NHJB-4005-Se (04/15/2019) 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) v. Plaintiff Defendant MOTION FOR EX PARTE ATTACHMENT The Plaintiff requests permission to make the following attachments without prior notice to the Defendant: Name of Defendant Category of Property to be attached (check one) Amount of attachment Real Estate Provide address or book & page reference. Attach additional pages if necessary. Other $ $ $ A. The Plaintiff certifies the following facts to establish a reasonable likelihood that he/she will recover the amount stated above. (Specify facts in detail. Attach additional pages if necessary). B. The Plaintiff asserts that such an attachment is justified on the following grounds: (Specify which of the statutory grounds for making an ex parte attachment applies and detail the facts warranting the application of those grounds. Attach additional pages if necessary). There is substantial danger the property sought to be attached will be damaged, destroyed, concealed, or removed from the state and placed beyond the attachment jurisdiction of the court. There is imminent danger of transfer to a bona fide third party. Other: Name of Filer Signature Date (If plaintiff is a corporation or partnership, a duly authorized officer or partner shall sign.) Law Firm, if applicable Bar ID # of attorney Telephone Address E-mail City State Zip code American LegalNet, Inc. www.FormsWorkFlow.com Case Name: V. Case Number: MOTION FOR EX PARTE ATTACHMENT NHJB-4005-Se (04/15/2019) Page 2 of 2 State of , County of This instrument was acknowledged before me on by My Commission Expires Affix Seal, if any Signature of Notarial Officer / Title ORDER Motion to attach is denied. Motion to attach is granted granted subject to the following modifications: The Plaintiff is granted permission to make the above attachment(s) and shall complete service on the Defendant within days. NOTICE TO DEFENDANT The court has authorized the above attachment to secure any judgment or decree that the Plaintiff may obtain. You have the right to object in writing, ask for a hearing and request that the attachment be removed. Any objection to this attachment shall be filed in writing within 14 days after service of this notice on you. If you fail to file such a request within the time specified in the order, you will be deemed to have waived your right to a hearing with reference to the attachment, but not with reference to the merits of the Plaintiff222s claim. Date Presiding Justice American LegalNet, Inc. www.FormsWorkFlow.com