Fill and Sign the Affidavit as to Military Service New Hampshire Judicial Branch Form

NHJ B-2200-DF PS (06/ 04/ 2008) Page 1 o f 1 (form erly AOC 606-008 or 606-04 5) THE ST A TE O F NEW H A M PSHIRE JUDI CI AL BR AN C H Cour t N ame: Ca se Nam e: Ca se Num ber: (if k now n) AFFI D AVI T AS TO M ILI TARY SERVI CE I ( W E) [enter nam es of petiti oner ] of [enter addr es s] state the following facts show ing that, t o the best of my (our ) know ledg e an d b elief: 1) T he resp ond ent( s)/defend ant( s) is (a re ) not in the m ilit ary or other serv ice o f the Unit ed S tates inclu ded i n th e prov isions o f the Ser vicemem ber s C ivil Relief Act ( SC RA) and has ( hav e) no t b een ca lled by the g overnor to acti ve duty for a per iod of 30 days or mor e as a m ember of th e st ate guar d or na tion al guar d or as a me mb er of the mi litia w ithi n the me ani ng of R SA 11 0- C:2. (Pl ease st ate sup por ting facts , i.e., w her e r espon dent( s)/defendant( s) is (are) living, empl oyed, or appr ox im ate ag e su fficie nt t o sh ow not in military ser vice). 2) T he resp ond ent( s)/defend ant( s) is (a re ) in the m ilita ry o r o ther service o f th e Un ite d States in clud ed in the p rovisio ns of the Ser vicemem ber s C ivil Relief Act ( SC RA) or has ( hav e) bee n cal led by the g overnor to ac tive duty for a per iod of 30 day s or mor e as me mb er of the s tate guar d or nati onal guar d or as a m em ber of the m ilitia with in th e me an ing of RS A 1 10-C:2 . (Pl ease st ate th e na me of the br anc h ser vice and th e r esp ond ent /defen dan t’s ad dr ess) . Date Sig nat ure of Petit ioner / Plaintiff Date Sig nat ure of Petit ioner / Plaintiff State of , Coun ty of This instrument w as acknow ledg ed be for e me on by Date Nam e of Petiti oner /Plaintif f My C ommi ssi on Ex pires Affix Seal, if an y Sig nat ure of Not arial O fficer / T itle