NHJB-2839-Se (07/01/2018) Page 1 of 2 THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) MOTION : 1. I am filing this motion on my own behalf AND/OR I am a person authorized by court rules to appear on behalf of another in this case. I am filing this motion on behalf of 2. The facts supporting this motion are: 3. With this motion, I am requesting the following relief: 4. The other party does does not agree with the relief requested in this motion. OR I was unable to or did not obtain the other party222s opinion on this motion because: American LegalNet, Inc. www.FormsWorkFlow.com Case Name: Case Number: MOTION: NHJB-2839-Se (07/01/2018) Page 2 of 2 For non e-filed cases: I state that on this date I am mailing by U.S. mail, or Email (only when there is a prior agreement of the parties to use this method), or hand delivering a copy of this document to: or Other party Other party222s attorney OR For e-filed cases: I state that on this date I am sending a copy of this document as required by the rules of the court. I am electronically sending this document through the court222s electronic filing system to all attorneys and to all other parties who have entered electronic service contacts (email addresses) in this case. I am mailing or hand-delivering copies to all other interested parties. Name of Filer Signature of Filer Date Law Firm, if applicable Bar ID # of attorney Telephone Address E-mail City State Zip code FOR COURT USE ONLY American LegalNet, Inc. www.FormsWorkFlow.com