Fill and Sign the For the Filing of Select One Form

NHJB-2132-P (03/25/2013) Page 1 of 1 THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) MOTION FOR EXTENSION OF TIME FOR THE FILING OF (select one): Inventory Account Voluntary Statement Annual Report Waiver of Administration Affidavit Other 1. Fiduciary Name Capacity Mailing Address Fiduciary Name Capacity Mailing Address 2. Attorney Name Telephone Mailing Address Bar ID# 3. If an extension for an Account or Annual Report is requested, the document due is for the period beginning and ending 4. I am requesting that I be granted an extension of time to file the above form on the following date: 5. Reason for Extension: 6. Have other extensions postponing this filing been previously granted? Yes No If yes, please give details, including the number of previous extensions I certify that on this date I provided this document(s) to the parties who have filed an appearance for this case or who are otherwise interested parties by: Hand-delivery OR US Mail OR Email (E-mail only by prior agreement of the parties based on Circuit Court Administrative Order) . Date Fiduciary or Attorney Signature Date Fiduciary or Attorney Signature ORDER Motion for extension of time is granted. Filing date is extended to Failure to file the document by that date may result in the issuance of: default citation show cause order other penalties to be determined by court. Motion for extension of time is denied. Date Judge FOR COURT USE ONLY: Due Date Default Date Citation Date Default Sent Citation Sent