New Hampshire > Statewide > District Division > Landlord Tenant
Affidavit Of Damages And Statement Of Claim - New Hampshire
| Affidavit Of Damages And Statement Of Claim Form. This is a New Hampshire form and can be used in Landlord Tenant District Division Statewide . |
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AFFIDAVIT OF DAMAGES and STATEMENT OF CLAIM AFFIDAVIT OF DAMAGES In accordance with rental payment records of the landlord regarding rental property located at: Street Address City, State, Zip The landlord asserts that the tenant is in arrears in payment of rent in the amount of $ as of . The landlord seeks to recover the arrearage amount plus costs in the amount of $ , associated with filing and service fees. STATEMENT OF CLAIM The landlord/plaintiff claims that the tenant/defendant has failed to make payments on the following due dates: Due Date Amount Due $ $ $ $ Amount Paid $ $ $ $ Date Plaintiff's Signature State of This instrument was acknowledged before me on My Commission Expires Affix Seal, if any , County of by Signature of Notarial Officer / Title American LegalNet, Inc. www.FormsWorkFlow.com
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