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Motion For Private Claim NHJB-2628-P - New Hampshire
| Motion For Private Claim Form. This is a New Hampshire form and can be used in Other Probate Court Statewide . |
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THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) MOTION FOR PRIVATE CLAIM 1. Fiduciary Name Mailing Address Fiduciary Name Mailing Address 2. 3. 4. Telephone Telephone Telephone Bar ID# , late of . Attorney Name Mailing Address I/We have a claim against the estate of in the amount of $ Describe the details of your claim against the estate, explaining why the estate owes you money. (Attach additional pages if needed) I/We do not have any knowledge of any credit or offset that should be allowed against this claim. To the best of my/our knowledge and belief, the above is a true statement of the claim against the estate. I/we ask to the court to allow this claim. 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 Date Fiduciary Signature (must be signed in presence of notarial officer) Fiduciary Signature (must be signed in presence of notarial officer) State of This instrument was acknowledged before me on Date , County of by Fiduciary Signature of Notarial Officer / Title My Commission Expires Affix Seal, if any ORDER Motion for Private Claim is allowed. Motion for Private Claim is disallowed. Date NHJB-2628-P (12/18/09) (Formerly 128) Judge American LegalNet, Inc. www.FormsWorkFlow.com
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