THE STATE OF NEW HAMPSHIRE SUPREME COURT http://www.courts.state.nh.us Trial Court or Agency Name: Trial Case Name: Trial Case Number: MOTION TO WAIVE FILING FEE 1. Person requesting that filing fee be waived: 2. Reasons for request to waive filing fee: I certify that a completed Affidavit of Assets and Liabilities is filed with this motion. The Affidavit of Assets and Liabilities must be filed with this motion and served on opposing parties. (The Affidavit of Assets and Liabilities form is available at the Supreme Court or on the judicial branch website: http://www.courts.state.nh.us/supreme/forms/index.htm.) ANSWER YES TO ONE OF THE FOLLOWING (BUT NOT BOTH) I am filing this motion electronically. I certify that a copy of this motion is being or has been served on all other parties or their counsel, in accordance with the rules of the Supreme Court, as follows: I am serving registered e-filers through the court222s electronic filing system; I am serving or have served all other parties by mailing or hand-delivering a copy to them. OR I am not filing this motion electronically. I certify that a copy of this motion is being or has been served on all other parties or their counsel, in accordance with the rules of the Supreme Court, as follows: I am serving or have served all other parties by mailing or hand-delivering a copy to them. For the above-stated reasons, the court should waive the filing fee. /s/ Name of Filer Signature of Filer Date Law Firm, if applicable Bar ID # of attorney Telephone Address E-mail City State Zip code NHJB-2759-SUP (08/06/2018) Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com