding of incapacity and appointment of a guardian
of the person and estate, or the person, or estate, is necessary for the following reason(s):
IF THE PETITIONER IS A PHYSICIAN, PLEASE COMPLETE THE FOLLOWING.
1. I am a physician at
located at
2. I am the physician for
I certify that a copy of this document has been provided to the parties who have filed an appearance
for this case or who are otherwise interested parties.
Date
Petitioner(s) or Physician Signature (must be signed in presence of notarial officer)
State of
, County of
by
This instrument was acknowledged before me on
Date
My Commission Expires
Affix Seal, if any
Petitioner(s) or Physician
Signature of Notarial Officer / Title
ORDER
Request for expedited hearing is:
Granted
Date
Judge
NHJB-2169-P (06/04/2008)
(formerly AOC-221-003)
Page 1 of 1
Denied
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