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Petition for Divorce (New Hampshire)

This form is to petition for a divorce in New Hampshire. The form provided here is simply a sample of what the actual form looks like.

CASE NUMBER _____________________________
To be assigned by Court

JUDICIAL BRANCH - SUPERIOR COURT

_____________________________ COUNTY

In the matter of _____________________________

PETITION FOR DIVORCE

1. Your Name _____________________________

Date of Birth _____________________________

Residence Address _____________________________

Town/City _____________________________

County _____________________________

State _____________________________

2. Spouse's Name _____________________________

Date of Birth _____________________________

Residence Address _____________________________

Town/City _____________________________

County _____________________________

State _____________________________

3. City and state where you were married _____________________________

Date of marriage _____________________________

4. You have been a resident of New Hampshire since _____________________________

5. Children born to or adopted by you and your spouse either before or during the marriage:

NAME _____________________________

DATE OF BIRTH _____________________________


NAME _____________________________

DATE OF BIRTH _____________________________


NAME _____________________________

DATE OF BIRTH _____________________________

6. To my knowledge, wife ____ Is ____ Is not pregnant:

7. Please check one of the following regarding public assistance:

____ No public assistance (AFDC/TANF) is now being or has within the last 6 months been provided, nor is medical assistance (Medicaid) presently being provided, for any minor child listed in Paragraph 5.

____ The N.H. Department of Health and Human Services is providing or has provided within the last 6 months public assistance (AFDC/TANF) and/or medical assistance (Medicaid) for any minor child. If this is checked, you must mail copies of this petition and the confidential data sheet to the Department at:

OCS Legal Office
6 Hazen Drive
Concord, NH 03301

8. The cause for divorce is (check one or both):

____ Irreconcilable differences have caused the irremediable breakdown of the marriage.

____ Other grounds (fill in) _____________________________

9. By filing this petition, you are asking that the Court:

A. Grant a divorce.

B. Equitably divide the personal property, retirement benefits, real estate, and debts.

C. If there are children listed in Paragraph 5, or if wife is pregnant, issue orders concerning the custody, visitation, support, health insurance, and other matters relating to the minor child(ren).

D. Restore former name of wife or husband or both, if requested during the divorce.

____ Check here if you are asking for physical custody or primary physical custody.

E. Please check each request that applies:

____ Issue orders concerning alimony (support for spouse).

____ Other (list)

F. Grant any other orders which may be appropriate.

10. Temporary Orders, if issued, will be in effect until the divorce is granted.

____ Check here if you wish the Court to issue temporary orders, and check what temporary orders you are requesting:

____ The use of personal property and payment of debts.

____ The use of family home.

____ The custody, visitation, support, health insurance, and other matters relating to the children listed in Paragraph 5.

____ Alimony (support for spouse)

____ Other (list)

(Both parties to sign in front of Notary Public or Justice of the Peace.)

Wife's Signature _____________________________

Date _____________________________

Attorney (if any) _____________________________

Attorney's Address _____________________________

Husband's Signature _____________________________

Date _____________________________

Attorney (if any) _____________________________

Attorney's Address _____________________________


State of New Hampshire

_____________________________County

_____________________________ (name). The person signing this petition appeared and signed before me and took oath that the facts stated in this petition are true, to the best of his or her knowledge and belief, and that he/she has mailed copies of the petition and confidential data sheet to OCS (if required under Paragraph 6).

_____________________________ Date

_____________________________ Notary Public / Justice of the Peace

_____________________________ (name). The person signing this petition appeared and signed before me and took oath that the facts stated in this petition are true, to the best of his or her knowledge and belief, and that he/she has mailed copies of the petition and confidential data sheet to OCS (if required under Paragraph 6).

_____________________________ Date

_____________________________ Notary Public / Justice of the Peace

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